Building Permit Application

Date Submitted *

Project Address *

Address Line 1

Address Line 2

City

State

Zip Code

Detailed Description of Project *

Property Owner Name *

First

Last

Property Owner Address *

Address Line 1

Address Line 2

City

State

Zip Code

Property Owner Phone

Property Owner Email

Contractor Company

Contractor Contact *

First

Last

Contractor Address *

Address Line 1

Address Line 2

City

State

Zip Code

Contractor Phone *

Contractor Email *

applicable) finish Permit,

Architect Name (if applicable)

First

Last

Architect Phone

Architect Email

Will this project require a dumpster? *

Yes
No

If yes, note that no dumpster shall be set, placed, or maintained in or upon any sidewalk, street, or road and must be removed when the project has been completed.

Will this project require a portable storage unit, PODS, or similar device? *

Yes
No

Will this project require a temporary non-sewered sanitation unit (portable toilet)? *

Yes
No

If yes, the unit must be placed as far away from the street as possible while maintaining the ability to be serviced and cleaned.

Estimated total cost to the homeowner for the construction covered under this specific permit, excluding the cost of the land, finish materials and professional fees. *

The total SF of all living space that will be constructed under this specific Permit, including the garage and finished basements in the house and in house additions. *

-Materials may not be dropped off in the street and trailers may not be parked any longer than 72-hours.

-Permits are to be secured from, and inspections made by St. Louis County for plumbing, electrical, mechanical and elevator work.

REQUIRED DOCUMENTATION:

For plans smaller than 11" x 17":

Plans can be uploaded to the application, submitted via e-mail to cityhall@clarksonvalley.org, or dropped off at City Hall.
If submitting digitally, processing fees will apply.
If submitting hard copies, please provide three sets.

For plans larger than 11" x 17":

Plans need to be uploaded to the application or submitted via e-mail to cityhall@clarksonvalley.org
Three sets of plans will need to be dropped of at City Hall.

EXTERIOR PROJECTS:

Construction documents must bear the seal and date of a registered Missouri design professional.
A site plan prepared by a Missouri registered Land Surveyor that illustrates the location of the proposed work, including existing buildings, easements, property lines, setback lines, and distance measurements from property lines to proposed project.
Roof trusses must include pre-engineered roof truss diagrams.
Retaining walls must include the manufacturer Master Plans.

INTERIOR PROJECTS:

Plan layout approved and sealed by a registered architect/engineer that indicates pertinent measurements.

File Upload

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

No representation in this Application, nor any statement, schedule or exhibit furnished by the Applicant or Owner pursuant to this Application shall contain any untrue statement of a material fact or shall omit a material fact necessary to make the statements, schedules or exhibits contained therein not misleading.

In the event a Building Permit is issued pursuant to this Application, construction must begin six (6) months after the date issued. Said Building Permit is valid for one (1) year from the date approved and is contingent upon the Applicant proceeding with due diligence to complete the Project. In the event the City determines that due diligence in the completion of the Project is not being exercised, said Building Permit shall, upon ten (10) days written Notice to Applicant, be rescinded and all work thereunder shall cease.

Submission of any untrue statement or omission of material facts shall herein be grounds for the immediate revocation of any Building Permit or Occupancy Permit issued pursuant to this Application.

I HEREBY ACKNOWLEDGE THAT I AM THE OWNER OR DULY AUTHORIZED TO ACT IN THE OWNER’S BEHALF AND HEREBY AGREE TO COMPLY WITH THE APPLICABLE REQUIREMENTS OF THE FIRE PREVENTION AND BUILDING CODES OF THE CITY OF CLARKSON VALLEY, MISSOURI AND THAT I HAVE READ THIS APPLICATION AND GIVEN CORRECT INFORMATION AND UNDERSTAND THAT THIS APPLICATION DOES NOT CONSTITUTE A PERMIT.

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