HomeMy WebLinkAboutApplication..,c
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www.garfi eld-countv.com
Garfield CoanSt
BUILDING PERMIT
APPLICAT]ON
DemolitionCommercial/Multi
Manufactured Home or Tinv Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accesso Dwell Unit - MAXIMUM SIZE OF FEET
Property Owner:
Mailing Address:
Email Address:
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Contractor:
Mailing Address
Email Address:ntl;+@ *rurplnj.o,--
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rbA Phone: ( )Architect:
Mailing Address
Email Address:
N/,q Phone: ( )Engineer:
Mailing Address
Email Address:
Describe Work:
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850
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Lot
Height:
Phone:I
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of Work:
/J,# of Floors: I
Property Size (Sq. Ft. or Acres)
Block
Manufactured Home lnstaller:
Sub.
Assessor's Parcel Number:
Job Address:
Owne/s Valuation
Sq. Ft. of Building:
Mailing Address:
Email Address:
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v Remodel/Alteration AdditionClass of Work:New
Garage:Attached Detached ht /A
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PROJECT DETAITS CONTINUED
Septic:lllowrs Community
Type of Heat:
_lNaturalGas
Electric Other
Permit #:Driveway
Permit:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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
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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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
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 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)). 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 bythe Building Division do notconstitute 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.
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provided the required i nfo which is correct and accurate to the best of my knowledge.
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Property Owner Print and Sign Date
?o:nl c[lt SgSqOFFICIAT USE ONtY
see a lh &e/ Q/v D t rlatt/sSpecial Conditions:
Adiusted Vaiuationrs3?.zoo '292F.'07 Permit Fee;-24Z/ ' De Manu. Home Fee:Misc. Fees:
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Setbagks:,
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OCC Group: t f1 nI tY(2 Const. Type: t l) .zttt\u zonip
ta-21-2BUITDING / PLANNING DIVISION :
Signed Approval
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I
Date
Gwfield Conntl*
BUILD/,NG DEPARTMEN|
1oB Eiglrth Stree, Suite 407, Gtenwood springs, cO 87607
Tel: (970) 94s-8212
PI-^AN REVIE CH c KLIST
trLRE-a7-R/-grt/y'Permit No:
Building lssues Planning lToning lssues RU
Engineered fuu*dat'ton
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
SuMlvision Plat Notes
Fire Departrnent Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Cornpliance Path/Plan Received
Plan Reviewer to Sign APPlication
ParceV Schedule No.
40# Snowload Letter - Manuf- Homes
Soils
Iarn
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
m*zinuS
Road rmpact Fees ilo hntyafez
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I
ANT:
peh
tuth
Building Height
Zoning Sign-Off
Gradel TopograPhY 40%
Planning lssues
Subdivision Plat
Descri ion&S rnma
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