Fillable Christian County Building Application Fillable 2 (Christian County Government)

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Christian County Building Application Fillable 2 (Christian County Government)

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BROWSE CHRISTIAN COUNTY GOVERNMENT (MO) FORMS

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Revised 2/4/19
CHRISTIAN COUNTY BUILDING DEPARTMENT
BUILDING PERMIT APPLICATION
1106 W. Jackson St., Ozark, MO 65721
Ph. 417-581-6064 Fax 417-581-6054
ccrain@christiancountymo.gov
http://www.christiancountymo.gov/codes.html
Received by: Date: Permit # Fee: $
Legal Owner Information:
Name:
Phone:
Current Mailing Address:
Alt Phone:
City:
Zip:
Email:
Contractor Information:
(Owner is contractor; same information as above)
Name:
Phone:
Address:
Fax:
City:
Zip:
Email:
Applicant: Owner Contractor
If different than owner or contractor:
Name:
Phone:
Address:
City:
Zip:
Email:
Job Address (if one exists, if not write “TBD”):
Street:
City:
Does proposed structure have 15 feet vertical and horizontal clearance from overhead powerlines? Y / N
Will proposed structure be placed over fill dirt? Y/ N *Please note; may require compaction test
Please provide clear written directions to the job site:
(over)
Revised 2/4/19
Type of Project: (Please select ONE. One application per project)
Residential
Accessory Building: Manufactured Home
Trusses Stick-Frame All Metal Year manufactured: _________
Plumbing? Y/N # bathroom(s ____
other ____________________ Deck: Covered Above 30” from ground
Pole barn side height: _______
Single Family Dwelling: Pool: Above ground Below ground
Will the home have trusses? Y / N
Will home have gas? Y / N Solar Panels: Roof-mounted Ground-mounted
Electrician:_________________________________
Accessory Building with Living Quarters:
Will the building have trusses? Y / N Remodel: Additional bedrooms? #_____
Will structure have gas? Y / N
Demolition Miscellaneous
Addition: Additional bedrooms? #____
Project Description: _______________________________________________________________________
________________________________________________________________________________________
Commercial
Commercial
For Commercial Projects:
*Estimated cost of construction:
_$__________________________
*Construction Type: _________
*Use Group: ________
*Sprinkler Type: ______________
New Building New Cell Tower Cell Tower Modification
Remodel Sign Tenant Infill
Addition Multi-Family
Project Description:____________________________________
_____________________________________________________
Individual Trade Permit: (Circle all that apply)
Plumbing Electrical Mechanical/HVAC
Total Square Foot: (Includes covered porches, patios, decks, garage, basement) ________
If Accessory Building with Living Quarters, list
living
area total sq ft: _________
Will home have basement? Y / N If yes, Finished / Unfinished
Number of Bathrooms: _____
Number of Bedrooms (note: any room with a closet, including offices are
considered as a bedroom, for septic systems): _________
APPLICANT AGREEMENT
I hereby certify that I am the owner or the owner’s designated agent, and that all
information is correct to the best of my knowledge. I understand that application for a
permit is not authorization to begin work. I understand that a valid permit must be
procured before work may begin. Please note permit will expire 6 months after last
inspection performed.
SIGNATURE: DATE:
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Christian County Building Application Fillable 2 (Christian County Government)

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Completed 17 July 2020

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