HomeMy WebLinkAboutApplicationCounty
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Commun¡ty Development Department
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BUILDING PERMIT
APPL¡CATION
TYPE OF CONSTRUCTION
DemolitionCommercial/M ulti-Family
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Dwelli Unit D - MAXIMUM SIZE OF FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Phone:gtu q
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Contractor: Phone:()
Mailing Address:
Email Address:
Arch¡tect:Phone:
Mailing Address
Email Address:
Engineer:Phone:r Qloì ó?q- 83tÒ
Mailing Addressr
Email Address:
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Manufactured Home Installer:Phone:I )
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:
Job Address:6
Assessor's Parcel Number:6I rot l5 elock 4
Owner's Valuation
Sq. Ft. of Building:
of Work:Property Size (Sq. Ft. or Acres):.5,4- q.þ?s
3 Height: 39 ftt sof Ftoors:-.¡Ð-
Class of Work:7iñew Remodel/Alteration Addition
Garage:ttached Detached
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PROJECT DETAITS CONTINUED
Sept¡c:fWTS Community
Type of Heat:
E[NaturalGas
Propane Electric Other
Driveway
Permit:ffxemot
Permit #:
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
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 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 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 Build¡ng 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
desisner, ensineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
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Property Owner Print and Date
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OFFICIAI USE ONIY
speciarconditions: .ree a/hale/ aNÞ /van/s
Manu. Home Fee:[)YiÊ'n> S/,aAdiusted Valuation:
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BP No:wi?-857'1 OWTS No:"V:i'ts.os
Plan Check Fee: I Permit Fee: . ^'l5l5,q0 ', 2.772,te
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BUILDING / PTANNING DIVISION :
Signed Approval
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Date
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Garfreld County
BUILDING DEPARTMENT
708 Eighth Strcet, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLA REVIE CHECK LIST
Permit No: B|RE -0â-2?- 82 3 /
Building Issues Planning/Zoning lssues ?t(Þ
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N Flood Plain
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Red Line Plans/ Stamps/ Sticker 32ttıî
Conditions
Desc ion & Summa
// Fire Deoartment Review. t '"'Z:iffiK#,K,r,9
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Engineered Foundation
Driveway Permit
Energy Compliance Path/Plan Received
Plan Reviewer to Sign ApPlication
Parcell Schedule No.
40# Snowload Letter - Manuf. Homes
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Property Line Setbacks
35 ft. Stream Setbacks
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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