HomeMy WebLinkAboutApplicationGurfield County
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R Ë€"o,ql p!f.¡ [ty Develo pm e nt De pa rtm e nt
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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Commercial/Multi-Family Demolition
!lanufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhom e) l4n fif1 2lll,6l , ı Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
one:
4Du#Property
Mailíng Address
Email Address:
Phone:
PhoneArch
Ma tn oã
atEm
Contractor:
Mailing Address:
EmaílAdd
Phonel 5 o
Ò
Engineer:
Email
Maili
Phone: ( )
Describe Work:
Block
-
Owner's Valuation of Work: S
Height
t L
Sq. Ft. of Building lq'.q'5l'.5" x
wlo
ô5+/-Property Size (Sq. Ft. or Acres):
#ofFl
Manufactured Home lnstaller:
Assessor's Parcel Number:
Sub.
-
Mailing Address
Email Address:
Class of Work lrrew Remodel/Alteration Additíon
Garage:Attached tth Detached
Septíc
I hereby acknowledge that I have read and understand th ice and Certificatíon above, as well as, have
provided the required information rs cor ct and e the best of my knowledge.
Property Owner and n
Community
Propaneatural Gas
ñ
ctricType of Heat:Other
Driveway
Permit:
Permit #:
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwnerof theproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal Access. A Buildi ng 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.
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, construct¡on 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 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 responsibllity for compliance with federal, state and local laws
and County Regulations rest wìth me and my authorized agents, including without limitation my architect
d ner, en neer and/ or builder
Date
æarthaahed /
Specíal Conditions 1\,9.¿ lL,r--l -o.?
Adiusted Valuation:
44 - 4qÁ. oo Plan Check
?>qs,
Fee:^lol 'Ëw|=ç Manu. Home Fee:Misc. Fees:
'"'n'ö7g.gb Fees Paid:?-85.b]Balance Due: -îq7, z5 BP No
We-ß?tÆ
OWTS No:
Setbacks occ Group:
/R¿
Const.rype:
I R C,'ff'
//-2-23BUILDING / PLANNING DIVISION :htli,*ø
Signed Approval Date
Gørfield CoæntY
BUILDING DEPARTMENT
108 Eighth Street, Su¡te 401, Glenwood Springs, cO 81607
Tel: (970) 94s-8212
PLAN REVIE W CHECK L rsT
permit No: ø/ß*/o-â 7-g3¿a 4 ó Þta da j,
anninglZoning lssues
-/ EngineeredFoundation, t6Øße
eYeWForivewaylermit
Building lssues
ØTD
( øtounr a/eo
Subdivision Plat
J*"tr 4
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Applícation Signed
Energy Compliance Path/Plan Received
lan Reviewer to Sign APPlication
Parcell Schedule No.
40# Snowload Letter - Manuf. Homes
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ TopograPhY 40%
Surveyed Site Plan
¡J/* septíc Permit and setbacks
Grade/Topography 30%
ØA/Þ Attach ResidentialPlan Review List
-/ subdivision Plat Notes
A/
Descri otion &Summarv:
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