HomeMy WebLinkAboutApplicationGorfuIú CounQr D-3
¡tE C E lçriltrmunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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BUITDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Com mercial/Mu lti-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
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
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Phone: IContractor:
Mailing Address:
Email Address:
Phone:
Email Address:
Mailing Address
Arch¡tect:
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Phone
N.l I I
Engineer:
Mailing Address:
Email Address:
Phone: (_)
Email Address:
Manufactured Home lnstaller:
Mailing Address:
PROJECT DETA¡IS
Describe Work:
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Height:
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Job
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Sq. Ft. of Building:
Property Size (Sq. Ft. or Acres)
# of Floors:
Owner's Valuation of Work: S
Assessor's Parcel Number
Sub.
dClass of Work:New Remodel/Alteration Addition
Attached DetachedGarage:
PROJECT DETAITS CONTINUED
CommunitySeptic:Klowrs
X.etectric OtherType of Heat:ropaneatural Gas
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthor¡ty,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.
NOTICE
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 Bu¡ld¡ng Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents w¡ll
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
CERTIFICATION
designer, engineer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
the information which is correct and accurate to the best of my knowledge.
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perty and Sign Date
soFFrcrAL usE oNtY
sæ attâd4ee/ C2/V b I no A/SSpecial Conditions:
Manu. Home Fee:
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Misc. Fees:
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ø BP Nó:
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OWTS No:
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Signed Approval
BUItDtNG / PTANNING DIVISION :
Date
Garfield County
BUILDING DEPARTMENT
708 Eighth Street, Suite 4O1, Glenwood Spríngs, Co a7æ7
Tel: (97o) 94s-8212
PLAN REVIEW CHECKLIST
Permit No: E tREaO-2:7A75
Building lssues
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Septic Permit and Setbacks0urre
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivísion Plat Notes
Fire Department Review
Valuation Determ inationf Fees
Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Applícatíon
¿-- Parcel/schedule No
AIA 40# Snowload Letter - Manu. Ho es
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Plan ning/Zoning lssues
bþâ7
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
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Driveway Permit
Surveyed Site Plan
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Descri on&Su
bdivíslon Plat+ qzbgvl
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