HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
RECEIVÉ# 8th Street, Suite 401
Glenwood SPrings, CO 81601
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/M u lti-Family Demolition
Manufactured Home le or Multi-Level)
)<Residential (SF, Duplex or Townho Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SlzE OF 1,000 çot tÂRF FEET
PARTIES
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Email Address:
Property Owner:
Mailing Address:
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Contractor:
Mailing Address
Email Address:
Email Address:
Phone:
Mailing Address
Architect:
Phone:IEngineer:
Mailing Address:
Email Address:
Mailing Address:
Email Address:
Phone: { )Manufactured Home lnstaller:
PROJECT DETAITS
Describe Work:¿s€,\lí{;
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BlockLot
Property
Height:
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ô()(\6Assessor's Parcel Number:
Job Address:
Owner's Valuation of Work:
Sq. Ft. of Building:
Pù.Sub.
AdditionNewRemodel/AlterationClass of Work:
DetachedAttachedGarage:
PROJECT DETAITS CONTINUED
CommunitySeptic:
X Electric OtherPropaneNatural GasType of Heat:
Permit #:ptDriveway
Perm¡t:
NOTICE
Authoriw. This application for a Building Permit must be signed by the owner
or an authorized agent. lf the signature below is not that of the owner, a sepa
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 perm¡ts. 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.
ofthe property, described above,
rate letter of authority, signed bY
CERTIFICATION
I hereby certify that I have read this Application and that the information contai
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 Buildìng 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
ned above is true and correct. I
e r and/ or builder
I hereby acknowledge that I have read and understand the Not¡ce a nd Certification above, as well as, have
pfovl ded the ired i which is correct and accurate to the best of my knowledge.
7"ll - l'/
Print and Sign Date
USE ONLY 6ô
Special Cond¡t¡ons
Misc.FeeManu.
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Plan Fee:luation
Due:
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Const.OCC Grou p:
TltúßBUILDING / PLANNING DIVISION :
Signed Approval
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