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H:\Public Works\BUILDING INSPECTION\Contractors (307) 527-7511 1338 RUMSEY AVENUE CODY, WY 82414 PO BOX 2200 CONTRACTOR’S LICENSE APPLICATION 1. Fill out the application completely. The application must be notarized. Notary service is available at City Hall for no additional cost. 2. Provide 4 written letters of recommendation. The letters must be experience related and should establish the length of and type of work provided by the applicant. 3. Please include the Annual License Fee of $100.00 plus a one-time processing fee of $50.00. All contractor licenses expire December 31st of each year. Renewal forms will be mailed to all licensed contractors. 4. Proof of adequate insurance must be on file with the City of Cody before the license is issued and before permits can be written. The minimum insurance are listed below: $1,000,000 Bodily Injury and $1,000,000 Property Damage Insurance required. Section 9-3-5 provides for and requires all contractors of the Cody City Code to furnish a public liability insurance policy in the amount of $1,000,000 and a property damage liability insurance of $1,000,000 prior to the issuance of a contractor’s license. 2013 Contractor's Board Meeting Schedule DATE TIME LOCATION Thursday, January 24, 2013 12-2 PM 8th Street Restaurant Thursday, February 28, 2013 12-2 PM 8th Street Restaurant Thursday, March 28, 2013 12-2 PM 8th Street Restaurant Thursday, April 25, 2013 12-2 PM 8th Street Restaurant Thursday, May 23, 2013 12-2 PM 8th Street Restaurant Thursday, June 27, 2013 12-2 PM 8th Street Restaurant Thursday, July 25, 2013 12-2 PM 8th Street Restaurant Thursday, August 22, 2013 12-2 PM 8th Street Restaurant Thursday, September 26, 2013 12-2 PM 8th Street Restaurant Thursday, October 24, 2013 12-2 PM 8th Street Restaurant Thursday, November 21, 2013 12-2 PM 8th Street Restaurant Thursday, December 19, 2013 12-2 PM 8th Street Restaurant ---PAGE BREAK--- CLASS CONTRACTOR GENERAL CONTRACTOR: An applicant for a general contractor’s license shall provide proof of four years experience as a general contractor, journeyman carpenter, architect, engineer or other work qualifying him or her to work as a general contractor. The applicant shall show proof of passing the GENERAL CONTRACTING (BUILDING CONSTRUCTION) EXAMINATION of the Wyoming Trades Certification program as sponsored by the Wyoming Association of Municipalities. CLASS CONTRACTORS ELECTRICAL CONTRACTOR: An applicant for an electrical contractor’s license shall show proof of a valid State of Wyoming electrical CONTRACTORS LICENSE and the MASTER OF RECORD MUST BE PROVIDED. PLUMBING CONTRACTOR: An applicant for a plumbing contractor’s license shall show proof of four years experience as a JOURNEYMAN PLUMBER. The applicant shall show proof of passing the MASTER PLUMBING EXAMINATION of the Wyoming Trades Certification Program as sponsored by the Wyoming Association of Municipalities. HEATING, VENTILATION & AIR CONDITIONING CONTRACTOR: An applicant for a heating, ventilation & air conditioning license shall show proof of four years experience as a JOURNEYMAN SHEET METAL MECHANIC. The applicant shall show proof of passing the MASTER HVAC EXAMINATION of the Wyoming Trades Certification Program as sponsored by the Wyoming Association of Municipalities. CLASS CONTRACTORS ALL OTHER CONTRACTORS: Any person desiring to be licensed as a Class C licensee shall make written application to the Contractors’ Examination Board. Applicant shall provide proof of three years experience in the area of applicable work. The following contractor’s must obtain a Class License: Fencing Installers, Demolition, Drywall, Stucco/Plaster, Acoustical T-Bar, Insulation, Fire Suppression/Sprinkler Systems, Masonry, Concrete, Landscaping/Sprinkler Systems, Glass/Glazing, Stove Insulation, Steel Fabrication and Erection, Water Conditioning, Siding, Low Voltage Electric Installation/Telecommunications, Roofing, Elevator Installers, Rebar Installers, Commercial Railing Installers, Sheet Metal Fabricators, Conveyor System Installers, Asbestos Abatement, Ground Stabilization/Mud Jacking, Sign/Awning Installers. ALL applications shall be approved by the City of Cody Contractors’ Board or City Building Official. The City of Cody Contractors’ Board meets once a month to consider license applications. Meetings are scheduled for the last Thursday of the month at 12:00 noon. Applications to be considered must be submitted to the Building Department ten (10) days in advance of a scheduled meeting. Applicant must be prepared to answer any questions about the application. If there are not any applications or if a holiday conflicts, the meeting may be rescheduled. Any person who fails to pass the prerequisite qualifications may make reapplication after expiration of a thirty day period and upon payment of required application fee. ---PAGE BREAK--- Application Fee: $50.00 License Fee: $100.00 CITY OF CODY Contractors’ License Prequalification Statement Business Name: Date: DBA: □ Corporation □Partnership □Sole Proprietor Location: City: State: Zip: Mailing Address: City: State: Zip: Phone: Cell: Fax: E-mail: License: Class A General Contractor / Class B Electrical, Plumbing, HVAC / Class C Other Specific Area of Work: Which of the following do you have and maintain sufficiently to comply with all Federal, State and Local laws? State Sales Tax ID: Yes: No: Number: Federal ID: Yes: No: Number: State ID: Yes: No: Number: Workmen’s Compensation:Yes: No: Number: Public Liability and Property Damage: Company: Expiration Date: Number: Name of Principals (Including Positions and Local Representatives) Name: Position: Email: Phone: Name: Position: Email: Phone: Name: Position: Email: Phone: Have you previously applied for a license in Cody? When? Good Until: How long has your organization been in business? Under this name? Other names? List experience and/or qualifications which may apply to the license application: ---PAGE BREAK--- Have you ever filed bankruptcy or failed on any financial obligations? If so, give specifics: Have you or other principals failed to complete any work awarded to you? If so, where, when and why? Are you familiar with the codes and regulations in Cody concerning your work areas? Name and address of Master License where applicable: The above are true and accurate to the best of my knowledge and belief. References may be verified. I am aware that any false statements shall void this application. Name of Organization By: State of SS Country of The foregoing instrument was acknowledged before me by this day of , . Witness my hand and official seal. Notary Public My commission expires . Chairman of the Board Approve Deny ---PAGE BREAK--- COMPANY PROJECT HISTORY Please provide a list of specific projects. Project Name Owners Name Address Phone Scope Time Frame If you need additional space, please attach a separate page. ---PAGE BREAK--- PERSONAL WORK HISTORY Please provide your personal work history to establish your minimum required time. Begin with your most recent employer first. List all positions you have held. Account for all the time between your first and last construction related employment listing whether the work done was construction related or not. Please note that time worked MUST be verifiable. It may be easier to have time worked documented in letter form from former employers. Failure to provide this information may be cause to delay or cause denial by the Contractor’s board. Employer Name Address Phone Position Held and Primary Duties (i.e. project mgr, superintendent Foreman carpenter, laborer, etc.) Time Frame If you need additional space, please attach a separate page.