HomeMy WebLinkAboutApplicationGsrfieW Coanty
Community Development Department
, i,: .. : :t i;'ir l'J:1088thStreet,Suite401
i .,, .ii i,,iit:r'j i r!r \r!.: :;rr'Gli.iiWOOd SpfingS, CO 81601
l970ls4s-82L2
www.garfi eld-countv.com
TYPE OF CONSTRUCTION
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BUILDING PERMIT
APPLICATION
DemolitionCommercial/Multi-Fam
Manufactured Home (Single or Multi-Level)
Residential (SF, lluplex or Townhome)Reroof
Dwelli Unit )- MAXTMUM S|ZE OF FEET
INVOLVED PARTIES
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Property
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Mailing Address:
Email Address:
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Phone:
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Contractor:b ts. 32
Mailing Address:
Email Address:
phone: Qot, 1 Aq6 - 2oSaDtrtE t{,unezArchitect:
Mailing Address:
Email Address:
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ttaBr (eEngineer:
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Phone: flTo1 4 45 - bSoS
Mailing Address:
Email Address:
Phone:
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PROJECT DETAITS
Email Address:
Sub.
Property Size (Sq. Ft. or Acres):
# of Floors:
Manufactured Home lnstaller:
Mailing Address:
Assessor's Parcel Number:
Owner's Valuation of Work: S
5q. Ft. of Building:
eaq3 ,q I oo t{1Job Address:n z 0orI a z rt tt
Class of Work:New Remodel/Alteration Addition
DetachedGarage:Attached
PROJECT DETAITS CONTINUED
CERTIFICATION
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.
dEIc.** Da.^n-. n?.7 tt l+t Aozv
Septic:
Type of Hcatr ral Gas
!owrs
Driveway
Permit:
Other
Community
Permit #:
Electric
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. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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.
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 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.
p6{ertv Owner Print and Sign av Date
OFFICIAI. USE ONtY \
t t /r^- rL ^Al.-See abhacherJ 32/u !> / / /a/v>Special Conditions:I
Adiusted Valuation: -.qry^nA.2?'flrff."fq:"ff0'q:75 Manu. HomsFee:A/*"'K)'7'A,
'*nf'j?L.r?OSFees Paid:bn Balance Due:
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OWTS No:
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MBUITDING / PLANNING DIVISION :
Signed Approval
BUILDING DEPARTMENT
708 Eighth Strcet Suite /W, Glenwood Springs' CO 81607
Tel: (970) 945-8272
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Gurfield CountY
PI.^A REVIEW H c Lrs
Permit No: e /X7*//-&€-S/Z€
Building lssues
Fou*datlon
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopographY 30%
Attach Residential Plan Review List
Suklivisio* Plat Notes
Fire Department Review
Valuation Determination/ Fees
o.d Line Plans/ Stamps/ Sticker
Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Pla n n i ng lZaning lssues
Property Line Setbacks
ft. Stream Setbacks
lood Plain
Buitding Height
Zoning Sign-Off RIF,'iito(*in,mn)
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Road lmPact Fees <
Gradel TopograPhY 40%
Planning lssues
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