HomeMy WebLinkAboutApplicationGartield Coanty
Comm unity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO g1601
(970194s-82t2
www.rfieldcou
WPE OF CONSTRUCTION
INVOTVED PARTIES v-A
BUILDING PERMIT
APPLICATION
Commercial/Multi-Family Demolition
Ma nufactured omeH or Ti Homeny ingle or Multi -Level)
lex or TownhomeResidential Reroof
- MAXIMUM SIZE OFDwelliUnit SqUARE FEET
\"fiPhone:
(lJ
casEmail Address:
Property Owner:
Mailing Address:
Phone:\r
Contractor
Mailing Address
Email Address:
Phone:
Mailing Address
Email Address:
Phone/}/}chC-PEngineer:ft\so ftr
Mailing Address:
Email Address:
Describe Work:
1
Iot 3
Height:
Phone:
Sq. Ft. of Building:
6Owner's Va
a Block
ation of Work:Size (Sq. Ft. or Acres):2.)
of#
PROJECT DETAITS
Email Address:
Job Address:
Parcel Number:
Sub.
Manufactured Home lnstaller:
Mailing Address:
Class of Work: Jff New Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:
Driveway
Permit:
NOTICE
Authoritv. This application fo ra Bu itd ing Perm must signed by the Owner ofthe 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
lhereby certifythat lhave read thisApplication and thatthe 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 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 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
provided the required information correct and accurate to the best of my knowledge.
l^r
Property Owner Print and Sign
(nu^-G - zazf
Date
atural Gas Propane Electric Other
mBt Permit #:
OFFICIAL USE ONtY t
.e ?e a tta old AN D / 77attgSpecial Conditions:
Adiusted Valuationr
{05, ltg o,'i"iyu'fP TVE"|ts Manu. Home Fee:*"7\rn
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Fees Paid:752 Wnqffi ffia3ae
9.6.Setf,acks:
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Ctil,'r^//nBUItDtNG / PLANNTNG DIVIS|ON :
Signed Approval
E r/229
Date
Garfuld C*amtY
BUILDING DEPARTMENT
1.08 Eighth Street, Suite 401, Glenwood Springs, CO 8160L
Tel: (970) 94s-8212
PI-^AN REVI EWC HECK LIST
Permit No: e4€-072? 6-?3(0
Building lssues
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Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
ed Line Plans/ Stamps/ Sticker
h Conditions
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlicati
Pl a n n i ng I Zoning lssues
Pro.perty Line Setbacks
35 ft. Stre Setbacks
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7Ei:2ri#i)-tn*r,lS FLS Sogfx lol N5' 31,
Description & Summarv:
crautl l?/b x 21 (,ft(
6794,07
Planning lssues
Subdivision Plat
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67bx 3z 4) b7?-
Parcel/ Schedule No
40# Snowload Letter - Manuf. Homes
laog x 24 /20--
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