HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701e45-82L2
TYPE OF CONSTRUCTION
Commercial/Multi-Fam Demolition
Mailing Address:
EmailAddress:
Contractor:el ùbt¿E-
Architect:f).L}ñÈ.
Engineer:Gq-r +.çj VL\¡q.fz-
Phone:
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Mailing Address:
Email Address;
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Manufactured Home lnstaller:Phone: (
Mailing Address:
Email Address:
PROJECT DETAITS
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Describe Work¡
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nufa (si ngle Iti-LevelMorUHomecturedMa
Reroof
- MAXIMUM SIZE OF 1,OOO SQUARE FEET
Residential ,D
Unit (ADUAccessory Dwelli
or Townhome
INVOLVED PARTIES
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Property Owner:
Mailing Address:
NewClass of Work:
Job Address¡
Assessor's Parcel Number:ac 3l 4o Z-
sub. C ÐrrÞx.l \)ÐòÈ f.bu-ù-r) tot á Block --
Owne/s Valuation of Work: $ l5O I CÞÒ Property Size (Sq. Ft' or Acres):
Sq. Ft. of Building:qql 'Ê_Heisht:-¿)\o'# of Floors:-l-
bc.r
Garage:ched
Remodel/Alteration
Detached
OtherElectricPropaneType of Heat:Natural Gas
Permit #:Driveway
Permit:
must be signed by the Owner of the property, described above,
not that of the Owner, a separate letter of authority, signed by
the Owneç 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 Buildíng 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.
AuthoriW. This application for a Building Permit
or an authorized agent. lf the signature below is
I hereby cert¡fy that I have read this Application and that the information
understand that the Building Division accepts the Application, along with
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 noticefrom 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 aiknowledge 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) stopp¡ng
construct¡on 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 liabílity by the County of errors, omÍssions 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
contained above is true and correct. I
the plans and specifications and other
and/ or builderd
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
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Propefi Owner Print and Sign -b*çJ $¡<uiltE b$roate
OFFICIAT USE ONLY
Special Conditions:3
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Balance Due:Paid:.bLTotal Fees:ú
Zoning:?-lcvConst. TypeOCC Group:o
BUIIDING / PLANNING DtvlsloN
Signed Approval
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Date
9P.%
Gudteld County
BUILDING DEPARTMENT
108 Eighth Street, Su¡te 401., Glenwood Sry¡ngs, CO 81601
Tel: (970) 945-8272
PLAN REVI EW CHECKLIST
Permit No: WFÊ't7-Z¡- t/+ll
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Bui!ding lssues Planni nglZonlng lssues ßUÊ4L
b4P Septic Permit and
Ll Grade/ Topography 30%
l/ Subdivision Plat Notes
NA
Engineered Foundation
Driveway Permit
Surveyed Site Plan 6
Fire Department Review
Valuation Determination/ Fees
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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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t/ Red Line Plans/ Stamps/ sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
ParcellSchedule No.
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Description & Summarv:
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NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Officialthat additional informgtion 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 person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
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Property Owner Print and Sign Date
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