HomeMy WebLinkAboutApplicationGarJield Caunty
RE Development DePartment
108 8th Street, Suite 401
AUt, 1 5 26iEh*ood sprinss, co 81601
GAKF t h LU C rJ t'l r{Ttf70} 94s'8212
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Manufactured Home or Home or Multi-Level
Reroofor TownhoDuResidential
Dwell Unit - MAXIMUM stZE OF SQUARE FEET
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Email Address:CraSS . Lovn
Property Owner:
Mailing Address:
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Mailing Address:
Email Address:
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IPhonelIArchitect:
Engineer: j Phone:
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Manufactured Home tnstaller: Phone:
Mailing Address: .. ..' "
Describe Work:
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Lot._'-.-_ Block
to1 I '&+3fi-rProperty Slze (Sq. Ft. or Acres):li)
Email Address:
Sq. Ft. of Building:4 kste
Owner's Valuation of Work: 5
Sub.
Assessor's Parcel Number:
onNewClass of Work;
Garage:Detached
Septic:CWTS Community
Type of Heat:Natural Gas Propane Electric Eot).IroJ t ro
Driveway
PermlttFl:E_n::=..!EfFI.ir.i-sT
fle*"*P'Peimit #:
leealAccSSl ABuildingPermitcannotbeissuedwithoutproofoflegalandadequateaccesstothepropertyfor
purposes of inspections by the Building Division.
other Permlts. Multiple separate permits may be required: (1) State Electrical permit, {2) county oWTS permit,
(3) another permit required for use on the prcperty 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
ofthe date ofissuance and ifwork is suspended or abandoned for a period of 180 days after cornmencement.
Owner,
This for BuiAuthorllv.application mustPermit belding th Owner theofsignedby described baproperty,ove,
or a autn rizedho lf the reatu isbelow notagent.srgn that theof Owner etter ofseparate authority,signed by
the must be withed thisprovid Application.
I hereby certify that I have read this Application and that the information contained ab ove 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 (submlttals), based upon certification as to
Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the
to mg as
consideration of the issuance of the Building permi! I agree that I and my agents will comply with provisions of
federal, state or local law regulating the work and the Garfield County Building Code, OWTS s and
applicable land use regulations (County Regulation(s)). All County development requiring a
residential uses, are subject to Article 7 of the Land Use and Developrnent Code. I acknowledge that the Bu
Perrnit may be suspended or revoked, upon notice from the County, ifthe location, construction or use ofthe
structure{s) and facility{ies), described above, are n ot in compliance with County Regulation(s) or any other
applicable law.
I hereby grant permission to the Building Division to enter the property, described ab nlra i^ ihc66.+ +hau.v, !e,,,JHs!r H,s
further acknowledge that the issuance of the Building permit does not prevent the Building Official from requiring
the correction of errors in the submitta ls, if any, discovered after issua nce; or (2) stopping or use of the
structure(s) or facility(ies) if such is in violation of County Regulation{s) or any other applicable law of this
Applicatlon, including submittals, and inspections of the work by the Building Division do not con an
acceptance of responsibility or liability by the County of errors, omissions, or discrepancies. As the
acknowledge that responsibility for compliance with federal, state and iocal laws and County Regu with
me and rny authorizeC agents, including without limltatlon my architect designer, engineer anci/ or builder,
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
the required information which is correct and accurate to the best of my knowledge.
I LoI-Ll
Print and Sign Date
sde a*had nilt/SSpecial Conditionsl
Plan Manu, Home Feel Misc. Fees
tb 5 ol,YTS No:
Setbacks;
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OCC Groupt Const,
BUttDtNG / PLANNTNG DtvtsloN
Signed Approval
h/,?.%
Date
Gwffi&&CwwmfY
1O8 Eigttth street stite 401)
BUILDING DEPARTMENT
Gtenwood S7rlngs, CO 8160I
Tel: (970) 945-8212
PtA NR EVil il-fi CK r5T
6tRE-oy-24-#E/Permit No:
Building lssues
J
Fea,n<#*tb+"
DrivewaY Fermit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ ToPograPhY 3O%
Attach Residential Plan Review List
9*dod,iv!sier+ F le* No'tes
Fire DePartment Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Compliance PathlPlan Recefved
Plan Reviewer to Sign APPlication
ParceU Schedule No.
P!anning/Zo ning lssues (.u
Flood Plain
Buifding Height
Zoning Sign-Off
Desc ripti 0n&5um rn arv:
Tra&27
properry Lrne setbacks ,O%&t,
35 ft. stream setbacks no 2,12r//
Pn7'd*,
nr&aryc-
Road lmpact Fees /'r1 h +-e
Gra.del ToPograPhY 40% Al'
ptanningrssues ee//4t?q
Subdivision Plat /
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