HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
.,i , ' 1' :, ,r,, 108 8th Street, Suite 401
Glenwood Springs, CO 81601
lsTols4s-82L2
www.gb rf iel d cou ntyco.gov
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BUILDING PERMIT
APPLICATION
TVPE OF CONSTRUCNON
Com mercial/M u lti-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 S9UARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
LLL phone:117a 1 ?-83- ,)''tl
C 6
EmailAddress:n$ce rP BraJ.) t'ooK . co
Contractor:hn 4", *l r,^.\ LLL Phone:b 0-
Mailing Address:fri ()r t't Q ra^"|df^(o 5o
EmailAddress:
Architect:0 Phone: ( 1Z5t "L<;' ? aa a
Mailing Address:
Email Address:I
K.f Phone: lQzv | 57 L *qqe 5'Engineer:
Mailing nddress: 403 I s{-.+f".=_l . p(o,.1lro+< Ca '6l,lo t
EmailAddress:oc-
Manufactured Home lnstaller:NA_Phone:(-#:
Mailing Address:N,4-
EmailAddress:*k-
PROJECT DETAIIS
Describe Work:lr.Jr".l S F A
Job Address:C.Cof o
Assessor's Parcel Number:
Sub.
o
Lot Block
Owne/s Valuation of Work: $Soo,ooo Property Size (Sq. Ft. or Acres), 3118
Sq. Ft. of Building:L',14a Height:23'#olFloors; Z
Class of Work:X New Remodel/Alteration Addition
Garage:Attached Detached
. PROJECT DFTAI|.S CONTINUED
Septic:Community
j Type of Heat:atural Gas Propane Electric Other
Driveway Permit #:
NOTICE
: Authoritv. This application for a Building Permit must be signed by the Ownei of the property, described above,
i or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
tgrcl-Agce$s. 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 Pgrmits. 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.
l&tjd permjt 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 L80 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above ls 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
aplllicable 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 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
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 limitation my architect designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well es, have
provided the required information which is correct and accurate to the best of my knowledge.
I
Permit:
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Property Owner Prlnt and Sign Date
OFFICIAT UsE ONtY
6ea#4d4e/ aptp/T2ALSSpecial Conditions:
Adiusted Valuation:
3Mc/A2,qo Manu. Home Fee:Misc. FeesNA*59fu,o?
75
Fees Paid:
Plan
Belance
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Setbacks:
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OCC Group:/pL const.rvnei pO ton'nkL-
l0-i5-zozBIJILD|NG / PLANNTNG DtVlStON :
Signed Approval
(
Date
Garfteld Coanty
BUILDING DEPARTMENT
108 Eighth street, Suite 40L, Glenwood Springs, CO 87601
Tel: (970) 945-8212
PLAN REVIEW CHEC K L s T
Permit No: l/yp7-0?-25-?gb7 Brnt de/Fo+
LIT
Planning/Zoning lssuesBuilding lssues
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/
Engineered Foundation ---
Driveway Permft(R+E 4/r-25) /-
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
fterl b
jW1reptic permit and setbacks
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
A@ottach conditions
Zoning Sign-Off
Planning lssues
Subdivision Plat
Description & Summarv:
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Roadrmpacrr*('yb!:|,
Grade/Topography 40% '/
E Application Signed
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Energy Compliance Path/Plan Received
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Plan Reviewer to Sign ApPlication
Parcel/Schedule No.
40f Snowload Letter - Manuf. Homes
Soils Report
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