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
Applicant Address
Permit Fee
Date Submitted
Company Name *
Fee
You must attach a copy of your General Liability Insurance Certificate. If applying for a General Contractor, Plumbing or Electrical License, please include a copy of your state or local license.
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 Email *
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.
Company Phone # *
Applicant Information
Applicant Email *
Door to door solicitation is prohibited without a valid solicitor's permit. *
City *
Will you have any subcontractors associated with your project ? *
ZIP *
Do you acknowledge this statement? *
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.
General Contractor Name *
Contractor Information
Please note that your application will NOT be processed until you agree and select 'Yes' to all the terms and conditions below.
Phone # *
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.
Total Valuation *
Applicant Name *
I have no employees and therefore do not have Workers' Compensation Insurance.
Fee
Applicant Phone # *
Company City, State, ZIP *
City
Attachment
State *
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
Company Address *
Type of License *
License Number *
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
Applicant City, State, ZIP
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
Total Inspection Fee Main
Payment Type *