HomeMy WebLinkAboutApplicationGu$teld Cøunt¡:
RECHIVH munity Development Department
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OF CONSTRUCTION
Commercial/M ulti-Fam Demolition
n Manufactured Home (Single or Multi-Level)
X[ Residential (SF, Duplex orTownhome)Reroof
INVOTVED PARTIES
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Email Address:
PROJE T DETAITS
Describe Work:¡-)eÑ Re S t>ÐñT I +\- E.¡ tuÞ
BUILDING PERMIT
APPLICATION
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Manufactured Home lnstaller:
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Job Address:
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Owner's Valuation of Workl $l"%5 r,r , pro perty Size (sq. Ft. or Acres): /,15 a.cfeS
Sq. Ft. of Building:2,1oO'2l Height:?5t *1 tt
# of Floors: 2
I Class of Work:New Repair
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Alteration Addition Move/Relocation
PROJECT DETAILS CONTINUED
Septic:OWÏS
Type of Heat:Natural Gas
Driveway Permit:Exempt
Propane
Community
Permit #:
Other
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Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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 acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the red h is correct and accurate to the best of my knowledge.t o8'22"2Ð7-3
Print and Sign Date
Electric
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) orany
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 Bu¡ld¡ng 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 an or builder
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an Check Permit Fee: -p2.o35,to Ma
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home Fee:
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Garfteld County
BUILDING DEPARTMENT
108 Eighth Street, Su¡te 401, Glenwood Springs, CO 81607
Tel: (970) 945-8272
PLAN REVIE W CHECK LIST
Permit No: 6¿RE- 08-23 -gZ ¿9
Building lssues Planning/Zoning lssues P¿/Þ
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Engineered Foundation
Driveway Permit
Surveyed Site Plan,
Septic Permit and Setbacks
Gradel Topography 30%
Attach Residential Plan Review List
ivision Plat
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Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fe
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Notes-
WaUJefar/s
,.f Parcell Schedule No
40f Snowload Letter - Manuf. Homes
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Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Soils Report
pplication Signed
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Energy Compliance Path/Plan Receivedrwid /o.$2A
Plan Reviewer to S¡gn Application
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and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without 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 written 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 illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
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Print and Sign Date