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Building Permit Over the Counter Application

1. Job site address: *This question is required. (including direction and suffix)

2. Property owner name: *This question is required.

3. Property owner address: *This question is required.

Street Address:
City:
State:
Zip:

4. Property owner phone number: *This question is required.

5. Project type: *This question is required.

6. What type of residential? *This question is required.

Please enter an 'other' value for this selection.

6. What type of commercial? *This question is required.

6. Value of work (Labor and Materials)($): *This question is required.

7. Type of permit: *This question is required.

Please note: each individual lot requires a separate application and permit.

Please note: each individual appliance requires a separate application and permit.

8. Scope of work: *This question is required.

Panel change out
Meter change out
Upgrade existing wiring
Panel upgrade (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 line diagram).
Other electrical alterations: Please enter an 'other' value for this selection.

8. Service upgrade: *This question is required.

8. Existing amps: *This question is required.

8. New amps: *This question is required.

8. Contractor name: *This question is required.

8. Contractor address: *This question is required.

8. Contractor phone number: *This question is required.

8. Contractor email: *This question is required. This question requires a valid email address.

8. License number ME- *This question is required.

8. Additional information if applicable:

8. Scope of work: *This question is required.

8. Model name: *This question is required.

8. Manufacturer name: *This question is required.

8. Length of extensions of gas line (if necessary):

8. Please list plumber fireplace contractor if not completing:

8. Contractor name: *This question is required.

8. Contractor address: *This question is required.

8. Contractor phone number: *This question is required.

8. Contractor email: *This question is required. This question requires a valid email address.

8. License number: *This question is required.

8. Certificate number: *This question is required.

8. Subcontractor license (if applicable):

8. Subcontractor name (if applicable):

8. Additional information if applicable:

8. Landscape company name:

8. Landscape company address:

8. Landscape company phone number:

8. Landscape company email: This question requires a valid email address.

8. Master plumber company name: *This question is required.

8. Master plumber company address: *This question is required.

8. Master plumber company phone number: *This question is required.

8. Master plumber company email: *This question is required. This question requires a valid email address.

8. License number MP- *This question is required.

8. Additional information if applicable:

8. Scope of work: *This question is required.

8. Number of feet to be replaced: *This question is required.

8. Describe other plumbing work: *This question is required.

8. Master plumber or excavation company name: *This question is required.

8. Master plumber or excavation company address: *This question is required.

8. Master plumber or excavation company phone number: *This question is required.

8. Master plumber or excavation company email: *This question is required. This question requires a valid email address.

8. License number: *This question is required.

8. Additional information if applicable:

8. Unit type: *This question is required.

8. Please choose one of the following: *This question is required.

8. Is the water heater for a restaurant? *This question is required.

Please acknowledge: *This question is required.

I have approval from the Larimer County Health Department for minimum water capacity.
I do not have approval.

8. Will the equipment be placed on the rooftop? *This question is required.

8. Please choose on the following: *This question is required.

8. Please choose one of the following: *This question is required.

8. Is this new install or a replacement install?

8. Please provide the the ME number: *This question is required.

8. Contractor company name: *This question is required.

8. Contractor company address: *This question is required.

8. Contractor company phone number: *This question is required.

8. Contractor company email: *This question is required. This question requires a valid email address.

8. License number: *This question is required.

8. Additional information if applicable:

8. Manufacturer of materials: *This question is required.

8. Number of squares: *This question is required.

8. Number of stories: *This question is required.

8. Is it a flat roof (less than 2:12 pitch)? *This question is required.

8. Are you tearing off existing roofing materials to the decking? *This question is required.

8. How many layers are there? *This question is required.

8. What kind of material are they? *This question is required.

8. Is there existing insulation? *This question is required.

8. Will any insulation be removed/replaced? *This question is required.

8. Check one: *This question is required.

8. Contractor company name: *This question is required.

8. Contractor company address: *This question is required.

8. Contractor phone number: *This question is required.

8. Contractor company email: *This question is required. This question requires a valid email address.

8. License number: *This question is required.

8. Certificate number: *This question is required.

8. Work performed by: *This question is required.

8. Exempt roofer name: *This question is required.

8. Exempt Roofer License EX_____: *This question is required.

8. Additional Information if applicable: