HomeMy WebLinkAboutApplicationI
Community Development Department
108 80t Street, Suite rml
Glenwood Springs, CO 91601
(s70) 94s.8212
wwur.rarfi eld-counW.com
GarfuId County
BUILDING PERMIT
APPLICATION
Demolition
or MuHome
orTownResidential Reroof
- MAXIMUM SIZEOFUnit FEET
Property owner: Gad & Cynthia Gaza Phone:t970 $56-7230
MailingAdd;€ss. 251 Soccer Field Rd, Glenwood Springs, CO 8160f
Email Address:
Phone:C.ontrecton
MailingAddress:
Email Address:
Phone:Architect:
MailingAddress:
Emall Address:
Englneer:_ phone:
MailingAddress:
Emall Address:
Phone:Manufactured Home lnstaller:
MalllngAddress:
Emall Address:
wheelchair acc€ssibleDescrtbework. Adding 1 Exit Doorto existing building that wifl be
Owne/s Valuatlon of Wort:(
Dirt work to indude accessibility for all
Job Address:251 Soccer Field Rd, Glenwood Springs, CO 81601
asphalt on outside of new door for easier
Sub.
Assessor's parcet Number. 219506100006
lot_ Block_
Property Slze (Sq. Ft. or Acresf :
Sq. Ft. of Bulldtng: Hetght:
Chssof Wort:
Garage:Attached Detached
-el
tSeptlc:
IIlpe of Heat:Natural Gas Propane Electrlc Other
Drlveway
Permlt:
Permit#:
a Building Permit must be signed by the Owner of the property, described above,
or an authorlzed agent. lf the signature below is not that of the Owner, a sepaftrte letter of authority, slgned by
the Owner, must be provided with this Applicatlon.
Leral Acaess. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Dlvislon.
9-ther Permic. Multlple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permlt,
(3) another permit required for use on the property identifled above, e.g. State or county Highway/ Road Access
or a State Wastewater Discharge permit.
Void Permlt. A Building Permit becomes null and vold 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.
AuthoriW.This application for
certify that I have read this Applicatlon and that the lnformation contained above is true and correct. I
understand that the Building Dlvision accepts the Application, along with the plans and speciflcations and other data
submltted by me or on my behalf (submittals), based upon my certiflcatlon as to accuracy. Assuming completeness
of the submittals and approval of this Applicatlon, 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, ifthe location, construction or use ofthe
structure(s) and facility(ies), described above, are not ln compliance wlth 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 fficial 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, omisslons or discrepancies. As the Owner, I
acknowledge that responslbility for compliance with federal, state and local laws and County Regulations rest wlth
me and my authorized agents, including without limitation my architect designer, engineer and/ or builder.
I hereby
I hereby acknowledge t{rat I have
provided the lnformation
understand and Certification above, as well as, have
to the best of my knowledge,
Date
a
Owner
Pclk-:-e {iitEaJ.g \r.}D t+rt<s F2='.7tc-l'-$}qp$u4gtSpecial Conditlons:
'T"80";o*Manu. Home Fee:Plan Check Fee:Misc. Fees:Adjusted Valuation:
BP No:
vmn Jfq11^
Balance Due:+OWTSNo:'rm"oo Vfr'bO
Const.Type:OOCGtoup:^n'T,r-Setbacks:
1-zo-zsBUil,rllNG / PLAilNING DIVISION :
DateSlgned