Fillable APPLICATION FOR BUILDING PERMIT & CERTIFICATE OF OCCUPANCY (Boone County, Missouri)

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APPLICATION FOR BUILDING PERMIT & CERTIFICATE OF OCCUPANCY (Boone County, Missouri)

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APPLICATION FOR BUILDING PERMIT & CERTIFICATE OF OCCUPANCY
Boone County
Fee $ _________________________
Estimated cost
of Construction $________________
Property
Owner:__________________________________________________________________________________/_________
Last Name/First Name Address City State Zip Daytime Phone/Mobile Phone
Contractor:_______________________________________________________________________________/_________
Last Name/First Name Address City
State Zip Daytime Phone/Mobile 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.
Basement Square footage ____________ __________ = ___________
1st Floor Square footage ____________ = ___________
2nd Floor Square footage ____________ = ___________
Other ____________ = ___________
Garage attached/detached ______ ______ __________ = ___________
Pole Barn/Shed ______ ______ __________ = ____________
Deck/ Porch/ Etc. ______ ______ __________ = ____________ TOTAL SQ.FT: _____________
Number bedrooms _________ bathrooms _________
DRIVEWAY TYPE: (________________________) DRIVEWAY NEW EXISTING
Permit #______________________
Date ________/________/_______
Health Public
Dept:________ Works #_______
Type of Construction ______________________ Use of Building______________________# of Dwelling Units________________
Number of Feet From Property Lines: Front____________ Sides__________/_____________ Rear_____________
Structures presently on site________________ Size of property ___________x__________=___________Sq.Ft/Acres
Name of Street Driveway Connects to
: _________________________________________
Zoning ________
Parcel # _______ -_______-_______-_______-_______._______
S-T-R ______-_____-_____ Off-street parking spaces required __________________
Subdivision ____________________________________ Lot __________ Block __________
Floodplain panel 290034 ____________ Flood Plain Dev. Permit Req._______ Permit #_________
911 # ___________________________________________ Sinkhole area _____ Engineer _____
Directions to site: _________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Comments: ______________________________________________________________________
Approved by: _________________________________________ Date:_______/ _______/ ______
Type of foundation: BASEMENT CRAWL SPACE SLAB WITH FOOTINGS
WOOD POLE PIER HOLES ________ .
Type of Waste Water System: LAGOON SEPTIC SYSTEM CENTRAL SYSTEM
OTHER/BOR APPROVED EXISTING (REPORT TO H.D.___)
Height of
building to peak
___________
Will this structure be used for commercial/business purposes? YES NO
If yes, please explain:
________________________________________________________________________________
________________________________________________________________________________
Total square feet of disturbed area: _______________ / 43560 = _________________ ACRES
Include ALL area that will be disturbed at the site (ie: areas for homes, outbuildings, wastewater systems, lakes, ponds, property clearing/leveling/fill,
driveways, etc)
Please check all 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-half 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 _____/_____/_____
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APPLICATION FOR BUILDING PERMIT & CERTIFICATE OF OCCUPANCY (Boone County, Missouri)

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Completed 20 August 2020

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