7 CCR 1101-7 Appendix B

PHASED BUILDING PERMIT REQUEST FORM                                                                                          

(OPS) Project Identification Number: ___________________________________Date:____________
School Name: ___________________________School Address:______________________________
City: __________________  Design Professional’s Company Name:___________________________
Design Professional’s Representative: ___________________Phone Number: _________________
Fax Number: ______________________ Email Address: ____________________________________

The Board is requesting a phased permit issuance as follows:
---… Demolition Only Permit
---… Foundation Only Permit
---… Core And Shell Only Permit

Upon request by the board, the Division of Oil and Public Safety may issue phased permits for demolition, construction of foundations, and core and shell construction as defined in 3-2, provided that construction documents for the whole building or structure have been submitted per section 4-5-2. The holder of such permit for demolition, or the construction of foundations or core and shell construction shall proceed at the holder’s own risk with building operation and without assurance that a permit for the entire structure will be granted. Issuance of this permit shall not be considered all inclusive and may not be considered as approval of any condition in violation of applicable codes.

By signing below The Representative of The Board indicates that The Board accepts the above stated conditions and liabilities;

Signature of The Representative of The Board:________________________________ Date: ______________