HomeMy WebLinkAboutApplicationGarfield County
f* ni C e9g€gunity Development Department- -- 108 8th Street, Suite 401
AUtj I i 26Senwood Springs, co 81501
19701945-82t2:*'';:;;i.l,;lh'lf,$@
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BUILDING PERMIT
APPLICATION
ICommercial/Multi-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level),<Residential (SF, Duplex or Townhome)Reroof
Dwelli Unit - MAXIMUM SIZE OF SQUARE FEET
EmaitAddress: 6e46 @ 6g*rnu) L-Lt-, CarTl
Phone:Property Owner:
Mailing Address:
6a-s-^ , flt>nt /TJ.or.r *tarr) phone:
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Contractor:
Mailing Address
EmailAddress:
dt+}.<f- r durr t'r. i" S /l f phone: t$fuhl )eo- 9ts>
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Architect:
Mailing Address
Email Address:
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Q.p .Engineer:-Funl (', (*a atPhone:
Mailing Address
EmailAddress:
EmailAddress:
sub. l(iva< Vrk;i €+vnxta[ Lot + 1,, Block-
Owner's Valuation of Work: $ 3AS, ,J-,r,, Property Size (Sq. Ft. or Acres): tO ,S7S Aoerr-5
Describe Work:
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Phone:
5
Height:Sq. Ft. of Building:fi of Floors:
Manufactured Home Installer:
Mailing Address:
Job Address:
APPfad- laooo
Assessor's ParcelNumber: (LOOI 3 65
N New RemodellAlteration Addition
Attached DetachedGarage
Class of Work:
PROJ ECT DETAI LS CONTINU ED
Septic:Community
, Type of Heat Natural Gas Propane
Driveway
Permit:
NOTICE
AuthJritv. 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.
Lesal 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 regulatingthe 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.
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Electric
Permit #
Other
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I hereby acknowledge that I have read and understand the N
provided the required information which is correct and accurate
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otice and Certification above, as well as, have
to the best of my knowledge.
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Property Owner Print and Sign
OFFICIAL USE ONLY I
Special Conditions:Ca/uD/T/a/vs?ee 4
Adiusted
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Plan Check Fee:bqq."b Permit Fee: --/obl, oo Manu. Home Fee:Misc. Fees:---
,rr"rrlr?gqrr,Fees Paid:^-+g+.'b Balance Due:^^qryz 7t
BP No:
B&e,85+-l
OWTS No:
2€pT
Setbacks:OCC Group:tRc const. rrof,B O 'H*
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BUTLDtNG / PLANNtNG DtVtStON
Signed Approval
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Date
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BUILDING DEPABTIWEN'T
7O8 Eighth Streq Saite AOt, 1lenwood Spr'tngs' CO 816AI
Te!: (970) 945-8272
PLA EV EW FfrE CKLil T
Permit No: Bl<€-AZ7-ggH
Planning /7aning lssuesBuilding lssues
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Arb ,s An
Enet+ee+edFo**i*det'ie+"*-ei7h'nq Jrr'fah/a4
DrivewaY Pe2hit /
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Flood Plain
Zoning Sign-Off
Road lmPactFees llO
Gr:addToPagraPhY 4O%
Planning lssues
Subdivision Plat
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Surveyed Site Planr qhli*-z
Setbacks /6/hL -/Buirding Height barn in RlrlffiL
Grade/ ToPograPhY 3O%
Attach Residential Plan'Review List
S+:'bdi-vlsl.o+ F lat $tate s
Fire Department Review
Valuation Determinationl Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Energy Cornpliance Path/P lan Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
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