HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8fr Street, Suite 401
Glenwood Springs, CO 81601
(9701 e4s-8212
www. ga rf¡eld-counW.com
BUILDING PERMIT
APPLICATION
Commercial/Multi-Family
Manufactured Home (Single or Multi-Level)
Resídentíal (5F, Duplex or Townhome)Reroof
4g!ç!Loty Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Phone:
Email Address:
Property Owner:
MaílingAddress:
Contrâctor:Phone:t-t¿fuar¿-
Mailing Address
Email Address:
MailingAddress:
-Emaif Add¡esst --
Phone:Architect:
Mailing Address:
-EmailAddresst -'-
IPhone:IEngineer:
Mailing Address:
Email Addressi r
Phone:Menufectured Home lnstaller:
of Work:
t
Work:
ber:
PropertySire (Sq. Ft orAcres):
flof
Assesso/s Parcel
Job Address:
Owne/s
sq. Ft. of Buildins: /l,t Height:
New M Remodel/Alteration AdditionClass of Work:
/Attached DetachedGarage=
PROJECÍ DETAIIS CONTINUED
i Septic:
Authoritv. This application for a Building Permit
or an authorized agent. lfthe signature below is
Property Owner Pr¡nt and Sign
by the owner of the property, described above,
Owner, a separate letter ofauthority, signed by
must be signed
not that ofthe
the owner, must be provided with this Application.
Lep¿l 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 perm¡ts may be required: (1) State Electrical Permit, (21County OWTS Permit,
{3) another permit requ¡red 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 acknowledge that I have read and underctand the Not¡ce and Certification above, as well as, have
provided the required is correct and accufate to the best of my knowledge.
þ'or/-¿+
Dãte
Communlty)WTS
OtherElectrlcPropaneral GasType of lleat:
Permit #:Dr¡veway
Permlt:
CEKNFICATION
I hereby certify that I have read this Applicat¡on and that the inforrnation conta¡ned above is true
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 grant¡ng
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 Build¡ng Permit, I aBree 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 regulat¡ons and appliçable land use regulations (County Regulation(s)). I acknowledge that the
Building Permit may be suspended or revoked, upon notice from the County, ifthe location, construct¡on or use
ofthe 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¡lding Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Building Permit does not prevept the Building Official from: {1)
requiring the correction of errors in the submittals, if any, discovered after is5uance; 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 const¡tute 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 ¡y authorized agents, including without limitation my architect
and correct, I
and/ or builder
OFFICIAT USE
Special Conditions:T
''"t 5n"fr1"''$Too":."Manu, Home Fee:
N} /AAd¡,.,ffid/¿l*,ion,Misc, Fees:u /4
'ïi'¿*oo Balance Due:
4d..úæ)EPNo: t
^r¿l"r 4luA
occ Const,Setbacksr
BUILDING / PTANNING DIVISION :
Approval Date
/2
oFramingplansforeachfloorlevelandroof.Allbeams,columns,joists,raftersandtrusses
specified. pre-r-årutactured structu*röiiäiñ" àngin""rt stamp' signature and date'
. Framing lronn".ìion ¿"t"i|., bru."o *"ill¡ir"r, shear wall schedule' location and hold downs'
NOTE: lf any required information is missing, delays in issuing the- permit are to be expected' lf
determined by the Buirding offìciar ttrat aa¿¡t¡ån;i¡írãrmat¡on i. necässary to review the apprication
and/or prans for "orpmnã",
tÀe appricati", #;'#;ìäà"Jän r.'ord untir t"he required information is
provided. Work may noi piã1""0 wiinout the issuance of a permit'
The Building Division will collect a Plan Review fee at time of application submittal' The permit fee' as
well as any Road lmpact fees will be collected when the permit is issued'
The permit application must be signed by the owner or by person having wrítten authority from the owner
to act as their rePresentative.
Building cannot be occupied until a certificate of occupancy (co) is issued' using the building without a
CO will be considered an illegaloccupancy ""J r*V Uã g.irnO" íor vacating the premises' (Final/CO
inspection requirements will 6e attached to your approved field set of plans-)
I hereby acknowledge t have read, understand and will abide by the requirements of this
checklist.