Loading...
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 /-+ 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: ./ ,/fl &: 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. ,/,./,o"r /r2".-n,4t /,t 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 /uzos,f x #vz= //qru,oa 4/hr/€/bf/lrj t/a/aa.ha^ eooogl 6potul4ote \>o tu oY sc 4N) ^ilolhtooujV 2 ,o3 I aaA& 610 vLtSt f, I r L 'fff^L'tuFNrP g0 dl ,c to\ t/+\ e-b-ZV fl*z€. au.r}S t- -{es+- p*fi(.s +Y c/rlrk 2 oo7 "lrrwgs ho m*,ro/ T NP su{-b^k (r*r a-ll-p:I