The URL can be used to link to this page

Home My WebLink AboutApplicationGarfield County BUILDING PERMIT APPLICATION TYPEOFCONSTßUSNON Demolitionfl commercial/Multi-Fami ReroofResidentialF Manufactured Home or Townho orM t\tt z 4ttlt Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82r2 www.ga rfield-countv.com PARTIES Property Mailing Address EmailAddress: Phone: ( qw wÒ Contractor: Mailing Address EmailAddress: Phone: IArchitect: Mailing Address Email Address: Phone:Engineer: Mailing Address Email Address: Manufactured Home lnstaller:Phone: ( Mailing Address: EmailAddress: PROJECTDETAILS Describe Work: Job Address: Assessol's Parcel Number Sub. Lot- Block Owne/s Valuation Sq. Ft. of Building: Class of Work:I ttew of Work:Size (Sq. Ft. or Acres): çaoors: LHeight: Repair Garage:Attached i #of Detached Move/Relocation L 1 PROJECT DETAITS CONTINUED Septic: Type of Heat: fro*.s i! Natural e as i flo*'"' i fiCommunity i ! etoo"n"fletãctric I ! , Driveway Permit:Exempt Permit #: I ruOnCe Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true and correct. I understand that the Building Division accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Bu¡ld¡ng Division to enter the property, described above, to ¡nspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopp¡ng construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the work by the Building Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect designer, engi neer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. It Property Owne nt and Sign Date [D t/ølzo OFFICIAT USE ONLY Special Conditions: Manu home Fee:Misc Fees:Plan Check Fee:ù10.çl Permit Fee:4 t?q.zbAdiusted Valuation:Q7.,om.þ *'äfr:fwFees Paid:4oç Balance Due: 6174.2tr"ffiçr*14t, Totaf Fees: þzzq.tc' Zoning:R-OCCGroup: R,C_ConstType: IRCsetbacks: N/A BUTTDTNG / PI-ANNTNG DIVISION : Sisned Aooroval Date BuildÍne/ ZoJgins Plan Review Checklirt øLpE-t0- 11- 444ø MV øtúh Raruo¿,Ll Perrnit Number: Plannine/ Zoning N/AEngineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/Topography 3O% '/ Attach ResidentialPlan Review List f't/A subdivisíon Ptat Notes Fire Department Revíew / Vatuation Determination/ Fees Red Line Plans/ Stamps/ Sticker ./ Attach condítions Application Signed '/ Plan RevÍewer to Sign Applícation '/ Parcel/schedute No. NA 40# Snowload Letter- Manu. Homes Soils Report Build tng ¡V¡Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision PIat General Comments: V^\vÁhot/t: Stt ooo. QLç ewbffi4f') N/¡