HomeMy WebLinkAboutApplicationGarfield Coanty
Com munity Development Depa rtment
108 8th Street, Suite 401
Glenwood Springs, CO 81601
p7als4s-82L2
www.Ra rfield-countv.com
OF CONSTRUEilON
Demolition
Accesso Dwelli Unit - MAXIMUM SIZE OF FEET
Property Owner:
Mailing Address:
Trav',s e Che 'v L .)odr-uin Phone D
Email Address:*S i lrf e r',r erl,.'l,(.lprran n",l rr:rn
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Contractor
Mailing
Email Address:
00?hone:t970 t
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Address: A515 l'ltdV IBdSo C,rdrd,JL* Co Bi56)
BUILDING PERMIT
APPLICATION
Commercial/Multi-Family
Manufactured Home or Tiny Home (Single or Multi-Level)r.Residential (SF, Duplex
/Anr rl I tno (nl laDE
or Townhome)Reroof4
Class of Work:
Architect
Engin
Phone: (_)
Mailing Address
Email Address:
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Mailing Address:
Phone
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Email Address
Manufactured Home lnstaller;
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Phone: (_)
Mailing Address
Email Address:
FROJECT DETAILS
Describe Work:
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L.
I \ 0r'l
lable-
n p re I a-.e*g €!r rn5 .Po st
Assessor's Parcel Number:n3q5 i)er)2ba\
Sub.o Lot
Owner's Valuation of Work: $3J Ssa. r>t
Block
Property Size {Sq. Ft. or Acres}, , oLlS
Sq. Ft. of Building ,?GBI Height: # of Floors
Addition
('
Garage ched
Remodel/Alteration
Detached
Septic:
Type of Heat:Natural Gas Propanel Electric Other
Driveway
Permit:
Permit #:
PROJ ECT DETAI tS CONTINUED
Community
Exempt
NOTICE
Authoritv. This appiication for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided wlth 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.
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.
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 LJse and Development Code, I acknowledge that the BLrilding
Permit may be suspended or revoked, upon notice from the County, ifthe location, construction or use ofthe
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 acknowledgc that the issuance of the Building Permit does not prevent the Building Official frorn: {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
Applicatiott, including submittals, and inspections of the work bythe Building Division do not constitute an
acceptanceofresponsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, 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.
Property Owner Print andy'Sign Date
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.
i\' tl / /t()*b;lt)o X/r/r^o,*,-, (e-20-Jt[
c r-\ t-&rOFFICIAL USE ONtY
eee avtaoh e0[ (nN> lT I o NSSoecial Conditions:
fM'ibtAdjusted
.zx^'i;E:w "i{fT*06 Manu. Home Fee:N*Misc. FessN4
'*""izg gg OWTS No:
Setbacks
Fees Paid:
OCC Group:
Dus3 "bg
Const.o Zoning:
\a
hn:,qBUILDING / PLANNING DIVISION
Signed Approval
LL2PZtt
Date
Garfuld Con;wty
BUILDING DEPARTMENT
Io8 Eighth Street, Suite 401, Glenwood Sprtngs' co 81607
Tel: (970) 94s-8212
P N EV E CHE K I
Permit No: B1-fr9- Ob'2+* 87W
Building lssues
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
grbdivision Plat Notes
Fire Department Review
Valuation Determ ination/ Fees
Red Line Plans/ StamPs/ Sticker
€onditions
Application Signed
Energy Cornpliance Pathy'Plan Received
Plan Reviewer to Sign APPlication
ParcellSchedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Pla n ni ng I Zaning lssues
Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Buitding Height
Zoning Sign-Off
Descri ron Sum a
Road lmpact Fees 'P FLs
nrth irn4s
Grade/ Topography 40% fen,t,6
Planning lssues 5r/rl
Subdivision Plat /
Sob*/b/
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