HomeMy WebLinkAboutApplicationGørfield CounQt
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(97Ols4s-82L2
www.garfiel ntv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Comm u Demolition
Manufactured Home (Sinele or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accesso Dwell Unit ADU - MAX¡MUM S|ZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Email Address r
Mailing
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Address: ltos cR.33¡
contractor: ôW* eP-
Mailing Address:
Email Address:
Phone: I )
Phone: (_)Arch¡tect:
Mailing Address:
Email Address:
Phone: ( q1o) 5l O - O.rt 3
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Mailing Address:
Engineer:
(PhoneManufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAITS
Assessor's ParcelNumber: 211q 34l, Ot OOs
sua.Ch'pfc:{tc-lá, &l¿J<-s tot 3 Btock-
owner's valuation of work r s t è'3 Ç8 , oo Property size (sq. Ft. or Acres)
Describe Work:
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# of Floors: ISq. Ft. of Building:Height:
lt New Remodel/Alteration AdditionClass of Work:
DetachedGarage:Attached
PROJECT DETAITS CONTINUED
Septic:]WTS rt (x Community
Type of Heat:aturalGas g/^Propane Electric Other
Driveway
Permit:
,t/+Permit #:
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, descri bed above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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.
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
designer, engineer and/ or builder
I he¡eby acknowledge that I have read
proü¡¿"d the required informatifn which-iJ- L A/1,,,,,,
and understand the Notice and Certification above, as well as, have
is correct and accurate to the best of my knowledge.
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Special Conditions:
^ii.:à'åiH',w Plan Check Fee:
t? 1".11 'i'u'*"25 Manu. Home Fee:
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Totallees:
v22^Ib Fees Paid:I tz¿,ql
Balance Due: -lq5,z5 BP No:
91*,e.1b1r
Setbacks:OCC Group:
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Const, Type:
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Date
BUITDING / PLANNING DIVISION :
Signed Approval
Property Owner Pr¡nt and S¡gn Date nrtl
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&ørfuId Cownty'
BUILDING DEPARÍMENT
108 Eighth Street, Su¡te 407, Glenwood Springs, CO 87601
Tel: (9701 945-8212
PLAN REVIEW c HECKLIST
Permit No: ø l-RE-07.2-7675
Building lssues Pla n n ing / Zoning lss¡"¡es
üØ ulc-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 Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APP|ication
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
Descri n & Surnma
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