2. 

3. CITY OF ELLISVILLE

   1 Weis Avenue

   Ellisville, Missouri 63011

   Phone: 636-227-9660 * Fax: 636-227-9486

   
   

   BUILDING PERMIT APPLICATION

5. Date:
   Date:
7. Permit #:

9. Note: A hard copy of submitted plans may be requested by the Inspector. Incomplete applications will not be processed.

   
   

   ✔ All Commercial Renovations, New Buildings, Additions, and Accessory Buildings require Architectural Plans that are signed and sealed by a licensed Architect or Engineer, except Accessory Buildings that are under 400 square feet in size.

   ✔ Decks with a Roof Structure, 2-Story Decks, or Decks of unusual size or configuration, require signed and sealed plans. All exterior work requires a Site Plan or Plot Plan with new construction highlighted on the Plan.                    =================================================================================
   

   
   

   
   

   
   

   
   

11. * Project Address:*
13. City*
14. State:*
15. Zip: *
17. Lot #:
19. Subdivision Name:
21. * Description of Work: *
23. * Estimated Construction Cost:$*
25. * Total Square Feet: *
27. * Please select one:*

    1. Residential
    2. Commercial
    3. New Construction

    1. Alteration/Finish
    2. Addition
    3. Deck

    1. Fence/Wall
    2. Pool/Hot Tub

    1. Garage/Shed
    2. Other
29. * Submitted by:*

    1. Contractor

    1. Property Owner

    1. Engineer

    1. Architect

31. Contractor Information:

33. * Company Name: *
35. * Contact Name:*
36. * Contact Email:*
38. * Contact Cell #:*
39. * Office Phone #: *
41. * Company Address:*
43. * City:*
44. * State:*
45. Zip:*

49. Property Owner Information:

51. * Owner Name:*
53. * Owner Telephone/Cell #:*
54. * Owner Email: *
56. * Owner Address: *
58. City *
59. State: *
60. Zip:*
62. * Signature: *
64. Date:*
    Date:

68. Required Documents to be uploaded:

70. * Site Plan:*

    Maximum upload size limit 20 MB

72. * Construction Details: *

    Maximum upload size limit 20 MB

76. ≈ FOR OFFICE USE ONLY ≈

78. Application Approved By:
79. Fee Due:
80. Date:
    Date:

82. Version Date: 04/22/2022

Leave This Blank:


84. 1. Receive an email copy of this form.
85. Email address

    This field is not part of the form submission.

86. Submit

* indicates a required field