Fillable AP PLICATION FOR BUILDING PERMIT & CERTIFICATE OF (Boone County, Missouri)

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AP PLICATION FOR BUILDING PERMIT & CERTIFICATE OF (Boone County, Missouri)

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AP PLICATION FOR BUILDING PERMIT & CERTIFICATE OF OCCUPANCY
Boone County
*Property
Estimated cost
of Construction $
Last Name/First Name Address City State Zip *Daytime Phone
Fee $ _________________________
________________
____________________________________________________________________________
Owner:
Contractor:
_________________________________________________________________________
Last Name/First Name Address City State Zip Daytime Phone
*Email
Address:
NOTE: Please provide a copy of a recorded Deed for proof of ownership and a survey if applicable.
__________________________________________________________________________
Please provide a survey/sketch plan with proposed location of building.
FINISHED UNFINISHED Sq. Ft.
_____________ _________ = __________
____________ = ___________
____________ = ___________
____________ = ___________
= ___________
____________ __________
= ____________
____________ __________
TOTAL SQ.FT:
Basement Square footage
1st Floor Square footage
2nd Floor Square footage
Other (specify):
Shop/Garage(choose one)
Pole Barn/Shed
Deck/ Porch/ Etc.
____________ __________ = ____________ _____________
Number bedrooms _________ bathrooms_________
DRIVEWAY TYPE Choose One: ________________
EXISTING
OFFICE USE ONLY
Permit ______________________
//_Date _____ ___ ______________
Health Public
Works #Dept:________ _______
Sq.Ft/Acres= _xSize of property _Structures presently on site (type) _
Rear_/Sides _Number of Feet From Property Lines: Front
# of Dwelling Units*Use of Building
EACH SEPARATE BUILDING REQURES A SEPARATE PERMIT APPLICATION (IE: HOUSE AND DETACHED GARAGE)
*Type of Construction _____________ _____________________ __________
___________ _________ ___________
__________
_______________
__________ ____________ _____
*Road Driveway Connects To: ________________________________________________________
Parcel # Zoning ________ _______ -_______-_______-_______-_______._______
Off-street parking spaces required _S-T-R ______-_____-_____ _________________
*Directions to site:
Sinkhole area *911 Address of Work
Permit #Flood Plain Dev. Permit Req.Floodplain panel 290034
Block Lot Subdivision ____________________________________ __________ __________
____________ _______ _________
____________________________________________ _____
________________________________________________________________
___
___
_____________________________________________________________________________
___________________________________________________________________________
Comments: ______________________________________________________________________
/ /Date:Approved by: _________________________________________ ___ ____ ____ _________
Type of foundation: BASEMENT CRAWL SPACE SLAB WITH FOOTINGS POLE PIERS
Type of Waste Water System: LAGOON SEPTIC SYSTEM CENTRAL SYSTEM
EXISTING (specify)
Height of
building to peak
___________
NEW
Attached
Gravel
No
Will this structure be used for commercial/business purposes? YES NO
If yes, please explain:
________________________________________________________________________________
________________________________________________________________________________
Land disturbance may include the grading, digging, cutting, scraping, or excavating of soil, placement of fill
materials, paving, construction, substantial removal of vegetation, or any activity that bares soil or rock or
involves the diversion or piping of any natural or man-made watercourse. Below, indicate the total amount of
area that will be disturbed. (total square footage disturbed divided by 43560 sq ft = total acres disturbed)
Total square feet of disturbed area: _______________ / 43560 sq ft = ______________ *ACRES
Include ALL land area that will be disturbed at the site (include areas for homes, outbuildings, wastewater systems, lakes, ponds, property clearing/
leveling/fill, driveways, etc).
Please check any of the following sensitive areas located on the property:
Sinkhole* Flood Plain Stream Buffer Other
*3000 ft
Will there be any stream crossings or stream disturbance? YES NO
Comments:_______________________________________________________________________
________________________________________________________________________________
_____________________________________________________________________________ ___
I hereby certify that I have read and examined this application and know the same to be true and
correct, and to comply with all County Ordinances and State Laws regulating building construction.
I understand that this permit shall become null and void if construction does not begin within six (6)
months of the date that the permit is issued; or if construction stops for more than six (6) months.
I understand that a minimum notice of one day is required for inspections unless otherwise
stated by this office, and that no work may proceed until an inspector has approved the inspection
that has been requested.
I understand that a CERTIFICATE OF OCCUPANCY is required prior to occupancy of this
structure and that , no structure shall be occupied until a Final Inspection has been requested,
the Final Inspection has been performed and a CERTIFICATE OF OCCUPANCY has been issued.
*Applicant’s Signature _______________________________________*Date _____/_____/_____
*Print Name ______________________________________
print
form, sign and email application and plot plan to: resmgt@boonecountymo.org
DO NOT EMAIL TO INDIVIDUAL EMPLOYEES
PLOT PLAN
(Completed by applicant)
1. Please show and label streets/roads and indicate location of driveway.
2. Please show the location and dimensions of the new building in relation to lot lines.
3. Indicate location of wastewater treatment in relation to structure and lot lines.
4. Indicate and label all existing structures on property.
5. For additions, indicate existing structure and location of addition.
Instead of this drawing you may submit a copy of the aerial photograph with the above information
drawn in
REAR PROPERTY LINE
FRONT (STREET FRONTAGE)
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AP PLICATION FOR BUILDING PERMIT & CERTIFICATE OF (Boone County, Missouri)

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Completed 31 January 2021

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