HomeMy WebLinkAboutApplicationGørfield County
BUILDING PERMIT
APPLICATIONCommunity Development Department
tOB 8th Street, Suite 401
Glenwood Springs, CO 81601
(e70) 94s-8212
www,garf I eld-countv. com
I Demolitionl--l commercial/MultþFamily
E Manufactured Home (Single or Mu
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Property Owner:
Mailing Address:
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Contractor: Phone:
Mailing Address:
Email Address:
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Architect:
Phone:tìEngineer:
Mailing Address:
Email Address:
Sub. Lot
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Block
Describe Work:
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Phone:
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Sq. Ft. of Building:
owne¡/s Valuation of Work:3Þ c'ÞÕ
Height:
Manufactured Home lnstaller:
MailingAddress:
Email Address:
Property Size (Sq. Ft. or Aces|:
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Assesso¡'s Parcel Number:
Job Address:
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pffiepaír Move/Relocationff-Alteration I a¿d¡tionflruewClass of Work:
I oetachedIattachedGarage: fh
FRO¡ECTDE¡AIIS coifltr{uË}
Septic:
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i Type of
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Natural Gas f|Þ..lrn"
I Community
lectric
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Heat:Other
Driveway Permit:Exempt
Author¡tv. fhis application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authoriÇ, 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 ¡nspections by the Building Division.
Other permits. Multiple separate perm¡ts may be required: (1) State Electrical Permit, {2) County OWTS Permit,
(g) 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 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.
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 th e Application, along with the plans and specifications and other
data submitted by me or on my behalf (submittals),based upon my certífication as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued grant¡ng
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)). I acknowledge that the
Building Perm¡t may be suspended or revoked, upon notice from the County, if the location, 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 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 respons¡bility for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
engineer a or builder
that I have read and understand the Not¡ce and Ce rtification above, as well as, have
req information which is correct and accurate to the best of my knowledge'
5l '3-, {t {
Property Pr¡nt and s¡gn Date
Special Conditions:
Misc Fees;Manu home Feerfi
OWTS No:BP No:
ßLR€ -ú-tt-521
Due:
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FeesTotal Fees:
Zoning:
RuretConst Type:occ P:
BUITD¡NG / PTANNING DIVISION
Date
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and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road lmpactfees willbe collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building witho_ut a
CO wilibe considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements witl be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
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Property Print and Sign Date