HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701e4s212
www.garfi eld-cou ntv.com
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BUILDING PERMIT
APPLICATION
Commercial/Multi-Family Demolition
Manufactured Home or Tiny Home {Single or Multi-Level}
ReroofResidential (5F, Duplex or Townhome)
Accessory Dwelling Unit (ADUI - MA)OMUM SIZE OF 1,2q, SQUARE FEET
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Emall Address:
Property Owner:
Maillng Address:
MalllngAddress:
EmailAddress:
Phone:Contractor:tulF
Archheck Phone:
Mailing Address:
Email Address:
Email Address:
Engineer:
cMaillng Address:I
Phone: (ifui3lfuS3bL
MailingAddress:
EmailAddress:
Descrlbe Work:
Phone:
Heiglrt:t?#of
of work: $ qqftoo
-
Property She (Sq. Ft. or Acresf:
Manufactured Home lrstaller:
Assessor's Parcel Number:
Job Address:
BlockSub. lot
Owney'sValuation
Sq. Ft. o,f Bulldlng:
Glase of lllork:7pe*RemodeUAheration lAddition
Garage:Detached
PROJECT DETAITJS CO'ITITIUED
Septic:
Type of Heat:atural Gas
ity
Propane Electric Other
i Driveway Permit f:
Authotity. This application for a Building Permit must be signed by the Owner of the propefi, described above,
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.
(Xher 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.
Vold Permlt. 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.
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I hereby certify that I have read this Application and that the 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 (21stopping 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 andl or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provlded the required information correct and accurate to the best of my knowledge.
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Propefi Otrner Print and Sitn oate
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UTE OTIIY t
6u a/*o)i/Gaub/T/a/l&Special Conditions:
manufiHee,*hzzAdlusted Valuation:t72.a2.e Plan Check Fee:5t9,5*'ffiff'25
ffil,.qW OWTS No:-n4TotalrFees:2q1.,41/r-EiH':e+
Balairce Due:1qt,7s
const.roz.eO t'trjfr'Setbatks:--'=oCC Group: /pC
BUITDTNG / PLANI{|NG DrVlSlOil :
Signed Approval
r W
Date
a
Gurfreld CoamtY
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 94s-8212
PI-^AN REVI EWC HECKLIST
Permit No: 9t4g -OVA6-?+0a
Building lssues
/g Grade/Topography3o%
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Attach Residential Plan Review I'ist
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
-/ Red Line Plan s/ Stamps/ Sticker
ttach Conditions
.E.rgi.neered :Foun d atio n
Energy,Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Planni ng lToning lssues
Pro.perty Line Setbacks
35 ft. Stream Setbacks
Flood Plain
'Bui'irling'i{eig'ht
Zoning Sign-Off
Rcad rmpact F€€s 42 nO
Grade/ Topography 40%
OMilgrrivewavPermit
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Surveyed Site Plan
N4 septic Permlt and Setbacks
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Descri otion &Summarv:
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