HomeMy WebLinkAboutApplicationGarfield County
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
emolitionCommercia
Manufactured Home orM
ReroofResidential, Duplex or Townho
Accessory Dwelli Unit - MAXIMUM SIZE OF 1,000 FEET
INVOLVED PARNES
29-ú15flPhone:Property Owner:
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Email Address:
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Mailing Address:55\o
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Phone:Pllo t 374- 40 zb
Tß (nvrrMailing Address:4 f{n
t/ll¡nContractor:lø Slì
Mailing Address:
EmailAddress:
IPhone;(Arch¡tect:
Phone:Engineer:
Mailing Address:
EmailAddress:
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Manufactured Home lnstaller: Phone:
Mailing Address:
EmailAddress:
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PROJECT DEÍAITS
Sub. lot
-
Block
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Job Address:
9,7Property Size (Sq. Ft. or Acres|:
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480 ilø
Owner's Valuation of Work:
Describe Work:
Assessor's Parcel Number:
Sq. Ft. of Building:
x itionRemodel/AlterationNetvClass of Work:
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lxl,Septic:
PROJECT DETAITS CONTINUED
Community
OtherPropaneE I ectri cType of Heat:Natural Gas
Permit #:Driveway
Permit:KlExemnt
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinL30days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement'
NOTICE
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 subm¡ttals 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 const¡tute 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
CERTIFICATION
designer, engineer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
p rovided,¡the which is correct and accurate to the best of my knowledge.eq 1ç,?/)t IDate tperty Owner and Sign
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OFFICIAL USE ONLY
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Special Conditions:
,Misc. Fees:41zt.ooPermit Fee:qWz.zÍ2 Manu. Home Feer{l(Adiusted Valuation:4??tA?200 Plan Check Fee:qVZu.Ø
OWTS No:ffi- +77"L
Balance Due:
Ðc27L.0b ffiø"'j(41ßTotal Fees:+øte.øø Fees Paid:'bue ßa
Zonine: gConst. Type: IB.OSetbacks:?lR-%,$*lÒ OCC Group:IK¿
BUtLDtNG / PLANNING DIVISION :Wt¡ùt)'fuç toþçln4
DateSigned approur{' t}
PO a 0t
Gurfield County
BUILDING DEPARTMENT
108 Eighth Street, Su¡te 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REV IEW CHECKLIST
Permit No: ØI.RE- q'14' 716
Building lssues Planning/Zoning lssues
'/ Engineered Foundation
Driveway Permit
x 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
x Soils Report
Description & Summarv:
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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Gørfield Coanty
RECEIVED
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BUILDINGDEPARTMENT
108 Eighth Street, Suiþ 4AÌ, Glenwood Springs, CO 81601
Tel: (970) 945-8212
GARFIËLD COUNTY..MMUNTTY'ËiäËbrty
Ownerts CertÍficate of ComplÍance
Accessory Dwelling Unit (ADU)
Effective Date: November 1,2018
The undersígned property owner certílÍes thot the attoched BuÍldìng PermÍt Applìcatìon
for Accessory Dwelling llnìt (ADU) ìs ìn complìonce wìth the following list of standqrds,
regulations ønd requirements for ADlls per GqÚÍeld County's Lønd Use & Development
Code qs omended on October 75,2078.
1. Floor Area - Maximum floor area of ADU shall not exceed 1,000 square feet (excluding garage).
2. Ownership Restriction - ADU is restricted to leasehold interest (cannot be sold or subdivided).
3. Minimum lot Area - Subject parcel must meet Garfield County's minimum lot size requirements
as defined by applicable zone district in Land Use & Development Code, Table 3-201.
4. One ADU per Lot - A maximum number of one ADU is allowed per lot.
5. Legal Access - Property Owner confirms legal access to proposed ADU as illustrated on site plan.
6. Water - Property Owner represents that they have notified either: (a) their water supplier to
address additional tap fees (if applicable) or (b) State of Colorado's Division of Water Resources
to secure any necessary water rights to supply legal water to the ADU.
7. Sewer - Property Owner represents that they have notified either: (a) their sewer & wastewater
provider to address additional tap fees (if applicable) or (b) alternately, if an on-site wastewater
treatment system (OWTS) is employed, limitations on the number of occupants using the ADU
shall not exceed maximum recommendations of existing/proposed septic system per State of
Colorado's OWTS standards.
*PLEASE NOTE: This form wilt be digitdlly scanned into the Community Development Department's office records
and witl be available for public view and reference in any future title sedrches for the subject property.
I hereby acknowledge having read the preceding checklist and agree to abide by these
req a
Owner(s) Signature
OFFICE USE ONLY:
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Ðl&E-04-14-?t74
Date
Assessor's Parcel Number lD Number:
Building Perm¡t Number Reference: