HomeMy WebLinkAboutApplicaitonGarfuId CounQt
Community Development Department
108 8th Street. Suite 401
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BUILDING PERIVIIT
APPLICATION
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DemolitionCommercial/M ulti-Family
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET
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061
Phone:\ 63GMII1 LL C
Email Address:
Property Owner:
Mailing Address:
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Phone: ( )Contractor:
Mailing Address:
Email Address:
t
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Mailing Address
Email Address:
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Engineer:PAoo f-*Va YFfl_
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Phone: &p-t 445 l@O
Mailing Address:
Email Address:
Manufactured Home lnstaller: Phone: (-)-
Mailing Address
Email Address:
PROJECT DETAITS
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Job Address:
Describe Work:
Assessor's Parcel Number
PropertySize (5q. Ft. orAcres): %O z='F .
f of Floors: I
Sub. ' ' [ot
5q. Ft. of Building: Height:
owner's valuatiln gl worL,
+Remodel/Alteration itionClass of Work:New
DetachedAttachedGarage:
PROJECT DETAII.S CONTINUED
Septic:
iipt "t xeit:Natural Gas Propane
Community
Electric
Permit #
Other
Driveway
Permit:
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NOTICE
Authoritv. 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 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 certifythat I have read this Application and thatthe 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
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, 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 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 responsibility for compliance with federal, state and local laws and County Regulations rest with
me and my authorized agents, including without limitation 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
provided information which is correct and accurate to the best of my knowledge.
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Owner Print and Sign Date
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OFFICIAT USE ONIY
Special Conditions:
Adiusted Valuation:
[-T-q1n.zo i'q'b:rb"T 'Tv\"2t5 Manu. Home Fee Misc. Feee:-N/A
TotalTees:
483,Vb
Fees Paid:.tqr).kl "u"Ey:u fiiti-qln,.t owTt No:
Setbacks:
AenLoND *occ Group: tRC ,o"t .rrul"'?U '"KTr-
t-fi4BUITD|NG / PLANNTNG D|V|SION :
Signed Approval
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Date
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Garfreld County
BUILDING DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN REVIEW CHECKLI ST
Permit No: 6 t-Rtr- I Z-Z-g'!74
Building lssues
Engineered Foundation
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Septi Permit and Setbacks
*A Grade/Topography 30%
Attach Residential Plan Review List
-/ subdivision Plat Notes
Fire Department Review
uation Determination/ Fees
Planning/Zoning lssues
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Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Planning lssues
Subdivision Plat
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Red Line Plans/ Stamps/ Sticker S
Attach Conditions
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Description #ummarv:
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Plan Reviewer to Sign APPIication
Parcell Schedule No
40# Snowload Letter * Manuf. Homes
Soils Report
OPEN.HOLE$OILS REPORT
rS NEAUIRED AT FOOTING
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