HomeMy WebLinkAboutApplicationGarfield County
Com munity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.ga rfield-countv.com
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SlzE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Phone:t)(aProperty Owner:
Mailing Address:
Email Address:
t
Phone: Afui 4û¿l- fAEt
Email Address:
Mailing Address
Contractor:
Email Address:
Phone:Architect:
Mailing Address
Email Address:
ìPhone:
Mailing Address
Engineer:
Email Address:
Phone:(Manufactured Home lnstaller:
Mailing Address
PROJECT DETAILS
Describe Work:
7-d
i.
,
c >
Height:
00 svq
Job
of Work:
# of Floors: 7-
Property Size (Sq. Ft. or Acres):
Sub.
Assessor's Parcel Number:
//)Owner's Valuation
Sq. Ft. of Building:
srock \Z/273+rlûÒ349
)(Remodel/Alteration AddítionClass of Work:New
Garage:Attached Detached
PROJECT DETAILS CONTINUED
CERTIFICATION
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 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.
lherebygrant permissiontothe Building Divisionto enterthe property, described above, to inspectthework. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiringthe 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
designer, e eer a or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
ero.YLqg-4 required information which is correct and accurate to the best of my knowledge
4,2t,.zl
Property Owner Print and Sign Date
F
CommunitySeptic:
Propane Electric OtherType of Heat:Natural Gas
Authoritv. This application for a Building Permit must be sígned by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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.
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.
Permit #:Exempt
NOTICE
Driveway
Permit:
oFFrcrALUsEoNry pJ srts.ır cc tttlzl/,;ozt
Special Conditions:
Manu. Home Fee:¡r/r N/AMisc. FeesPlan Check Fee:
$ {s. o¡Permit Fee:bq,L5Adiusted Valuation'2rm,oo
BP No:
BtRE . L82L
OWTS No:-- *7¡i{f,oJ
Fees Paid Balance Due:(û,25Total Fees:
I14,26
Zoning:?OCC Group:le¿
Const. Type:
tacSetbacks:
tlârr* 2/r,Z-5-/8-2þ2
Signed Approval
BUTLDTNG / PLANNING DIVISION ;
Date