Type Full Name :
Sign With Hand
City
Please note that failure to submit required documents may delay your application, this is the responsibility of the applicant. Select Yes/NO
Type of License
Company Name *
Fee
You must attach a copy of your General Liability Insurance Certificate. If applying for a Plumbing or Electrical License, please include a copy of your state and master licensing.
If the Total valuation is from $501 to $2,000 , then the Permit Fee is $33.00 for the first $500 plus $4.50 for each additional $100.00 or fraction thereof to and including $2000.00 plus the inspection fees as determined by the trustees from time to time.
The Town of Columbine Valley requires that the Company/Applicant provide Workman's Compensation Insurance and Liability Insurance naming The Town of Columbine Valley as the certificate holder (ACORD Certificate) with a minimum amount of $500,000 single occurrence for class A&B or $300,000 single occurrence of all other for the full term of the license.
Contractor License Application/Registration
The Town of Coumbine Valley requires that all subcontractors associated with your project obtain a license with the Town, prior to commencement of work. *
2 Middlefield Road, Columbine Valley CO 80123
(303) 795-1434
www.columbinevalley.org
If the Total valuation is from $2,001 to $25,000 , then the Permit Fee is $105.50.00 for the first $2000 plus $19.00 for each additional $1000.00 or fraction thereof to and including $25,000.00 plus the inspection fees as determined by the trustees from time to time.
Phone # *
Contractor Information
Email *
Door to door solicitation is prohibited without a valid solicitor's permit. *
Will you have any subcontractors associated with your project ? *
If the Total valuation is from $1,000,001 , then the Permit Fee is $7600.00 for the first $1,000,000 plus $5.00 for each additional $1000.00 or fraction thereof plus the inspection fees as determined by the trustees from time to time.
Subcontractor Information
Please note that your application will NOT be processed until you agree and select 'Yes' to all the terms and conditions below.
If the Total valuation is from $1 to $500 , then the Permit Fee is $33.00 plus the inspection fees as determined by the trustees from time to time.
Contact Name *
If you have employees, you must provide worker’s compensation insurance. Do you acknowledge this statement?
Fee
City, State, ZIP *
(Roofers, plumbers, mechanical and electricians are also required to have contractor licenses to work in Columbine Valley. Licensing is also required to obtain inspections.
City
Attachment
If the Total valuation is from $50,001 to $100,000 , then the Permit Fee is $875.00 for the first $50,000 plus $9.50 for each additional $1000.00 or fraction thereof to and including $100,000.00 plus the inspection fees as determined by the trustees from time to time.
If the Total valuation is from $25,001 to $50,000 , then the Permit Fee is $542.50.00 for the first $25000 plus $13.50 for each additional $1000.00 or fraction thereof to and including $50,000.00 plus the inspection fees as determined by the trustees from time to time.
If the Total valuation is from $100,001 to $500,000 , then the Permit Fee is $1350 for the first $100,000 plus $7.50 for each additional $1000.00 or fraction thereof to and including $500,000.00 plus the inspection fees as determined by the trustees from time to time.
Enter subcontractor details in the grid below:
No on street parking without a permit between 3:00 am - 6:00 am. *
Certification
I hereby certify that the above mentioned information is true to the best of my knowledge.
Registration Date
Address *
Please note that the total amount due is likely to change depending on the inspection. In that case you will have to pay a total of the Permit Fee and the total Inspection Fee. The fee for each inspection is $45.00.
City
City
Applicant Signature *
If the Total valuation is from $500,001 to $1,000,000 , then the Permit Fee is $4350.00 for the first $500,000 plus $6.50 for each additional $1000.00 or fraction thereof to and including $1,000,000.00 plus the inspection fees as determined by the trustees from time to time.
Advertising/Company Signage is prohibited in Columbine Valley. *
Please list other Colorado cities where you are licensed to work:
Acknowledgement
Payment Type *