APPLICATION FOR COMMERCIAL BUILDING PERMIT & CERTIFICATE OF OCCUPANCY
Boone County, Missouri
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 C
ity 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.
Location of Project:__________________________________________________________________________________________
FINISHED UNFINISHED
Basement Square footage ____________ ___________ = ___________
1st Floor Square footage ____________ = ___________
2nd Floor Square footage ____________ = ___________
____________
Other __________ = ___________
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
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.___)
3 SETS OF STAMPED PLANS MUST BE SUBMITTED WITH THIS APPLICATION
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:_______/ _______/ ______
Height of
building to peak
___________
_
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 circle any of the following sensitive areas located on the property:
Sinkhole* Flood Plain Stream Buffer Other
*3000 ft
W
ill there be any stream crossings or stream disturbance? YES NO
Comments:_______________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Estimated start date: _____/_____/_____ Estimated completion date: _____/_____/_____
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 24 hours is required for inspections unless otherwise stated
by this office, and that no work may proceed until an inspector has performed 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 _____/_____/_____
Company _________________________________ Address______________________________