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Home My WebLink AboutApplicationGarfuld CounQr Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82L2 www.garfi el d-countv.com BUILDING PERMIT APPLICATION CommerciaUMulti-Family TYPE OF CONSTRUCTION Demolition Manufactured Home or Tiny Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED PARTIES Property Owner: Mailing Address: Email Address: 9/lzPhone: a Phone: (_)Contractor Mailing Address: Email Address: Phone:Architect: Mailing Address: Email Address Phone: (za 1 2// a72A a Engineer: Mailing Address: Email Address: PhoneManufactured Home lnstaller: Mailing Address Email Address: d Remodel/Alteration AdditionClass of Work:New Garage:(Attached Detached PROJECT DETAITS Describe Work: Job Address: ttl vr't s Parcel N uprber: Sub. Owner's Valuation gf Work: " tot {Z Block _ aa Property Size (5q. Ft. or Acres): Sq. Ft. of Building: "rn - Height:fof PROJECT DETAITS CONTINUED Septic:Community OtherType of Heatl llNatural Gas ne Q*rooa lectric Permit #Driveway Permit: Exempt NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days of the date of issuance and if work is suspended or abandoned for a period of 1"80 days after commencement. CERTIFICATION lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 Use and Development Code. I acknowledge that the Building Permit may be suspended or revoked, uporr notice [rorrr the Cuurrl.y, iI the location, cottstructioll or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) orany other applicable law. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework, 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 acceptanceof responsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with --^^-....-.r--.-^..rL--r--l^---r-:--1..1:--...:tL^..a1:-:r^r:^--..^-^L:r^^rA^-i-^^- ^--:-^^-^^Al^-L.,ill^-ilte dilu IIIy duUtuilzeu dBeilt5, ItLtuuItE, wtUtuut ilililLdLruil ilry drLilrLgLL uc>rE,iltrr, trilBilrEEr dilu/ ur uuilucr. 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. .ffi ,-r/d,Eu,z-/ry7 -,/3 - Za 4 rrKferty owner Prini and Sign Date OFFICIAL USE ONtY t -^^ ^. t t-, ^t / f'-'t| /)\ IT|AA /{oee ,trtrt(ffi€ar (-a//Y/-z 1 v /L/f vq> Special Conditions: Manu. Home Fee::----Misc.Fees: L ^^. ^. RtF SBD= #qKL.e Adjusted Valuation:- /4t -O49.ry Plan Check Fee: 71"7. 07 Permit Fee1244.A1n? OWTS No: F,-O-'r-84:Tl'"Hl'6Vi, r,qt+.oaFees Paid:falance Due: I 25L.q6 BP No:wE.w tRr't<Setb/cks: o OCC Group:tRc .,onst'tvleiQc) BUILDING / PLANNING DIVISION : Signed Approval 0-/5-202 Date Gwffifd Awt*m$t AUKDING DEPA.RTMENT 1O8 Eigtrh Street, Suite 4A1; Gtenwood Sprtng6' CO 816oil Tet: P70 945-8272 PtAN REVil CH E CKL T /ah> Zoning Sign-Off ad lmpact Fees 5' F'>. Gra.de/ ToPograPhY 40% Planning lssues Subdivision Plat q8ryab (IF 3.8, Building lssues Permit No: SUQE -0O-Z/ -8t60 Planning /Zaning lssues In'gi'teered Fearc'diatlog*PropertY Line Setbacks 35 ft. Stream Setbacks nveway rm Flood Plain Buitding Height S ks rade/ TopograPhY 3O% Attach Residential Plan Review List 9,lJad.lvlsie+ F!+t Flotes Fire DePartment Review Valuation Determination/ Fees d Line Flans/ StamPs/ Sticker ttach Conditions t a oo aa d2 ad 4 qgb,ou ofw/72/e ISaVsQ { R"civea( @re&'cnLs\ tut+-b2D