HomeMy WebLinkAboutApplicationGørfield County
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701 94s-8212
www. garf ield-cou ntv.com
Architect:
Mailing Address:
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Engineer:
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BUILDING PERMIT
APPLICATION
DemolitionCommercial/Multi-Fa mily
Manufactured Home (Single or Multi-Level)
vt ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF I,OOO SQUARE FEET
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Contractor:
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Describe Work:
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Assessol's Parcel Number:
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Manufactured Home Installer:
Mailing Address:
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Property Size (Sq. Ft. or Acres):
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DetachedVilt"cteoGarage:
PROJECT DETAILS CONTINUED
, Septic:n¡ty
Type of Heat:ral Gas Propane Electric Other
Driveway
Permitl
NOTICE
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 perm¡ts may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property ¡dentified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Void Permít. 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 Build¡ng
Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the that responsibility for compliance with federal, state and local laws
me and my authorized agents, including without limitation my architect
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I hereby
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Property Owner
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Permit #:
read and understand the Notice and Certification above, as well as, have
which is correct and accurate to the best of my knowledge.
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Special Conditions:
Adiusted Valuation:&izz-Ø,æ Plan CheckFee:
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Permit Fee:
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Balance Due:
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BP No:
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OWTS No:
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NIASetbacks:occ u'"Tkc-,Const. Type:
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Zoning:
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Signed Approval Date
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Garfield County
BUILDING DEPARTMENT
7O8 Eighth Street" Suite 401, Glenwood Springs, CO 87607
Tel: (970) 945-8212
PLAN R EVI CHECK LIST
Permit No:aLRE-Ob-A-ál6Z
Building lssues Pl a n n i ng / Zoning lssues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determínation/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Description & Sun'rrnarv:
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