HomeMy WebLinkAboutApplicationGarficld County
BUILDING PERMIT
APPTICATIONRE c ENÊDn "iäyr?,ËLi,:#tne pa rt m e n t
þ¡tV 1 Jt ?ülg Glenwood springs' co 81601
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TYPE OF
ulti-Demolition
Manufactured Home e or Multi-Level)
Reroofe)ElResidential (sF, Duplex or Townhom
l_l Accessory Dwelling Unit ) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
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Mailing Address:
Email Address:
¿ "c.r'Phone: (_)Contractor:
Architect:
Mailing Address:
Email Address:
Email Addressl
Phone: 1€7a ¡Ç¿rS- 6 <.c,€-.dt¿r-:- l7-¿orcEngineer:
Mailing Address:
Mailing Address:
Email Address:
Sub. Lot-
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Height:
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Phone: ( I
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Block
PROJESÍ DETAIIS
Describe Work:
Manufactured Home lnstaller
Property Size (Sq. Ft. or Acres):
¡ .<) <-
Assessor's Parcel Number
Job Address:
# of Floors
Owner's Valuation of Work:
Sq. Ft. of Building:
AdditionXRemodel/AlterationNewClass of Work:
DetachedAttachedGarage:
lc
E lectric OtherPropane-lNaturalGasType of Heat:
PROJECT DETAI LS CONTINUEÐ
Septic:Community
\h Permit #:Driveway
Permit:
mpt
NOTICE
Authoritv. 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
of the property, described above,
rate letter of authority, signed bY
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,
(l) anottrer 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.
CERTIF¡CATION
I hereby certify that I have read this Application and that the information contained above is true an d correct. I
s and otherunderstand that the Bu¡lding Division accepts the Application, along with the plans and specification
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming
complet€ness 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 wìthout limitation my architect
des ner,neer or builder
I hereby acknowledge that I have read and understand the Notice a nd Certification above, as well as, have
information which is correct and accurate to the best of my knowledge.
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Print and Sign
BUttDtNG / PLANNING DIVISION
Date
lL^5.).Þ19
ôiit.tt/ ûc / tl
USE ONI-Y
Special Conditions:
Manu. Home Fee:Misc. Fees:Fee:z IPerm¡t
¡p,I''"]l\isIAdjusted Valuation:
Çn72
BP No:
WY'lûA5T
OWTS No:lt #"Balance Due;
tgì,,75
Fees Paid:
lt,1- 61
Total Fees:
7Qq .ù(p
Zoning:
K
const'rvn3{}go"SILsetbåcts:
lÞ r4 lr1
Date
Gørfield County
BUILDING DEPARTMENT
708 Eighth Strcet, Su¡te 401, Glenwood Spr¡ngs, CO 81607
Tel: (970) 94s-821.2
PLA N REVIEW CHECKLIST
Permit No:
L 5
Planníng/Zoning lssuesBuilding lssues
Engineered Foundation
rtfr Driveway Permit
tWU Site Plan
11' septic Permit and setbacks
il. fl.G e/ Topography 30%
tl. {+
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
N,fr
il ,{
/rl ,ft
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
luation Determination/ Fees
il.4
ÁLine Plan s/ Stamps/ Sticker
Atta
App
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Ìlf,{L
n iewer to Sign Application
rcel/ Schedule No
40# Snowload Letter - Manu. Homes
Soils Report
42"/z = 5o/+/s