HomeMy WebLinkAboutApplicationGaffield Coune
RECEIVET}
OCIT I ü 2018
GAR FIËLÞ G
COMMU NITY
Community Development Depärtment
X08 8tb Street, Suite ¿101
Glenwood Springs, CO 81601
(e70) 94s-8212
wwyu.sarf ield-countv.com
mercial/Mult¡-Fam¡ly
a,nufactur€d Home (Singie or Multi-Level)
Residential (5F, Duplex orTownhome)
INVOIVEE PART¡EI;
Property owner:
Mailing Address:
l
Emaíl Address:
Phone:
contractor; G*-* {ZøJk Phone; ( ff12) Z<rr *C;31*¡
a-^{f?"¡o*-
u'o-f,¡*k rititt-(É>1,<ø4
Phone:
Mailing Address:
Email Address:
Mailing Address:
Ëmail Address;
: Manufactured Home lnsteller:
Mailing Address;
Email Address:
PROJECTDE AIIS
; Describe Work:G,C
, Job Address:Û.}of\t"-, Pr -ç*¿1-*\.-ao1 *.*-&t
Assessor's Parcel Number:
sub. k Lot k Block X
Owner's Valuat¡on of Work: $ Z, qt}O Froperty Size (Sq, Ft. or Acresll Zrþ4f'¡r{\.
Sq. Ft. of Building: \\ r ac'O f., Çt Height:io '- 1'¿ ç'¡# of Floors: \
Mailing Address:
Email Addressl
Archltectl
neêr:
Class of Work:
'Garage:
fl rvew I Rtteration E Rooit¡on
[Æached
+./[-\ff,epair I I Move/Retocarion
f] oetached
BUILDING PERTVIIT
APPLICATION
Phone:
PRÛJECÍ DETAII.S CONTINUED
septic: flowrs
Type of Heat: [ ruatural Gas
Driveway Permit: f fxempt
NOTICE
Property Sign
I Community
I rrop.nu ffiÆtectric
nPermit*
Other
' Autltoritv. This application for a Building Permit must be signed by the Owner of the property, described above,I Qr an authorized agent, lf the signature below is not that of the Owner, a separate letter of authority, signed by r
the Owner, must be provided with this Application.
Legal Acce.sq. A Building Permit cannot be issued wíthout proof of iegal and adequate access to the property for
purposes of inspections by the Building Division.: other Perm¡ls' 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 Pprmit' A Building Permit becomes null and void if the work authorized is not commenced within 180 days
of the date of issuance and ifwork 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 conta¡ned above is true and correct. I
: understand that the Building Division accepts the Application, along with tlre plans and specifications and other
datâ 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 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 regulatÌng the work and the Garfield County Building .
Code, OWTS regulations and applicable land use regulåtions (County Regulation{s)}. lacknowledge that the: Building Permit may be suspended or revoked, upon notice from the County, if the iocation, construction or use
: of the structure(s) and facility(ies), descrlbed above, are not in compl¡ance with County Regulation{s} or any
other applicable law.
r 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)
I requiring the correction of errors in the submittals, if any, Ciscovered after issuance; or (2) stopping
, construct¡on 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 i
' Division do not constitute an acceptance of responsibility or liability by the County ol errors, omissìolrs or
discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state änd local laws ,
I and County Regulations rest with me and my authorized agents, including without limitation my architect ,
.
,i:Lï?.'ffiïi::;:'ítï1'li"tl';¿,0 and understand the Nàtice and certirication above, as wer as, hãve
the ¡s correct and accurate to the best of mv knowledge.
v
Date
oFFrcr4rusEoNryPoid tßlt ul g u tq q/0o-q5
Special Conditions¡
Adjusted Vãluat¡on:\ñ\lA Kilïff'*'Permit Feel
Sr.on.ao
*t\nriñ*'Misc Fees:^ñll+
'$iifä.oo reeiCaid: ,.^Anô.w *"'Þ210."öo BP No: U
lWnr-ss+OWTSNI lol
f+
Setbacks: ^Nil/*Oaanrffi,T consïl{-Zoninl/P\-
I
BUILDING / PLANNING DIVISION I
Signed Approval
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