Fillable 34704 CERTIFICATE APPLICATION (FILLABLE) 2017 MAR

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34704 CERTIFICATE APPLICATION (FILLABLE) 2017 MAR

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Building & Development Services
1102 Lohmans Crossing, Lakeway, TX 78734
Phone: (512) 314-7540 Fax: (512) 314-7541
www.lakeway-tx.gov
CERTIFICATE REQUEST FORM
BUILDING PERMIT #:
LANDSCAPE PERMIT#:
LEGAL DESCRIPTION:
Lot
CERTIFICATE TYPE:
(Select One)
Residential New or House Addition
Residential Remodel
Commercial New Building
Commercial Finish Out
A
PPLICANT
N
AME
T
ELEPHONE
E-M
AIL
A
PPLICANT
M
AILING
A
DDRESS
C
ITY
S
TATE
IP
ODE
PLEASE USE THE SPACE BELOW TO FURTHER DESCRIBE ANY PARTICULARS OF YOUR REQUEST:
FOR CITY USE ONLY
SUBMITTAL VERIFICATION / INSPECTION AUTHORIZATION:
That I, as owner or duly authorized officer of the property hereinafter
referenced, do hereby execute this document, acknowledge the above
statements to be true and accurate to the best of knowledge, and understand
that knowing and willful falsification of information will result in rejection
of my application and may be subject to criminal prosecution. I have
received, read and understand the terms and conditions of this request, and
agree to compliance with all applicable codes and ordinances of the City. I
authorize the City or their representatives to visit and inspect the property
for which this application is being submitted.
NOTES:
CA VERIFIED
DATE RECEIVED:
APPLICANT SIGNATURE
PRINTED NAME DATE
CERTIFICATE OF COMPLETION
Block
Phase
Section
Subdivision
CERTIFICATE OF OCCUPANCY
PROJECT ADDRESS:
R
evised: 5/11/2020
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Building & Development Services
1102 Lohmans Crossing, Lakeway, TX 78734
Phone: (512) 314-7540 Fax: (512) 314-7541
www.lakeway-tx.gov
* To schedule inspections through the City of Lakeway, go to: http://www.lakeway-tx.gov/inspections
Revised: 5/11/2020
CERTIFICATE REQUESTS
Requests:
Applications for Certificates of Occupancy or Certificates of Completion must be submitted to BDS with required
documentation at least one week in advance of the requested occupancy date (LCO §24.02.121(d)).
No building or structure shall be used or occupied, and no change in the existing occupancy classification of a
building or structure or portion thereof shall be made until the building official has issued a certificate of
occupancy. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the
provisions of this code or of other ordinances of the jurisdiction. [Certificates presuming to give authority to
violate or cancel the provisions of this code or other ordinances shall not be valid.] (IBC §111.1 [IRC §R110.1])
All fees must be paid in full prior to any request for Certificate(s).
CHECKLISTS - Please submit a copy of the following documents with this Certificate Request Form:
Residential
Final Building Inspection (Passed, Signed, Dated)- Obtain from City of Lakeway*
Compliance Inspection (Passed, Signed, Dated)- Obtain from City of Lakeway*
All landscaping must be permitted and installed prior to submitting compliance inspection requests
Final Plumbing Inspections (Passed, Signed, Dated) - Schedule through water purveyor
Duct Blast Test (Passed, Signed, Dated)- Obtain from energy auditor of builder's choice
Blower Door Test (Passed, Signed, Dated)- Obtain from energy auditor of builder's choice
Termite Documentation
OSSF (On-Site Sewer Facilities) Permit to Operate [if applicable] (Signed, Dated)- Obtain from LCRA
Propane/Gas Conversion Test - Obtain from licensed propane vendor of builder's choice
A Certificate of Acceptance (CA) on subdivision improvements by the City Engineer may be required
Approved Building Plans (all pages including site and engineered plans)
Nonresidential
Final Building Inspection (Passed, Signed, Dated) – Obtain from City of Lakeway*
Final Fire Inspection (Passed, Signed, Dated) - Schedule through Lake Travis Fire and Rescue
Final Health Inspection (Passed, Signed, Dated) [if applicable] – Obtain from Austin/Travis County Health
and Human Services
Final Plumbing Inspection (Passed, Signed, Dated) - Schedule through water purveyor
OSSF (On-Site Sewer Facilities) Permit to Operate [if applicable] (Signed, Dated)- Obtain from LCRA
Accessibility inspection [if applicable] - Texas Department of Licensing & Regulation - 512-539-5669
Can be deferred until final Certificate of Occupancy (CO)
A Certificate of Acceptance for site improvements – Obtain from City Engineer
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34704 CERTIFICATE APPLICATION (FILLABLE) 2017 MAR

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Completed 13 July 2020

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