HomeMy WebLinkAboutApplication$CAilNED
RECEIVEp Community Development Department
108 8th Street, Suite 401
AUg 2 0 Z0lB Glenwood springs, co 81601
19701945-82t2
GARFIELD COUNTY www.garfield-countv.com
COMMUNITYDEVELOPMENT
-
Gørficld County
BUILDING PERMIT
APPLICATION
Demolitionulti-FamCom
ufactured Home or Multi-
ReroofResidential,Du or Townhom
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Phone:
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Email Address:
Property Owner:
Mailing Address:
C.LE Phone: ( )Contractor:
Mailing Address:
Email Address:
Mailing Address:
Email Address:
IPhone:(Arch¡tect:
Mailing Address:
Email Address:
IPhone:(Engineer:
Describe Work:
Phone:
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Lot
I
Height:
of Work:
Manufactured Home lnstallel:
f of Floors:_
Job Address:
Block
Mailing Address:
Email Address:
Owne/s Valuation
Sq. Ft. of Building:
Assessol's Parcel Number:
Sub.
Property S¡ze (Sq. Ft. or Acres):
tl
l-Ll.Rdd¡tion ! Repair Move/Relocation[fttew LlAlterationClass of Work:
I I oetacrre¿Garage:!Rttached
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PROJECT DETAITS CONTINU ED
Septic:] [ community :
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Natural Gas Propane Electric Other
Author¡W. 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 Building Division to enter the property, described above, to inspect 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) stopping
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
des ner,r and/ or builder,
I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
provided the requ ired information which is correct and accurate to the best of my knowledge.
OWTS
Property Owner Print and Sign
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Date
Type of Heat:
Driveway Permit:Permit #:Exempt
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NOTICE
OFFICIAL USE ONLY
Special Cond¡tions:
Adjusted Valuation:7oA Plan Check Fee:
99.t' t 'Ê'#g;fa'2á 'Manu home Fee Misc Fees:
Total Fees:
752.8t"
Fees Paid'"
$of i.81 Balance Due:
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BP No:
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OWTS No:
Setbacks:
29 F¡D /ocnn¿
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Date
BUILDING / PTANNING DIVISION :
Approval
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Driveway Permit
Sr¡rææd Site Plan
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Planni Toni
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
&, Go,r,t¿
'/, rt- septic Permit and setbacks
//, ft subdivision Plat Notes
Department Review
Determinatíon/ Fees
R Plansl Stampsl Sticker
h Conditions
Parcellschedule No.
,(Snowload Letter - Manu. Homes
il..A Soils Report
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Signed
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