HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ole4s-82L2
www.garfield-cou ntv.com
INVOLVED PARTIES
BUILDING PERMIT
APPLICATION
E OF CONSTRUCTION
DemolitionCommercial/Multi-Fam
Manufactured Home e or Multi-Level
Reroofor TownhomeResidentialDu
Dwell Unit - MAXIMUM SIZE OF 1,OOO SQUARE FEETAccesso
¿vûw U Phone
Cû
Property Owner:
Email Address:
Mailing
Contractor:
Mailing Address:
Email Address:
Architect:I
Mailing Address:
Email Address:
Engineer: Phone:
Mailing Address:
Email Address:
I
Manufactured Home lnstallerl Phone:II
Mailing Address:
Email Address:
Sub. Lot
-
Block
-
PROJECT DETAILS
.?\¿>Describe Work:ç
¿ôo ¿¡o9
Owner's Valuation of Work:C ô
3 2,8{
f of Floors:-
Property Size (Sq. Ft. or Acres):
Assessor's Parcel Number
Job Address:
Sq. Ft. of Building: Height:
Addition
flnemodel/AlterationNewClass of Work:
DetachedAttachedGarage
l
Septic:
Electric OtherPropaneNatural GasType of Heat:
Permit #:Driveway
Permit:
PROJECT DETAILS CONTINUED
Community
Exempt
NOTICE
Authoritv. This aPP lication for a Building Permit must be signed by the Owner ofthe property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate 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'
Otl.rer 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 andvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement'
CERTIFICATION
I hereby certify that I have read this Appl¡cation and that the information contained above is true and correct. I
the plans and specifications and otherunderstand that the Building Division accepts the Application, along with
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
perm¡ss¡on 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 siructure(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 ¡nspect 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 without limitation my architect
er,neer 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'
Property Owner Print and Sign Date
zı22-ArÞOFFIC¡At USE ONtY 2-èo,5
Special Conditions:
Misc. Fees:
ta,
Manu. Home Fee:Perm¡t Fee:Plan Check Fee:Adjusted Valuation:
OWTS No:
N/A
BP No:
(oc¡ç -738
Balance Due:Fees Paid:
f zoo .o'Total Fees:
Zoning:
c gConst. Type:OCC Group:Setbacks
BUILDING / PLANNING DIVISION :
Signed Approval Date