HomeMy WebLinkAboutApplicationGarfield CounQt
Community Development Department
li 'r.,;"i'r ; :i ' tgt 8th Street, Suite 401
,: : i GJenwood Springs, CO 81601:'t:, l9tOl94S-82L2
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
T/tNPhone:
Tatrd< Q,l:*"n Phone: r#Lt E7S-)u4
G
Contractor:
Mailing Address:
Email Address:
)Phone:(
t
Architect:
Mailing Address:
Email Address:
ID fZa-p.J
Engineer Phoner (
Mailing Address:
Email Address:
Phone:Manufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAITS
owner's Valuation of Work: 5 fO rocrrl Property Size (Sq. Ft. or Acres):
Describe Work:
64
Height:igt g"# of Floorsr I
Sv
Lot
95W
j,s
1-
Job Address:
5q. Ft. of Building:
Assessor's Parcel Number:
Sub.Block
x Remodel/Alteration AdditionClass of Work:New
Garage:Attached Detached
Type of Heat:
Septic:
Driveway
Permit:
PROJECT DETAITS CONTINUED
Natural Gas Propane
Community
Electric Other
Permit #:
NOTICE
Authoritv, rhisappllcationforaBuildlrrgPermitmuetbesignedbytheOwn6rofth6property,d6scrlb€dabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
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 Highway/ Road Access
or a State Wastewater Discharge Permit.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
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
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) anci facilities cietaiieci on the submittais revieweci by the Buiiciing Division. in
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
applicabte 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
ennlin:hla lrur
I herebygrant permission tothe Building Division to enterthe property, described above, to inspectthe 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 Iimitation 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 which is correct and accurate to the best of my knowledge.
ffxemot
-la 7 z"-a.s-
Property Print Sign Date
OFFICIAT USE ONtY
su al*ailel cau>/TtaNsSpecial Conditions:
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rr--.. u--- F-^.tvtdtru. nuiltts rtsc,it:-- F^^-.tvt t5t. rctsl.
"'^'flt'62'/t gtaFees Paid:(Alo.Balance Due:/a/o,fg BP No:
-P..t
L-t:,Qu lt
OWTS No:
--Setbicks:occ Group:
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f4-azBUII.DING / PLANNING DIVISION :Dil;.lt
Signed Approval Date
Garfield C*am$t
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Gtenwood Springs, CO 81601
Tel: (97Q 9a5-8212
PIAN R EVIEWCH ECKL rsT
permit No: 0LR6-OVA6-?I///
Building lssues
/1/4
/
Plan ni ng lZoning lssues
a
.E.ngj.neered .Found atio n
Permit
Surveyed Site Plan
Sepfic Permlt and Setbacks
Gradel Topography 30%
Attach Residential Pla n Review'List
Subdivision Plat Notes
/1/A Road rmpact rees 42 re
Pro.perty Line Setbacks
35 ft. Stream Setbacks
Flood Plain
'Bui'iciing 'i{eig'ht
Zoning Sign-Off
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
?-//-?E
';";T;irYffi;;; hl*,
Valuation Determination/ Fees
/t'-7
1a72ttpfst/Red Line Plans/ Stamps/ Sticker
ttach Conditions
Descri on&S ma*')8ff)74
,€laile/
fnvrlpf
Energy,Compli.a nce Path/Plan Received
4A FLg
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
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