HomeMy WebLinkAboutApplicationGørfteld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www.ga rfi eld-cou ntv.com
BUILDING PERMIT
APPL¡CATION
TYPE OF CONSTRUCT¡ON
Commercial/M ulti-Family I Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SlzE OF 1,200 SQUARE FEET
INVOTVED PART¡ES
Property Owner:
Mailing Address:
Email Address:
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Phone:tQTAtLl7t -fa 72-
(ÐY
(Phone: f )
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Contractor:
Mailing Address
Email Address:
Phone:
Mailing Address:
Email Address:
Architect:'t úA^¡
Engineer: I/IJ o ø-a Phone: f I
Mailing Address:
Email Address:
Phone:Alo^u
Email Address
Manufactured Home lnstaller:
Mailing Address:
PROJECT DETAITS
Owner's Vaf uation of Work: S / 0, o oC
Describe Work:
t"4 oooo L
Height:
Lot
Sq. Ft. of Building:7oo
q7
fi,t wto l-u ,
"¡ "' 1-VO u çn
Block
Property Size (Sq. Ft. or Acres):
#of
Sub.
Job Address:
Assessor's Parcel Number: ì. I l" 3
AdditionClass of Work:New Remodel/Alteration
Attached î\n urr,o DetachedGarage:
PROJECT DETAITS CONTINUED
Septic:f,WTS Community
Type of Heat:Natural Gas Propane
pt
Electric
Permit #:Drlveway
Permit:
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, de¡cribed 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 ìs 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 Codc. I acknowlcdgc thct thc Building
Permit may be suspended or revoked, upon notice from the County, if the location, construct¡on or use of the
structure(s) and facil¡ty(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 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 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, omlsslons, 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 limitat¡on my architect designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
provided the uired information which and accurate to thc be¡t of my knowledge.
Property Owner Print Date
OFFICIAT USE ONtY
Y oo -b-
Special Conditions:
Plan Check Fee t"ð{"t <>Manu, Home Fee:Misc. Fees:Adjusted Valuation
Total Fees¡0r oOd. ).'äëo",o Balance Due:o \prr¡, -83S,,
BP No:OWTS No:
I
fln*Setbacks:OCC Group Const. Type:
BU¡LDING / PTANNING DIVISION :
Date
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