HomeMy WebLinkAboutApplicationGørfield County
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.garfield-countv.com
OF CONSTRUCTION
Commercial/Mult¡-Family
Manufactured Home e or Multi-Level)
Residential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
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ll-loutotition
Reroof
BUILDING PERMIT
APPLICATION
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INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Contractor:
Mailing Address
Email Address:
Architect:
Phone
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c
Phone:
Phone: (_)
Mailing Address
Email Address:
Engineer:Phone:
Mailing Address:
Email Addressi
Manufactured Home lnstaller:Phone:
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work
Job Address
Assessor's Parcel Number:
sub. Rønch Poarra
Owner's Valuation of Work
Sq. Ft. of Building:
Class of Work:New
Vf
Lot
Heíght:
Block
Property Size (Sq. Ft. or Acres):
# of Floo
(€
Addition
Garage Attached
Remodel/Alteration
Detached
PROJECT DETAITS CONTINUED
Type of Heat:Natural Gas
Septic:Community
Electric
Permit #:
OtherPropane
Driveway
Permlt:
NOTICE
Authoritv. ThisapplicationforaBuildingPerm¡tmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
LegAl4EeÉ!. 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 within 180 days
of the date of issuance and if work is suspended or abandoned for a period of L80 days after commencement.
CERTIFICATION
I hereby certify that I have read this Applìcation 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 uporr rny certification as to accuràcy. 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 ol'Lhe 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.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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
Divlsion do not constitute an acceptance of responsibility or lìability by the County of errors, omissions or
discrepancies. As the Owrrer, I acknowledge that responsibility for conrpliarrce witlr federal, state arrd local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
designer, engineer and/ or builder
I herebv acknowledge that I have read and understand the Nctice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Property Owner Print and Sign Date
oFFTcTALUSEoNLY PArÞ *loo.oo c.c. Otlzzlvs¿Z ¿tO,,
Special Conditions:
AdJusted Valuatlon:Plan Check Fee:Permit Fee:t toO.o€t
Manu. Home Feex/r Misc. Fees:
Total Fees:Fees Paid:
$too,oo
Balance Due
+.d
BP Nor
P.ooç -+1?4
OWTS Nor
N/r
Setbacks:OCC Groupr Const. Type:t.R.c.Zoning:
P,U.Þ
ot/nho¿
Date
BUILDTNG / PIANNtNG DIV|S¡ON
Signed Approval