HomeMy WebLinkAboutApplicationGarfrcld Coanty
R [:: il i:_qqqrn unity Development Department
108 8th Street, Suite 401
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BUILDING PERMIT
APPLICATION
Commercial/M ulti-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
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Email Address:r*bh--.\a, tcrnnDo
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Property Owner:
Mailing Address:
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Email Address:
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Contractor:
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Mailing Address:Lv5
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Phone:tltt Lfe 2uat s:tl to.
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Phone:3fi5i 3o\z - L{StefArchitect:
Mailing Address:
Email Address:
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Engineer:
Mailing Address:
Email Address:n,'\o
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Assessor's parcef Numbe.: zLz13b lO"LooL
Describe Work:
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Height:
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Phone: ( )Manufactured Home lnstaller:
# of Floors:_
Job Address:
Owner's Valuation of Work:
Sq. Ft. of Building:
Property Size (Sq. Ft. or Acres):
Block
Mailing Address:
Email Address:
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Class of Work:New Remodel/Alteration Addition
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PROJECT DETAITS CONTI NU ED
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
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Property Owner Date
ural Gas Propane Other
Septic:
Type of Heat:
Community
Electric
Driveway
Permit:
Permit #:
NOTICE
AuthoriU. This application for a Building Permit must be signed by the Owner of the property, described above,
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 bv 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 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.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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.
OFFICIAL USE ONIY
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Special Conditionsr
Manu..Hcne Fee:
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BUILDING / PLANNING DIVISION :0/),'r^/h
Signed Approval
t_84
Date
Garfuld CountY
BUILDING DEPARTMENT
7oB Eighth Streq Saite 401, Glenwood Springs, CO 87607
Tel: (970) 945-8212
PI.^AN EVI EW CHE CKLI
Bt_Rs_a 3_2//_ g5b8Permit No:
Building lssues Planning/Zoning lssues
E *gi*ee'red Fo**dation
Driveway Permit
Surveyed Site Plan
UN> septic Permit and setbacks
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Planning lssues
Subdivision Plat
Building Helght
Zoning Sign-Off ;1,5A2*
Road lmpact Fees ,O116r-4 S
Grade/ TopograPhY 40%
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subdivision Ptat Notes hrtl t*
Gradel TopograPhY 30%
Attach Residential Plan Review List
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
Parcell Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
qzb 671
Descr iotion &Summa
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