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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82L2 www.garfield-cou ntv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercia Iti-Fam Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)T Reroof Accessory Dwell Unit DU - MAXTMUM SIZE OF 1,200 FEET INVOLVED PARTIES Property Owner: Mailing Address: Email Address: I ö{vN Phone $Zv-L¡ae-e7 LPhone: @ CJL/¡.^ò Ì Contractor: Mailing Address: Email Address: Architectr Phone: ( ì Mailing Address Email Address: Engineer: Phone:I Mailing Address Email Address: Remodel/Alteration ditionClass of Work:New DetachedAttachedGarage: O Manufactured Home lnstaller:Phone: Mailing Address Email Address: PROJECT DETAITS Describe Work: Job Address:A iao o .0-\n Assessor's Parcel Number: Sub.Lot - Block Owner's Valuation of Work: S- Property Size (Sq. Ft. or Acres) Sq. Ft. of Building: Heightr # of Floors:_ PROJECT DETAITS CONTINUED Septic: Type of Heat:atural Gas Propane Community E lectric Permit #: NOTICE Authoritv. This application for a Buildirrg Perrrrit nrust be sigrred by the Owrrer of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,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. 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 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)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and Development Code. 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 Building Division to enterthe property, described above, to ¡nspect 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 fac¡lity(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 acceptanceof responsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitatÌon my architect designer, engineer and/ or builder. I hereby acknowledge that I have read and understand the Notice and Cert¡fication above, as well as, have required information which is correct and accurate to the best of my knowledge. il \C) "cì. - A_3 Property Owner Print and Sign Date Other Driveway Permit: OFFICIAT USE ONLY Special Conditions: Adjusted Valuation:Plan Check Fee: T"d.i"ac Manu. Home Fee:Misc. Fees: OQTotal Fee¡:\m"Fees Paid: ,\,l(Y.ot'BP No: ilnciÇ-(E'S? Balance Due:OWTS No: Setbacks OCC Group:Const. Type:Zoning:".¡7h BUTTDtNG / PIANNtNG DTVTSTON :¿,rb.a,- Signed Approval ß^ Date io4-2