COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
Over The Counter (OTC) Permit Application
ATTENTION: OTC PERMITS ARE AVAILABLE ON A LIMITED BASIS AFTER 4:30PM
**Re-Roof Permits only: Solar on property?
☐ Check # ________________ ☐ Cash
Checks made payable to: Mesa County
Site Address: ____________________________________________________________________
Property Owner: __________________________________________________________________
Contractor(s): ____________________________________________________________________
____________________________________________________________________
City of GJ License &/or State Contractor No.: __________________________________________
(STATE LICENSE NUMBERS FOR PLUMBERS/ ELECTRICIANS) (HVAC CONTRACTOR CITY LICENSE NUMBER REQUIRED
ONLY WITHIN THE CITY LIMITS OF GRAND JUNCTION FOR MECHANICAL WORK)
Description of Work: ______________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
NOTE: EACH DETACHED STRUCTURE &/OR PROJECT MUST HAVE ITS OWN APPLICATION AND PERMIT
Total Value.: $____________________________________________________________________
TOTAL CONTRACT PRICE = TIME, MATERIALS & PROFIT (INLCUDES MATERIALS PURCHASED BY PROPERTY OWNER)
Name: ________________________________ Phone Number: ___________________________
200 S. Spruce Street ● PO Box 20,000-5005 ● Grand Junction, Colorado ● 81502
Telephone: 970.244.1631 ● Fax: 970.244.1769 ● www.mesacounty.us/building
Administrative Review Application Process