HomeMy WebLinkAboutApplicationGørfield Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www. ga rfield-countv.com
BUILDING PERMIT
APPLICATION
T Commercial/Multi-Fami Demolition
Manufactured Home or Multi-Level
lex or Townhome)Residential Reroof
- MAXIMUM SIZE OF 1,000UnitDwell FEET
Property owner: Sunlight, lnc Phone:p70 p45-74e1
Mailing Address: 10901 County Rd 112
.comEmailAddresr. tom
contractor: Sunlight, lnc
Same
Phone: ( )
Mailing Address:
EmailAddress:
)Phone:I
rEmail Address:
Arch¡ted: N/A
Mailing Address:
Engineer:TK Engineer¡ng Consultants, LLC Phone:1720 )936-8787
Mailing Address: 1015 W. Horsetooth Rd Ste. 203
ineering.bizEmail Address:
Phone:
iMailing Address:
EmailAddress:
Manufactured Home ¡¡r¡"¡¡"r, N/A
Assessorrs Parcet Number: Z
N/A # of Floors: N/A
3
Height:
Work:Approx. 200' natural rock boulder retaining wall
Job Address: Same as above
Property Size (Sq. Ft. or Acres):åß Acres
îq. rt. of Building:N/A
Valuation of Work:7500
lot _ Block _
Glass of Work:Remodel/AlteratÍon Addition
rage:Attached Detached
Community
Other
Septic:
Driveway
Permit:
Natural Gas Propane Electric
N
Permit #:
Authoritv. This application for a Building Permit must be signed by the Owner ofthe property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authorit¡ signed by
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 Electr¡cal permit, (2) County oWTS permit,
(3) another permit required for use on the property identifíed 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.
I hereby certify that I have read this Appl ication 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
permissíon to me, as owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Building Divisíon. 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 iss uance; 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 in spections 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, i ncluding without limitatíon my architect
des neer a or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
information which is correct and accurate to the best of my knowledge.
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Property Owner Print and Sign Date
l-lExempt
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oFFTG|ALUSEOilTY Pd $cè
Special Conditions:
Adju sted Valuation7sa)Fee:I Permit Fee:
/5 3. z5
Manu. Home Fee:
*/s Misc. Fees:
757 .96
Total Fees:Fees Paid:
+1q.u
Balance Dug;
Lblç7 BP No:
BLCO - O8E1
OWTS No:
N/*
Zoning:cl-Const. Type:
BUtTDtNG / PTANNtNG
Setbacks:occ c
Á-/O.tot l
Date
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The Permit Fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by a person having written authority from the
owner to act as their representiative.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
checklist.
6-L-
Property Owner Print and Sign Date
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