HomeMy WebLinkAboutApplicationGurJield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
l970l94s-8212
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i TYPE OF CONSTRUCTION
CommerciaUMulti-Fami ly LEbemolition
it (ADU)-MAXTMUM S|ZE OF I,OOO SqUARE FEET
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INVOLVED PARNES
Property Owner:
Mailing Address:
Email Address:
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contractor:
Mailing Address:
Email Address:
Mailing Address:
Email
Engineer:
Mailing Address:
Email Address:
Manufactured Home lnstaller:
PROJECT DETAIIS
Describe Work:
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Phone:
Mailing Address:
Email Address:
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BUILDING PERMIT
APPLICATION
Job Address:
Parcel Number:
Owney's Valuation of Work:
Sq. Ft. of Building:
, Class of Work:
Property Size (Sq. Ft. or Acres):
Garage:Attached
Height:A5 *of
Detached
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PROJECT DETAILS CONTINUED
Septic:
Type of Heat:
Driveway
Natural Gas
Print
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Propane
Community
Electric
Permit #:
Other
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, Permit:
NOTICE
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'
i Leeal 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 Hlghway/ 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
lherebycertifythailhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. I
understand that the Building Division accepts the Application, along with the plans and specifications and other data
rsubmitted 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
I applicable land use regulations (County Regulation{s)). All County development requiring a permit, except for
residential usesaresubjecttoArticleToftheLandUseandDevelopmentCode. lacknowledgethattheBuilding
permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the
rstructure(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'
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
red information which is correct and accurate to the best of my knowledge
Date
OFFICIAL USE ONLY
Special Conditions:
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Misc. Fees:Manu. Home Fee:ifrb:"w Permit Fee:/552 75Adiusted Valuation:fra/il- o./b,2t
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Zoning:
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hil,'rrABUITDING / PTANNING DIVISION :
Signed Approval
Gurfield County
BUILDING DEPARTMENT
708 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW C HECKLIST
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Bui ng lssues
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Apolication Signed
R"eche"L-r
Planning/Zoning lssues
6 fuea
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
ilding Height
Zoning Sign-Off
Planning lssues
Subdivision Plat
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Descri on & Sum
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Engineered Foundation
Su rveyed Site Plan
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Energy
Plan Reviewer
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
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OPEN+IOLESOILS
IS REQUIRED AT FOOTING
INSPECTION IINO PSF