HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
RECElVEDlggg.rr Street, Suite 401
^ ^ .,,S|çnwood Springs, CO 81601
JIJL ¿J iu¿r (970194s-8212
8å,i5lFiB'f'?w
BUILDING PERMIT
APPLICATION
TYPE OF COI{STRUCNON
CommerciaUMulti-Family Demolition
Manufactured Home (Single or Multi-Level)
t<Sesidential (SF, Duplex or Townhome)Reroof
Accessory Dwelline Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
ITwOwED pAßTtEg
Property Owner:
Mailing Address:
EmailAddress:
ßþi3fif -5,82€'
Contractor:
Mailing Address:
EmailAddress:
Phone: fftAj 3T1- Sg2S
i
.C-c¡r¡Þ\ue
Architect:Phone: prlo)qkb - qe-¿C)
Malling Address:
EmailAddress:
q2_?-
O C
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Phone: ( )Engineer:
Mailing Address:
EmailAddress:
Mailinp Addressr
EmallAddress: , ,-
h PhoneManufactured Home lnstaller:
PROJECÍ DEIAIIS
owne/s Vafuatlon of Work: $ \ . 1- r^,li\\i¡.¡ Property Size (Sq. Ft. orAcres): 2.16 aCrA
Describe Work:
Ltr¿
-I
2^Ot-\ A \Êì
Sub.C o..ìs.¡- Q--*¡c\-t
Sq. Ft. of Building:ç1Çr Height:1-E t
..^i \
\3\
r.ot [È Bbck-
# of Floors: 2-
Assesso/s Parcel Number
Job Address:
X New RemodeUAlterat¡on AdditionClass of Work:
DetachedGarage:Attached
PROJECT DETAITS CONTINUED
Septic:
Driveway
Perm¡t:Xlt*"'o'
eom
4"le.sf;t.:
Propane OtherType of Heat:I Gas
I
the Owner, must be provided with this Applicatió¡. . - , " '
Lesal Access. A Building Permit cannot be issued ìiiitHout þroof of legãi'arrd eúãúu"Ie.a.¿ess to thJ property for
purposes of inspections by the Building Division. t' t
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, t2) 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 L80 days after commencement.
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.
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
construct¡on or use of the structure(s) or facility(ies) if such is in violation of County Regulatlon(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
and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
?.1.rÌlo\o* \ ?"l--b-ø-^
Property Owner lrint and \ign Date
oFFrcrAt usE oNLY .þ z/ztþt û Zt tt,, nt C^, f--e-)
Special Conditions:
Adjusted Valuatlon:
s6to 242,IZ n Check ØFee:
?o
Manu, Home Fee;N/A Misc. Fees:
&tr18.0.ù{ Z,yzz
Totalfees:
4r,4zl ,10
Paid:?nce Due:
o,7A bn/BP No:gRF-OWTS No:
-N/nSetbacks: t0'{u OCCerout:rp
"
const.rtr.i p C Zoning:K
tfu'*%rh 8-6-21BUITDING / PIANNING DIVISION :
Signed Approval Date
Gørfield CountY
BUILDING DEPARIMENT
L08 Eighth Street,
'u¡te
407, Glenwood Springs, CO 87607
Tel: (970) 945-8212
PLA N REVIË.W CHECK LI T
Permit No: 6LRE^ O'f-21- bqql
Building lssues Pl a n n i ng I Zoning lss ues
ø,\ff?l-
Property Line Setbacks
30 ft. Stream Setbacks
N/A Seotic Permit and Setbacks
-_--T----_
t71 Buirding Height CØND
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Grade/ TopograPhY 3O%
Attach Residential Plan Review List
Subdivísion Plat Notes
Fire Department Revie¡ )LZOOú
Ç. s, olal-noþß) |
va I uatiofr Determ ínatÌfn/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlicat
Parcel/ Schedule No.
40# Snowload Letter - Manu'
Soils Report
Descri otion & Sum marv:
yØ
t/
f
Flood Plain
Zoning Sign-Off
Road lmpact Fees
Grade/ TopographY 40%
Planning lssues
Subdivision Plat
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