HomeMy WebLinkAboutApplicationGarfield County
REC ElVEDmmunity Development Department
108 8th Street, Suite 401
!Uh'¡ ft g ?fl'l? Glenwood Springs, co81601
$ARF|ELD COUNTY le70ls.4.s-8212
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BUILDING PERMIT
APPLICATION
wPEOFCONSTnUCTION
Com mercial/Multi-Family Demolition
Manufactured Home or Multi-Level
l<Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXI MUM SIZE OF 1,OOO SqUARE FEET
Phone
I
Email Address:
Property Owner:
Mailing Address:
Contractor:(
Mailing Address:
Email Address;
Architect:
Mailing Address:
Email Address:
Mailing Address:
Email Address:
Phone:t)Engineer:
Manufactured Home lnstaller: Phone:
Email Address:
Il
Mailing Address
Sub. Lot- Block-
PROJECT DÉTAIIS
Describe Work:
Helght:
Addition
.5*üt¿:ç+-of Work:Property Slze (Sq. Ft. or Acres):
#of
Assessor's Parcel Number:
Job Address:
Class of Work:ew
Owner's Valuation
Sq. Ft. of Building:
DetachedGarage;fftiãt'eo
PROJECT DETAITS CONTINUED
Septic:
Type of Heat:Natural Gas Propane
Community
nc Other
Driveway IPermit: i
NOTICE
Exempt
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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 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.
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above ís true and correct. I
understand that the Building Division äccepts 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 Appl¡cation, a Building Perm¡t 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
designer, engineer and/or builder
I hereby acknowledge read understand the Notice and Certification above, as well as, have
s correct and accurate to the best of my knowledge.
Permit #:
a Date
oFFtctAt usÈoNty ?AtD 4toO.ro c.c. ob/ôi lzozzé)u-
Special Conditions
Adjusted Valuation:Plan Check Fee:Permit Fee:-ttott-@ Manu. Home Fee:¡t/*Misc. Fees:
¡¡/¡
Total Fees:Fees Paid:4loo.t-Balance Due:qÉ BP No:
EooP -158 o
OWTS Nor
¡t/¡
Setbacks:OCC Group:l.R.c.Const, Type:
l.¿.c.
Zoning:
r¿\JT<A L
ób/oq /zorz-"_1-BUILDING / PLANNING
Signed Date