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Get Boulder County Building Permit Application Form

Payment is required at time of application. Please call 303-441-3926 to put a credit card number on file otherwise a Permit Specialist will contact you for payment when processing your permit application. Certification I certify that the above information is correct and agree to construct this building in accordance with the plot building plans and specifications submitted herewith and in strict compliance with all the provisions of the Zoning Ordinance Building Code and Health and Plumbing Regulations of Boulder County. Applicant Please Print Signature Form B/53 Rev. 04. 03. 14 g /publications/building/B53EZBPApplicationForm.pdf Owner Contractor Agent Date. Intake Stamp Land Use Department Building Safety 2045 13th Street PO Box 471 Boulder Colorado 80302 Phone 303-441-3926 Fax 303-441-4856 Email ezbp bouldercounty. org Web www. bouldercounty. org/lu Office Hours Monday Friday 8 a*m* to 4 30 p*m* Closed Tuesdays 8 to 10 a*m* Permits can be applied for until 4 p*m* EZBP Application Form EZBPs are for Residential Projects Only Project Street Address City State Zip Code Contractor Contact Contractor License Primary Phone Number Address Secondary Phone Number Fax Email Address Owner s Name Contact Permit Project Description Project Valuation Type of Project Type of Structure Check All That Apply Electrical Service Check One Gas Service Check One RR 01 Reroof RR 02 Electrical Only RR 03 Furnace RR 04 Air Conditioning RR 05 Stoves RR 06 Gas Line RR 07 Eldorado Springs Hookup RR 08 Water Heater Boiler Evap* Cooler RR 09 Siding RR 10 Mobile Home Park Setup RR 01 One Family Dwelling RR 02 Two Family or Attached Dwelling including RR Xcel Energy RR United Power RR Estes Park RR Poudre Valley REA RR Longmont RR N/A RR Propane RR Other townhouse RR 03 Three and Four Family Dwelling RR 04 Detached Garage RR 05 Barn Storage Shed Outbuilding RR 06 Mobile/Manufactured Home RR 07 Pool Hot Tub Fence Retaining Wall Pump Non-structure Is there more than one structure on the property No / Yes Total number of structures If yes please sketch out the property below or attach a Site Plan and indicate which structure this work is being applied for. Site Plan Sketch If the application is brought in to the office the permit will be issued over the counter and if the application is faxed mailed or emailed the permit will be issued within 24 hours. Please note If the property is located on a Conservation Easement has an active Zoning Violation is Not a Legal Building Lot or if the structure is Historic more than 50 years old or if the structure appears to be Non-Conforming an additional 1-2 days will be required to complete the review. RR Please mail permit to RR Please fax or email to RR I will pick the permit up from the office. Please note the original permit will be mailed to the applicant. Payment is required at time of application* Please call 303-441-3926 to put a credit card number on file otherwise a Permit Specialist will contact you for payment when processing your permit application* Certification I certify that the above information is correct and agree to construct this building in accordance with the plot building plans and specifications submitted herewith and in strict compliance with all the provisions of the Zoning Ordinance Building Code and Health and Plumbing Regulations of Boulder County.

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