City of Santa Fe
BUILDING PERMIT APPLICATION
Application Tracking #
Accepted by
Floodplain
Escarpment
Occupancy Group:
Type Class
Land Use Classication
Type of Construction:
Zoning District
TO BE COMPLETED BY APPLICANT
Suite or Space #
Lot Block
SITE ADDRESS
Subdivision
Lot Square Footage Total
PROPOSED
WORK: (Check all that apply)
NewConstruction Walls/Fences Signs:
Additions Gradlng/Utllltles/Landscaping Freestanding WallMounted
Exterior Alterations/Repairs Pools, Sheds Existing # sq.ft.
Interior Remodel Other Proposed# sq.ft.
Total
DESCRIPTION OF WORK: i.e. Bathroom addition, new 4 room residential addition, new 8 room residence, new
commercial building, etc (Note: Work listed herein must be depicted on accompanying plans and/or information if
consideration of review requested)
PROPOSED USE: describe what facility is to be used for, i.e. new single family residence, new fast food restaurant,
new time share residence, new grocery store, etc.
SQUARE FOOTAGE
Existing Proposed Total
Heated
Garage
Patio /Porch
Total Roofed
Total Square Footage
Number of Plumbing Fixtures Proposed
Sinks
CONTRACTOR
Property Owner
Mailing Address
OWNER/BUILDER
DaytimeTelephone #
Email address
No. of buildings
No. of stories
Will the proposed construction result in an increase in
the number of residential units? Yes No
How many?
Will the proposed construction result In an increase in wa-
ter use? Yes No
Urinals
Water Fountains
Other
City License #
Contractor
Mailing Address
State License #
Daytime Telephone #
Email address
I hereby certify that I am the duly appointed agent authorized to act on behalf of the property owner. I also certify that the information provided
in this application is true and correct and it represents the current and proposed status of the subject property; that the plans submitted with this
application are complete and in compliance with the building standards set forth in the Santa Fe City Code; and that the plans illustrate all
public
and private easements located on the property. I also certify that plans and submittals have been prepared in accordance with the submittal checklist. I
further understand that failure to follow submittal checklist will result in the delay or rejection of my application.
Address
Daytime Telephone
Contact Name
Email Address
Signature Applicant/Agent
Date
Construction Valuation
$
TYPE OF SEWAGE DISPOSAL
20-
Occupancy Load
Date Accepted
Amount Paid: Plan Check Fee
Division
Historical
Water Budget Fee
Balance Due Permit Fee
Public Sewer Private System
Showers
Tubs
Toilets
New (commercial building)
