HomeMy WebLinkAboutApplicationGurfteld County
Community Development Department
RECEI\/f !lO8 8'h Street, Suite 401
Glenwood Springs, CO 81601
lltli* ? 4'll)'It pTols4s-8212
GAr{hii:LDO(@
COM i.'.'U i.Ii Y DEVEL')PMENT
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BUILDING PERMIT
APPTICATION
WPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Phone:+
/
Email Address:
Property Owner:
Mailing Address:
Phone:Contractor
Mailing Address
Email Address:
Phone:(Architect:
Mailing Address
Email Address:
cefiT P
a
nezt170 I 444'-kG7("
Mailing
Engineer:
Email Address
t976 t 4o,< *41J
?/4/5
Phone/t
a-d o
aManufactured Home I
Mailing Address:
Email Address:
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PRO.,ECT DETAITS
Describe Work:
Height:t ),'td".4
Job Add ressr
Lot Block
Property Size (Sq. Ft. or Acres):Owner's Valuation,of Work:
Sq. Ft. of Building:.6a<)# otFloorst /
Assessor's Parcel Number
Sub.
I AdditionNewRemodel/AlterationClass of Work:
DetachedGarageAttached
Septic:
Type of Heat:Natural Gas Propane Other
Community
Electric
Driveway
Permit:
Exempt
.e-.'J:"na.
Permit #:
NOTICE
PROJECT DETAILS CONTINUED
Authoritv. 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 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.
VoiciPermit, ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. I
understand that the Building Division accepts the Application, along with the plans and specifications and other data
subnritted 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 Officialfrom: (1) requiring
the correction of errors in the submittals, ifany, 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
acceptanceof responsibilityorliabilitybytheCountyoferrors,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.
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 o,{#rPrintand sign 'T Date
OFFICIAT USE ONtY \
, r' I t ^ ^ rL
e €a affin &€a L-Z/U /Zi-f/ UilsSpecial Conditions:
Adiusted Valuation:+46.oM oa Plan Check Fee:4n4, At 'BUT|sa Manu. Home.fte:A/A *"'tr1114
rot^t:"*.>^ 7Ll,[))K, - v Fees Paid: , ..AF f I5l{5.et
Balance Due: -/ .l- ttt(?TO, -"
RD Nn.
^-s* fr4r-tartJLPk*61!2^L
OWTS No:
-4'"'WDnlD oCCGroup:
/ BC const' rvReT Po zoff:
(hil;r*ln 7-/q-UZBUTLDTNG / PLANNTNG DtvtstON
Signed Approval Date
GwffiE& CwnawtP'
BUILDIIVG DEPARTIW€N'T
108 Eighth Street, Suite 401; Glenwood Sprlngc' CO 81601
Tef: P70) 945-8212
P LAN REV NEW FIE CK rilsT
6LRE-a/-z/-97O>Permit No:
Er'glr,ee+ed Fo**det'+on
riveway Pernrit
Attach Residential Plan Review List
fu.bd,ir*lsb+ P !a.t $.l+te s
Fire DePartment Review
aluation Determination/ Fees
Red Line Plans/ StamPsl Sticker
Conditions
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils RePort
Zoning lssues
F=J9l
LLne Sethack"s 4 t Ag ,
35 ft. Stream Setbacks $ = /O I
ood Plain
Building Height
Zoning Sign-Off
Road lmPact Fees
Gr:add TonograPhV 40%
Planning lssues
Subd,ivision Plat
D ri ion &Sumnqa
Planning/Building lssues
'H;y%;yfin*wL
Plan Reviewer to Sign Applicatioft
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