HomeMy WebLinkAboutApplicationGarfield County
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Communlty Development Department
108 8fr Sfieet, Sulte 401
Glenwood Springs, CO 81601
(9701 94s-8212
www.garfiel d-cou ntv.com
BUILDING PERMIT
APPLICATION
TVPEOF COt{SrRUCnOit
Com merclaUMulti-Family
Manufactured Home (Single or MultFLevel)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARNES
Propefi Owner:NftTA'fc tlA lt ILD ryRAIVDT Phone:rZlL telo-606Y
Maillng Address: 57 r+ r?/'1"+ tv f< 0A D C'rtR8 o/vD/f Lt t/6 23
Email Address:FEMM tr OtFer- @ OnnlL . C,o/vl
Contractor: Phone:
Malling Address:
Emall Address:
Archftect:Phone: ( )
Malllng Address: _
Emall Address:
Entinaer: Phone:I I
Malllng Address: .
Emall Address:
Manufactured Home lnstaller: _ Phone:
Malling Addressr
Email Address:
PRO'ECT DETAIIS
Describe Work:fy-a*+-t V h b'* ri,64 a c-.rt k oo( /rs' 4- L
vuad n>ot\ertirAzt11L1 6L'1n w(r1
Job Address:,V ARL(A,v Ror+D
Assessor's Parcel Number:
Sub.Lot _ Block
Owne/s Valuatlon of Work:000 ?Property Size (Sq. Ft. or Acres):'/ rUr
Sq. Ft. of Buildlng:2, OoO Height:totrtoorc;-!-b -
lo
Class of Worft:New lfinemodel/alteration Addition
Garage:Attached Detached
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PRO.IECT DEfAIIS CONTINUED
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
Drfueway
Permlt:
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.
leral 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.
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 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, 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 Bullding Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construction or use ofthe structure(s) or facility(ies) ifsuch is in violation ofCounty 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
or builder.
I hereby acknowledge that I have read and understand the Notice and Certificatlon above, as well as, have
provided the required lnformatlon which ls correct and accurate to the best of my knowledge.
IExemot
Permit #:
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Property Owner Print and Sign Date
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Speclal Conditions:
^ryu,{"1vT,''y't)""r?"Permit Feelg3.Z€t M^"\T;E""'Mlsc. Feesr
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Total Fees:
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Fees Paid:
$ Rz '3Q '"'il61u"a BP No:,F'l'szF-?qq5 oWfS trtor
trr /A
Setbacks:occ Group:
/ Rc'const. rype: h<e ^v
ezryBUITDING / PLANNING DIVISION :
Signed Approval
Gurficld ConntY
BUILDING DEPARTMENT
log Eighth Strcet, Suite 40t, Glenwood springs, CO 81601
Tel: (970) 945-8272
PL^AN R EVIEW CHE c KLIST
Permit No: B tKE-/f22-746
Building lssues
Engrneered Fo*ndatlon
Driveway Permit
rveyed Site Plan
ptic Permit and Setbacks
rade/ Topography 30%
Attach Residential Plan Review List
SuMivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line PIans/ Stamps/ Sticker
Attach Conditions
Aoolication Siened^""""""o-i)/? /fu
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Pf anning lZoning lssues 2
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ TopograPhY 40%
J / Ptanni ng lssues//V Subdivision Plat
D riotion &Summa
3b 7,/* x 674,68 = /2r6t8./8
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