HomeMy WebLinkAboutApplicationGørfuld County
BU¡LDING PERMIT
APPLICATION
Community Development Department
1OB 8th Street, Suite 401
Glenwood Springs, CO 81601
(97Ols4s-8212
www.ga rfi el d-cou ntv.com
@
Demolition
TYPE OF
Commercial/M ulti-Fami
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Propertyowner: I,ar.t Yaunt Phone: (q1ô ) 3Ôq - îSt{tl
MailingAddress: ?ôßa¡ 3SSS G\ect,,¡ocl} gPer.nto, {" - 8f ¿O2.
INVOTVED PARTIES
Email Address:
f,a¡r Y.,tttg Phone:(q1Ô ) 3Og'tS{{Contractor:
Mailing Address:
Email Address:
]E,an Yaoog Phone: ((-tô ) 3ô1'îS{tlArch¡tectr
Mailing Address:
Email Address:
Phone: (1?Ô ) 3ô¿-q¿oqoEngineer:
Mailing Address:
Email Address:
Manufactured Home lnstaller: ''
-
Phone
Mailing Address
Email Address:
x AdditionNewRemodel/AlterationClass of Work:
)DetachedGarage:Attached
PROJECT DETAITS
Describe Work:
Job Address:
Assessor's Parcel Number:29q58 t3061
s,t. ôa-K fî rr\4 . rot 53 Block
-
Owner's Valuation of Work:s tl4ô.6û Property Size (Sq. Ft. or Acres):qZOq i¿
Sq. Ft. of Building:2hto Height:#olFloors; Z o.{¿
IXfl
Propane Electric OtherType of Heatr Natural Gas
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an author¡zed 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.
Lesal 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 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 w¡thin 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
pt Permit #:
NOTICE
Driveway
Permit:
PROJECT DETAI[S CONTINUED
Septic:Community
CERTIFICAT¡ON
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 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, including without limitation my architect
an or builder
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.
-l-a.fì z 4
Property Owner Print and Sign Date
oFFrcrArusEoNLY P¿rp f t,l0l.zz cK* lo!+o2/n/L6¿z $â
Special Conditions:6æM ØN ô
Adiusted Valuation¡./zb,ll0.ao Plan Check Fee:
l,lÒø.77 'i'Hffi.qÉ Manu. Home Fee:rr/a NfË""\qsz.sz
Total Fóes: .a
2-,glVt'I
Fdes Paid:
{f,rog,?2 "i:ïi"öiùl:a6 BP No:
ßLKÉ--ß11
OWTS No:
Co{^,t\rN tt'Y*ZfuD OCC Grouo:
t.'R,c.
Const. Type:
l.R..c.
Zoning:
P, U.Þ.
l,t),3-10-z
Date
BUILDING / PLANNING DIVISION :
Signed Approval
GørfuId County
BUILDINo DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 81601
Tel: (970) 945-8272
PLAN REV IEW CHECKLIST
Permit No:tLRE-r?/-z-7â(f
Building lssues
NA
./
Planning/Zoning lssues
Engineered Foundation Property Line Setbacks
Driveway Permit m\il 7'?'%
-/
_/Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision"Plat
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
eru¡tf W177f þ-cooiàSubdivisionPlatNotes - - I ./
Fire Department Review Ptah nOfe@
Valuation Determination/ Fees
Flood Plain
yæ
d Line Plans/ Stamps/ Sticker
Attach Conditions
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23ltnb,Ø
27b5b t
Descri on&mApplication Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No
40# Snowload Letter - Manu. Homes
Soils Report
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