HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(97Ole4s-82L2
www. garfield-cou ntv.com
OF
INVOLVED
F-S
47
BUILDING PERMIT
APPLICATION
Commercial/Multi-Family Demolition
[Vlanufactured Home or Tiny Home {Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SqUARE FEET
Phone:-fl"r,
Email Address:
2747bFaU TlQ$at
Property Owner:
Mailing Address:
f
,I
L/&
Contractor:
T/bMailing Address:
Email Address:
a
t Phone:r47ot 776- 3 -41Architect:
Mailing Address:
Email Address
l4'Q'
t cQt
T/
r fuulI phoi",Engineer:
Mailing Address:
Email Address:
PhoneManufactured Home lnstaller:
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work:
Job Address:Tl 6z
BlockSub.
/
0 Height:
17 q052 & .frAssessor's Parcel Number: 2 o0
size (sq. Ft. orAcres): Z ,l trZ &r-Owner's Valuation of Work: S
Sq. Ft. of Building:#of
l/Class of Work:Gw Remodel/Alteration Addition
detachedGarage:Attached
Electric OtherI Gas Propane
Driveway
Permit:!Exemnt
Permit #:
PROJECT DETAII.S CONTINU ED
Septicr Community
Type of Heat:
; NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of L80 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) aqd facilities detailed on the submittals reviewed by the Building Division. ln
consideration of the issuance of the Buiiding 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 Regulatiqn(s)). All County development requiring a permit, except for
residential uses, are subject to Article 7 of the Land Use and Development Code. I ackrtowledge 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: (L) 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) 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 have read and understand the Notice a
tc correct and accurate to the
nd Certification above, as well as, have
best of my knowledge.p
Property Owner Print and Sign Date
OFFICIAL USE ONtY -9.
Special Conditions: t /€ee al/ac/Pd p/l/D/nd//<
Adiusted Valuation:
4t/L. {oa"e Plan Check Fee:4qP.7F '*D'l?,46 Manu. llome Fee:N*Misc. Fees:.MA
'"7,17i2,0 Fees Paid:
7Dt^ 53 Balance Due: ' t' bgq, 'e fr*lru-(ss:
OWTS No:
*Mn/>occ Group: IRA const.rvee/R U toflu'
od,3-2528BUTLDTNG / PLANNTNG DIVISION
Signed Approval
(
Date
GnrfuId CountY
BUILDING DEPARTMENT
1Og Eighth Street, Suite 4Ot, Glenwood Springs, CO 81607
Tel: (970) 945-8272
PI.^AN R VI CHE CKLI ST
Permit No: 6LRF-a52/-8552
Planning/Zoning lssues
P/atilak a"
Building lssues
e ,, (ry
--
OpHN"HOLF SCItLs RHPOI{T
IS REQUIREN,4T FOOTING
PSF
Engineered
Driveway Permit
Attach Residential Plan Review List
SUM'rvision Plat Notes
Fire Department Review .
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Parcellschedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
/1/A
ilA
6q9?69
Jaa/-zz-
Froperty Lrne Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Helght
Zoning Sign-Off
Road lmpact Fees
Topography 40%
Planning lssues
Subdivision Plat
Descri otion &Summarv:
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