HomeMy WebLinkAboutApplicationGørfuld CountY
Community Development Department
108 8th Street, Suite 401
Glenwood SPrings, CO 81601
l970l94s-82L2
www.garfield-cou ntv.com
INVOIVED PARTIES
Property Owner:
Mailing Address:
J¿.Phone:4Jst
Email Address:
Manufactured Home lnstaller:
ö
O
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:
BUILDING PERMIT
APPLICATION
Demolition
WPE OF
Commercial/Multi-Fam
T ReroofResidentialDuor Townhom
eorMManufactured Home
- MAXIMUM SIZE OF SQUARE FEETDwelliUnitAccesso
Phone:
2 @ð
Contractor:
Mailing Address:
Email Address:
Architecu
Mailing Address:
Email Address:
Phone: (
Engineer:
Mailing Address:
Email Address:
I
AdditionRemodeUAlterationNewClass of Work:
DetachedAttachedGarager
Job Address:
Assessor's Parcel Number:
Sub. Lot
--
Block
-
Owner's Valuation of Work: 5- Property Size (Sq' Ft' or Acres):
Sq. Ft. of Building:Height:#ofF
PROJECf DETAITS CONTINUED
Septic:Community
Typc of Heatl Natural Gas Fropane Other
Driveway
Permit¡
l!o_IrcE
AuthoriW.
Exempt
This application for a Building Permit must be signed by the Owner of the property, described êbove,
or an authorized agent. lf the s¡gnature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Lesal 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 info rmation 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 cf the issuance of the Building Permit, I agree that I and my agents will comply with pi.ovisions of any
federal, state, or local law regulating the work and the Garfield County Building Code, OWTS regulations and
applicable land use regr"tlations (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 bc suspcnded or revoked, upon notice from the County, if the location, construction or use of the
structure(sl and facilit'y(ies), described above, ai'e not in compliance with Coirnty Regulatioti(s) oi. airy otirer
applicable law.
I hereby grant permission to the Building Div¡sion to enter the property, descrlbed above, to Inspect the work. I
further acknowledge that the issuance of the Building Permlt 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
acceptanceof responsibilityorliabilitybytheCountyoferrors,omissions,orcliscrepancies. AstheOwrrer, I
acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with
me and my authorized agents, including without Iimitation my architect designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
required information which is correct and accurate to the best of my knowledge.
Permit #:
Property Owner Print and Sign Date
Electric
OFFICIAT USE ONLY
Special Cond¡t¡ons:
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Total Fees:,3Q\(x3"I
Fecs Paldl üe.l Bslance Due:e-DP No: I OWTS No:ffitl-gbíf1,." :
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Date
BUILDING / PLANNING DIVISION
Signed Approval