HomeMy WebLinkAboutApplicationGarfield CoantY
Community Development Department
108 8th Street, Suite 401
Glenwood SPrings, CO 81601
l970l94s-82L2
www.ea rfle ld'cou ntv.com
Commercial/Multi-FamilY Demolition
Manuf acturedHome(Single-o1M-ulti;!..e-.v-9!)
ReroofResidentialDuplexor Townhome)
Dwell Unit . MA'OMUM SIZE OF FEET
Property Owner:
Mailing Address:
Phone¡
Email Address:
Contrector:2 Phone¡
Malling Address:O Ø
Emall Address:
Architect:Phone:
Malling Address:
Email Address:
Englneer;Phone:
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone:
Maillng Address;
EmallAddress:
Work;
Job Address:r.lt cz 2l Cc¡L
AssessorrsparcelNumber. ZlSt O¿2- èê Ol?
Sub. [ot
-
Block
-
Owne/s Valuation of Work $ Property Sire (Sq' Ft' or Acres):
-
Sq. Ft. of Building:
ditionClass of Work:New
BUILDING PERMIT
APPLICATION
Garage Attached
ln *¡:_" 0.,/A lt e rat i on
#of
Detached
CommunityCWÏ5Septlc:
Electric OtherPropaneType of Heat:Natural Gas
Permit #:
J-lExempt
Drlveway
Permlt:
Authorlty. This application for a Building Permit must be signed by the Owner of the property,described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Le¡al Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Build¡ng Division.
Other Permlts. Mult¡ple 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.
Voíd Permlt. 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.
I hereby cert¡fy 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 Buílding 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 Buildlng
Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the
BuildÌng Perm¡t 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 const¡tute 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 âgents, including without limitation my archite'ct
designer, engineer and/or builder.
I hereby acknowledge that I have read and understand the Notlce and Certiflcatlon above, as well as, have
provlded the required information which is correct and accurate to the bèst of my knowledge.
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Property Owner Prlnt and Sign Dâte '/
Special Conditions:
Misc, Fees:
¡¿ lxPlan Check Feer Permit Fee:
ã
Manu. Home Fee:
¡¿ /xAdlusted Valuation:
BP NO:pooF.69.1 OWTS No:
-*t
/sTotal Fces:
I loo.'t
Fees Paid:
Ç loo 'æ
Due:Balance+-ú
Zoning:p.tlÈAl-Setbacks:OCC Group:
tlLL.
Const. Type:
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