Fillable BUILDING PERMIT APPLICATION (Town of Telluride)

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BUILDING PERMIT APPLICATION (Town of Telluride)

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The BUILDING PERMIT APPLICATION (Town of Telluride) form is 1 page long and contains:

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  • 5 check-boxes
  • 40 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Telluride

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BUILDING PERMIT APPLICATION
Complete this application and call the Building Department to schedule a permit submittal appointment. A complete
application submittal must include all the applicable documents as stated on the building permit application
requirements.
PROJECT TITLE:_____________________________________________________________________________________________ Date: ____________________
Project Physical Address:_________________________________________________________________________________
Legal Description: LOT (s) ________________ BLOCK__________ SECTION ______________________
Property
Owner _____________________________________________________________ Phone: ______________________________________________
Mailing E-mail: ______________________________________________
Address: _________________________________________________________
_________________________________________________________
_________________________________________________________
Agent/ Lessee: Architect/ Engineer: Contractor:
Name: ____________________________________ ____________________________________ ___________________________________________________
Mailing
Address: __________________________________ _____________________________________ ___________________________________________________
__________________________________ _____________________________________ ___________________________________________________
Phone: ___________________________________ _____________________________________ ___________________________________________________
Cellular ____________________________________________ _______________________________________________ ________________________________________________________________
E-Mail: ______________________________________________ _______________________________________________ _______________________________________________________________
Town Current
Business Lic#______________________________ ___________________________________ ___________________________________________________
Must provide copy of Current Town of Telluride Business Licenses
Permit TYPE: ( ) Building ( ) Excavation ( ) Foundation ( ) Mechanical ( ) Out of Town Water//Sewer Tap Fee
USE of Building: ( ) Single Family Residence ( ) Multi-Residential ( ) Commercial/ Residential ( ) Commercial
If Commercial Restaurant/Bar is there an existing Liquor License Y/N
Change of Use: From__________________________________ To__________________________________________
CLASS of Work: ( ) New ( ) Addition/ Alteration ( ) Remodel ( ) Repair ( ) Move ( ) Demolition
Number of Water Meters: Residential _______ Commercial _________
SCOPE of Work: (Give a Brief Description of the Work to be done)
_________________________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________
TOTAL Construction Costs (include labor and materials): $_____________________________________
The undersigned hereby certifies that they have read and examined this application and know the same to be true and
correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
other state or local law regulating construction or the performance of construction.
Signature - Owner or Authorized Agent Date
Building Department
113 W Columbia Ave
P.O. Box 397, Telluride, CO. 81435
970-728-2175
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BUILDING PERMIT APPLICATION (Town of Telluride)

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Completed 5 August 2020

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