HomeMy WebLinkAboutApplicationGørfield County
BUILDING PERMIT
APPLICATIONCommunity Development Department
108 Sth.Street, su¡te 401
Glenwood Springs, CO 81601
l970le45-8212
www.garf ield-cou ntv.com
DemolitionE Commercial/Multi-Family
El i'tfnufactured Home (Sinele or Multi-Level)
ReroofìSi Residential (sF, Duplex or Townhome)
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Itff,u ehone:
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Email Address:
MailingAddress
Property owner: - 1.4¡'+Cl4¿t ( A]\d
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Phone: tî,fuJ^&^Ola U
wl -.I -<.-(Rg¡¿f)€1t f .¡., , ê LêEmail Address:
MailingAddress
Contractor:
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Phone: ( )Architect:
MailingAddress:
Email Address:
Engineer:
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Email Address:
Phone: ( )
Mailing Address:
Phone: (_)
Describe Work:
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t7 f of Floors:
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W+it?v -;eight:Sq. Ft. of Building:
Property Size (Sq. Ft. or Acres)
Manufactured Home lnstaller:
Owne/s Valuation of Work: S
Sub.
Assesso/s Parcel Number:
Job Address:
Lot Block
Mailing Address:
Email Address:
Ll ¡dd¡tion l_lRepair I Move/RelocationClass of Work:ff"t"ll llteration
I DetachedGarage:flattached
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Type of
PROJ ECT DETAITS CONTINUED
Septic:OWTS Community
Natural Gas Propane Electric Other
Exempt Permit #
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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. 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.
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 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 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 location, construction 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 responsibility for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
desi engineer or builder
I have read and understand the Notice and Certification above, as well as, haveI here
provid
ack
requ rmat¡on which is accurate to the best of
Date
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Special Conditions:
Manu home Fee:
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. Misc Fees:Ad¡usted Valuat¡on:
74 çtb Plan Check Fee:
751 rt
Permit Fee:.hl. Ll
Balance Due:
500,t15
*ffixc-çar'OWTSNoz,-"-------7Total Fees:Msv Fees
$ lLl 5
Paidr
rl
Zoning:R.ocryR,c-
Ì.\
ton"YË(-,-Setbacks:
BUILDING / PLANNING DIVISION :7:1"-Lo18
Dateproval
BuÍtdÍns.l T,onims^Plan RevÍew Checkli
Permit Number:bU,f ,do-/g-52&-
st
Buil Planning/ Zoning
^t.A
Engineered Foundation
./
''/ Property Line setbacks
lil.I/ 'Å . Drive;ivay permit
--¿*gsitePtan.ß Permit and Setbacks
Topography 30%
Attach Residential Plan Review List
/t ,l^- Subdivísion Plat Notes
n ewer to Sign Application
30 ft. Stream Setbacks
/( ,î Flood Plain
O'/¿. Buitding Height
- Zoning Sign-Off
/¿ ,A Road lmpact Fees
-/-Grade/ Topography 4A%
I ol-4 þ 24 = 74 576
l/, L ,o.Department Revíew ,1/.1 Planníng lssues
N'l subdivisíon prar
Red Line Plans/ Stamps/ Sticker
A Conditions
Application Signed General Comments:
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1,4
Parcellschedule No.
40# Snowload Letter - Manu. Homes
Soils Report