HomeMy WebLinkAboutApplicationGørfield County
BU¡LDING PERMIT
APPLICATION
RECE nity Development Department
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Email Address:
Property Owner:
Mailing Address:
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Contractor:
Mailing Address:
Email Address:
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l-Phone:
Email Address:
Mailing Add
Architect:
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Phone: ( )Engineer:
Mailíng Address:
Email Address:
Phone: ( )Manufactured Home I nstaller:
Mailing Address:
Email Address:
ns{o[\.lDDescribe Work:
Lot
Height:
5w-
Block _Sub.
# of Floors
Assesso/s Parcel Number:
Job Address:
Owne/s Valuation of Work: $
Sq. Ft. of Building:
size (Sq. Ft. orAcres): 3 aCnS
flRepair I I I Move/Relocation, lHSruewflAlterationll n¿dit¡onClass of Work:
!Rttached l_l DetachedGarage:
CommunltyowTSSept¡c:
OtherElectricPropaneNatural GasType of Heat:
Permit#:ExemptDriveway Permit:
the Owner, must be provided with this Application.
LeFal 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,
(¡) 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.
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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 Bu¡lding
Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or
dìscrepancies. 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
and/ or builderr,
Owner,
County,
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I hereby that I have read and understand the Not¡ce and €ertification above, as well as, have
ired information which is correct and accurate of my knowledge.
Owner P rínt and Sign Date
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Special Conditions:
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BUITDING / PLANNING DIVISION :
Signed Approval
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Date
Garfield County
BUILDING DEPARTMENT
108 E¡ghth Street, Suite 407, Glenwood Springs, CO 87601
Tel: (970) 945-8212
PLAN REVI EW CHECKLIST
Permit No: ÞlÆ'O4' lq -b17ç
Building lssues Planning/Zoning lssues
x
x
NA
NA
r.lA
NIA
NIA
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
General mments
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
N/e
N/A
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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 lmpact fees will be 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 without a
CO will be considered an illegal occupancy and may be grounds fonvacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
lhe acknowledge I have read, underctand and will abide by the requirements of this
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Date
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