HomeMy WebLinkAboutApplicationGørfield County
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Glenwood Springs, CO 81601
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TYPE OF CONSTRUCAON
Commercial/M ulti-Fa mily
' tNvolvED
Demolition
Property Owner:
Mailing Address:
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Email Address:
Architect:Phone: f I
Mailing Address
Email Address:
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t7Engineer:
Mailing Add
Email Address
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Manufactured Home lnstaller:Phone:
Mailing Address:
Email Address:
PROJECTDETAII.s
Describe Work:út .s v
BUILDING PERMIT
APPLICATION
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEEÏ
(;bo,on l4)e
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Contractor:Phone:
Mailing Address:
Email Address:
Remodel/Alteration AdditionClass of Work:K[*"*
X DetachedGarage:
Job Address:ÅÐcì cß^ \L'z r/a¿ ceslþ (n 8l¿"q t7
Assesso/s Parcel Number:
Sub.Lot Block
Owne/s of work: 5 leL-, 4'l(\Property size (sq. Ft. or Acres): 9,9 1C,'VS
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Sq. Ft. of Building:
Attached
Height ?s
. PROIECT DETAIIS CONTINUED
Type of Heat:
: s"pti.
Propane
Community
Electric
Permit #:
,Íio*'er:
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Author¡ty. This application for a Building Permit must be signed by the Owner of the property, described 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 wíth this Application.
Lelal 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 Permlts. Multiple separate perm¡ts 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.
Vold Permlt, 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 certifv 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 certificat¡on as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued grantíng
, permission to me, as Owner, to construct the structure(s) and facílities 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) or any
I 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)
requiringthe 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
Dívision 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 federâl, state and local laws
and County Regulations rest with me and my authorired agents, including without lim¡tätion my architect
designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the ltlotice and Certlflcatlon above, as well as, have
provided the required information wh ts accurate to the best of my knowledge.
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Property Owner Print and Date
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seeattaúr/ ê2Nb/T/aNSSpeclal Conditions
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OWTS Nó:z?
OCC Group:
Val y4 +lome Fee:Manu.7l
Fees Paid:
Const. Type;c
Balance Due: -699,s5
Zo¡ing:
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BUttDtNG / Ét¡NNING DIVISION
Signed Approval
/û-0123
Date
tùhH-,
Gurfield County
BUILDING DEPARTMENT
708 E¡ghth Streel Suite 407, Glenwood Spr¡ngt CO 81607
Tel: (970) 945-8272
PLAN REVIEW C HECKLIST
Permit No: â¿-Rg¿A-e.7- A3b /
Building lssues Planning/Zoning lssues
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Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Engineered FoundationêKF-E-)-zl
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Surveyed Site Plan
Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Energy Compliance Path/Plan Received
Plan Reviewer to Sign Application
Parcellschedule No.
NA Road lmpact Fees n? FL ' S
-/ Grade/ Topography 40%
Planning lssues
-/ Subdivision Plat
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