HomeMy WebLinkAboutApplicationGarfield County
BUILDING PERMIT
APPLICATIONCommunity Development Department
108 8th Street, Sulte 401
Glenwood Springs, CO 81601
(970) 945-8212
www. ga rfield-çountv,com
TYPEOF
fl Commercia
fl Manufactured Home {Single or Multi-Level)
Residential (5F, Duplex or Townhome)
Demolition
Reroof
Property Owner:
Mailing Address:
Email Address: -. - - ,- -.
Contractor:Phone:
Mailing Address:
Email Address:
Phone:
I
Architect:
Mailing Address:
Email Address:
EmailAddress:
Engineer:
i Ma¡ling Address:
Manufactured Home lnstaller:
Mailing Address: -
EmailAddress:
PROJECTDETAIIS
Describe Work:çÞ
lnk I ")YÀ<rlrv rr P (--?
Job Address:
Assessor's Parcel Number:
Sub. - tÐt- Block-
Owner's Valuation of Work:LìÚ5D Property Sile (Sq. Ft. or Aues):
Sof
Garago:Ê,ttached
Helght:
E
H ÞetEched
fl MovelReloe¡tlon
PROJECT DETAIIS COÍìITIIìIUED
Iowrs , I CommunitySeptic
Type of Heat:Natural Gas n Propane
Driveway Permlt:
NOTICE
I erã.iii.Other
Exempt Permit #:
AuthOritv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the sígnature below is not that of the Owner, a separate letter of authoríty, signed by
the Owner, must be provided with this Application.
legal 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. Mult¡ple 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 nutl and void if the work authorired 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.
CERTIFICANON
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 detalled 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)). I acknowledge that the
Building Permit may be suspended or revoked, upon notice from the County, if the locat¡on, construct¡on 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 ín the submittals, íf any, díscovered 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 liabílity by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsibility for compliance w¡th federal, state and local laws
and County Regulatíons rest with me and my authorízed agents, including without lÍmítatíon my archítect
designer,e¡¡glne,er and/or builder
I hereby acknowlêdge thât I hav€ read and undcr¡tand the Notlc€ and Certlfleatlon âbovs,
provlded the required information whlchls correci anú âîßvrets to the best of my knowledge.
aE rl,ell ås, have
d-
Property Pr¡nt and Data
l
l
OFFICIAT USE ONTY
Special Conditions:
Manu home Fee:Misc Fees:Plan Check Fee:
rlD
Permit Fee:Adjusted Valuation;
OWTS No:
ffi'(nl'<tv(tTotal Fees:lbH Fees Paid:
loD-
Const Type:Zoning:mÞOCC Group:ISetbacks:
BU|TDING / PLANNINC DIVISION:
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