HomeMy WebLinkAboutApplicationGarfield County I
BUILDING PERM¡T
APPLICATION^ _ Commun¡ty Development DepartmentxccEfVEAoS Stt street, suite 401 tr4
Glenwood Springs, CO 81G01
0
ulti-Fa Demolition
Manufactured Home or Mu
Residential ex or TownDu Reroof
Dwell Unit U - MAXIMUM SIZE OF SQUARE FEET
Iì¡VOIVED PARTIES
e1a]tftare""'
IPhonc:IProperty Owner:
Mailing Address:
Phone:Contractor:
Mailing Address:
Email Address:
",1,n l.,l.l",l),
Mailing Address:
Architect:
EmailAddress:
Phone:
Engineer:
Mailing Address: _
Email Address:
Phone:Manufactured Home lnstaller:
Mailing Address:
EmailAddress:
L
5
Nu
[ot lrft/
Height:
Size {Sq. Ft. or Acres}:
#of
Job Address:
Assessol's
Sub.
Owne/s Valuation
Sq. Ft. of Building:
Class of Work:Addition
Garage:Attached Detached
Septic:Community
Type of Heat:atural Gas Propane Electric Other
Driveway
Permit:l7f.Permit#:
trtoTtcE
Lesal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property forpurposes 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 requíred for use on the property identifíed above, e.g. State or county Highway/ Road Accessor a State Wastewater Discharge permit.
void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 1g0 daysof the date of issuance and if work is suspended or abandoned for a period of 1g0 days after commencement.
property,
êf,
Owner,
ThisAuthoritv.ication afor Buappl itd Perm muit sttng be ed thes¡gn Owne theofby beddescri above,
o n uthorized tf the reagent.below s otn ofthatsignatu Ownthe ofletter aaeparate uthority signed bytheustmbethwitht5icatiprovidedonApp
êt,
ñtv,
h thet readhavecert¡fyereby this andication thethat informationAppl conta edtn bove ts tru ande rrect.co
ndu derstan that the Buil Division theding on wittracceptsApplicat the ns ndalongpl ecifications otnd hersp
subdata mitted orme on tfbehaby submitta ba usedmyls),rtifícatioce asnmypon accto Assumuracy tng
ess of thcompleten lssubmitta nd roval thisof aapp ¡ldiBu Permit wil bepliApcation,issuedng nggranti
tsSlonrm tope Ownasffiê,conto ctstru the structu nd facilitiess)re(d ileeta ond suthe lsbmitta reviewed by
eth ildinBu Divis ton n consr deration rhof issuane ofcec h Bue ild that ndingPermit,agree wt ilmyagents
co hwit son ofmplyprovis fede state ornyral,loca aw the work thendregulating Garfield BuCounty ilding
OWTSCode,olati ns nd cable dlanreSuappli use regulations on e cknnty(Cou Regurati hatt the(s))owledge
ildBu P iterm m be edtngay o u notinsuspendrevoked,fromce Couthepo th¡f e co nstru nctio useorlocation,
theof stru an d facture(s)described notare ncility(ies),above,com withlancepl Cou or antyRegulation(s)nyothercablelawppl
rtv,
Oialner,
r,
ntherebygra to Bthe utpermission toDivision ente theldíng descri bed toprope th work.above,inspect
further acknowl that the tssu ncea thof Bue itdedge ¡tPerm notdoesing the tdBuiprevent Official mfroing (1)
tnu th coreq ofrrection lnerrorsng sthe ubmitta ¡f a ds,afteriscovered tssny oruance;(2)pistop ng
con struct¡o orn seu thof structue or facil such¡f tsre(s)tn olationvl Couofitv(es)ation or otherRegulnty(s)any
Reviewlaw.rhofapplicable ts bmsu an dApplication,ncluding ofns wothe rkittals,inspectio eth Buildby tng
doDivision not constitute n nce ofaccepta or iabresponsibility Cou.the ofbyility omrssto ornsntyerrors,
d ncres.thAs e hattiscrepa foracknowledgerespons wíthnce federa stateibilitycomplia a localnd lawsl,
nda Cou lationsnty withrest anme dRegu authorizedmy inclu limwithoutagents,itation itectarchdingmy
e or uilb dea
I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my
Property Owner Print a Date
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Special Conditions:
Misc. Fees: .
RtF =9r1rc.ø
Adjusted Val
Total Balance Due:
u.Fee:
,51s I
Paid
Plan Check
3
OWTS No:
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BUtLD|NG / PLANNTNG DtVtStON :
Signed Approval Date
7-
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4-
NoTE:. lf any required information is missing, delays in issuing the permit are to be expected. lfdetermined by the Building Official that additional information is necessary to review the applicationand/or plans for compliance, the application may be placed on hold untilt-he required information isprovided. work may not proceed wiihout the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit Fee, aswell 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 theowner to act as their representative.
I hereby acknowledge I have read, understand, and will abide with the requirements of thischecklist.
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Garfield County
BUILDING DEPARTMENT
708 Eiqhth Street, Su¡te 401, Glenwood Springs, CO 81607
Tel: (970) 945-8212
PLAN REVIEW C HECKLIST
Permit No:ßL(n-æ-Lt-6Y3L
Building lssues Pla n n i n g lToning lssues R ,l) ,
:wÉ Driveway Permit V^kZl
Surveyed Site Plan
Septic Permit and Setbacks
NA Grade/ Topographv 3o%
Engineered Foundation
Attach Residential Plan Review Líst
.:1\
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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(/Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No'
40# Snowload Letter - Manu. Homes
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