HomeMy WebLinkAboutApplicationGarfield County
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Commu nity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l e4s-82t2
www. ga rf ield -cou ntv,com
BUILDING PERMIT
A.PPLICAT]ON
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
owner: Bnr¡oJ dÀìJht\ft,ù + Snru€ /yf ns"rù phone: (5tÒ ) q¡q'3qqr{
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Property
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Mailing Address
Email Address:
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Phone: t 8491 â7ç -qø3gArchitect:lPVAtt;¿¿t> l-lousa P¿AN5
Phone: tgqq I 6'7Y*1639Engineer: AUri¡oif¿¡ Ho.¡s¿ ?i*,AvuS
Mailing Address
Email Address:
Phone:Manufactured Home Installer:
Mailing Address:
Email Address:
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Assessor's Parcel Number:, 2313 3Cq Õo 27Õ
sub. fo-rF¡nAñ ßx¡¡ct\ Si-¡ßÐrutSror'ù¡o¡ t I Btock
Pro perty Size (Sq. Ft. or Açres)
Height , ì305'1Sq. Ft. of Building:Í, Dltl
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Owner's Vatuation of Work: S f,,f,33 6 ,se
Describe Work:
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# of Floors: 'L
Class of Work:New RemodeUAlterat¡on leocition
Garage:Attached Detached
Natural Gas Propane ElectricType of Heat:Other
Author¡tv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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 within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
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 Appl¡cation, 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 Bu¡ld¡ng 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: (t)
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 that I have read and un
provided the req uired information which is correct and
the and Certification above, as well as, have
to the best of my edge.
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Date
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Property Owner Print and Sign
6ee atbae/,"/ A/ûDmQVSSpecial Conditions:
Adiusted Valuation:lz4 43L.oo
Plan Check Fee
í 254-V t Permit Fee: -ûzqtæ Manu. Home Fee:
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Misc. Fees:
N/A
Balance Due:*zqt,z6 Bt.R,s -11t+BP No:Total fees:
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Fees Paid:
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OWTS ffo:
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Const. Type:
I. r¿.C'*ffifur2.OCC Group:l.P.c.Zoning:
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BUITDING / PTANNING DIVISION :
Signed Approval
I
Date
q-228-
Garfreld County
BUILDING DEPARTMENT
708 E¡ghth Street, Suite 407, Glenwood Springs, CO 81607
Tel: (970) 945-8272
PLAN RE VIEW CHECKLIST
perrnit No: gLRE-O7-22_77ry
Building lssues Planning/Zoning lssues Rh(RA ¿_
no As
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 APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
o,,er lzo/et
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
ng Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdívision Plat
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