HomeMy WebLinkAboutApplicationGarfteld County
Community Development Department
1.,1. i.- {.. L: i ri i : i I 1Og 8th Street, Suite 401
Glenwood Springs, CO 81601
.iltli i1?il;l{r lsTols4s-8212
www, ga rfieldcou ntvco. gov
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
tr Demolitiontr Commercial/Multi-Family
tl Manufactured Home or Tiny Home (Single or Multi-Level)
tr Rerooftr Residential (SF, Duplex or Townhome)
tl Accessorv Dwelline Unit (ADU) - MAXIMUM SIZE OF 1,200 SqUARE FEET
INVOLVED PARTIES
I
t .fi}n",wr-1,1a?tProperty Owner:
MaitingAddress: |Zb CUttnVY Rocd a lL f h {z
EmailAddressr O e
4loContractor:Phone:
Mailing Address n\\a t^J
Email Address:s tcz
e Zf,-OArchitect:Phone:
Mailing Address
h l, Co r*-Email Addressl
Engineer:rnuSlaPho. E. Clrread e Phone:
Mailing Address
Email Address:
L3i
Manufactured/ Tiny Home Phone: ;7?n) LI75 '135Ll
Mailing Address z I
Email Address:e e16 s.c lr,{
Describe Work:S.Tr t I
z 2 l{-Job Address:
Assessor's Parcel Number: 2 IL Looo
Sub.rn.b rct 78 Btock-
Owne r's Va luation of Work:Property Size (Sq. Ft. or Acres): |}.ZQQ nW5
Sq. Ft. of Building:trl-cD Height: lir''7 17t,, # of Ftoors ,l
Class of Work:E New E Remodel/Alteration E Addition E Repair tr Move/Relocation
Garage N Rttached E Detached
PROJECT DETAILS
fl Propane E Electric E otherType of Heat:E Natural Gas
Driveway
Permit:
PROJECT DETAILS CONTINUED
Septic:OWTS E Community
[J Exempt E Permit #:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
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 u nderstand
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 bythe 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 ofthe 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
bytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, lacknowledgethatresponsibilityforcompliancewith
federal, state, and local laws and County Regulations rest with me and my authorized agents, including without limitation my
a rchitect a or builder
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.
Owner Print and Date
OFFICIAL USE ONtY \
see at+a cl1 N/ISpecial Conditions:
Misc'/$FF" d6 Manu home Fee:Adiusted Valuation:lgq.fla.e ,VTF:TV
BP No:fr-w,qrc+owis No: f
.q-6Dr-q3o&'ij'ffi"a6 7F7t'#'"21ilh(.p
Const Type:
I RC
zoninep-oCC Group: / ROSetbacks:f
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U)iv#^\-BUILDING / PLANNING DIVISION 7a42zs
Signed Approval Date
Garfreld Coanty
BUILDING DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 87601
Tel: (970) 945-8212
PLAN RE VIEW CHECK L rsT
Permit no: @ffif, - O/'AU- ?dA7
Building lssues
Surveyed Site Plan
{ffin#A^es;#me
on
Engineered Foundation
Driveway Permit
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Hdmes
Plannin ng lssues
bl-zg
-'
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees NFD
-/ Grade/ Topography 4o%
--"t Planning lssues
Subdivision Plat
Descripti on & summarv:
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
ttach Conditions
Energy Compliance Path/Plan Received trL€
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