HomeMy WebLinkAboutApplicationGurfield County
REC H lVEsmmunity Development Department
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COiviff,U$llTY DEVEI-0PMl
1Og 8th Street, Suite 401
Glenwood Springs, CO 81501
BUILDING PERMIT
APP!.ICAT!ON
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Manufactured Home or Tiny Home (Single or Multi-Level)
ReroofResidential (SF, Duplex orTownhome)
Accesso Dwelli Unit D - MAXIMUM SIZE OF FEET
TYPE OF CONSTRUSTION
Com u lti-Fa
INVOTVED
Demolition
Property Owner:
Mailing Address:
Email Address:
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Manufactured Home lnstaller:
PROJECT DETAITS
Describe Work:
Job Address:
Phone:
Mailing Address:
Email Address:
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Assessor's Parcel Number:
Sub. Lot
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Block
Owner's Valuation of Work:Property Size (Sq, Ft. or Acres):
Phone:&-WtLIE*3G2b
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contractor:
Email Address:
Email Address:
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Mailing Address
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Mailing Address:
Email Address:
ditionNewRemodel/AlterationClass of Work:
DetachedGaragehed
Sq. Ft. of Building:
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Height:# of Floors
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FROJECT DETAiIS CONTINUED
Community
Permit #:Driveway
Permit:
NOTICE
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Septic:
Electric OtherPropanelNatural GastlType of Heat:
Authority. TIris applicatiou for a Building Fermit must bc signcd by thc Uwner
or an authorized agent. lf the signature below is not that of the Owner, a sepa
ofthe property, doscrlbod above,
rate letter of authority, signed bY
the Owner, must be provided with this Application'
Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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 containe
understand that the Building Division accepts the Application, along with the plans
d above is true and correct. I
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 acknowledgethatthe 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
applicabie 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 Officialfrom: (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
acceptanie 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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Property Otvner Print and Date
OFFICIAL USE ONIY \
Special Conditiotts
Misc. Fees:Manu. Home Fee:Plan Check Fee:Permit Fee:Adjusted Valuation:
OWTS NO:Balance Due:BP No:
l\o?r,n{44(ng,ooFees Pald:Total Fees:
'"T!L--Setbacks:Const. Type:OCC Group:
1-3-z5
Date