HomeMy WebLinkAboutApplicationGarfield County
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Community Development Department
lOB 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www.ga rfield-cou nW.com
INVOIVED PARTIES
Manufactured Home lnstaller:Phone: ( )
Mailing Address:
EmailAddress:
PROJECT DETAITS
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BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCNON
Demolition
or Multi-Level)
Commercial/Multi-Fa
Manufactured Home
or TownResidentialSF Reroof
Accesso Dwelli Unit ADU - MAXTMUM S|ZE OF 1,000 SqUARE FEET
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Phone:þçlt 7J.Ð ot<Le
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EmailAddress:
Property Owner:
Mailing Address:
Phone: (_)
EmailAddress:
Architect: Trs-f"rræ.¡sf) Ê<æ:t:r A5ÐS3Ë (f-.\phone: 1c? 3) 149 "ëq ÉJ-.
EmaitAddress: ?ev¡¿taC-\ù- @* ètMþl L-z CPv{
Emait Address: çTî)fac> \r4 " €¡v4 tJËËã¡a-@ CcÞ.14\)- , C Ð !A{
tAæ¡ -c¿-Sulr'tEngineer:
Mailing Address
Mailing Address:
Remodel/AlteratíonClass of Work:
Garage Attached
Addit¡on
Detached
Describe Work:
Job Address:
Assessor's Parcel Number: 2-
sub. V-L-ç- 5-r1<Ã$lø:". rot t ebcr Fì,L \L)a- É
Owner's Valuation
Sq. Ft. of Building:
Property Size (Sq. Ft. or Acres):3
TJ€)
\of Work:
Height : -z-4 çt-# of Floors: '?-
PAOJÊqT DITAILS CONÏINUTO
Septlc:TS
l)fc)[]ùnlt
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I
fonrntrrrrily
Ll¡etrrc
P¡,¡¡¡¡l li;
Bn ûlit¡.rType of Heltl
Setbacks:
XINattrr'rlü'ri
fli"tt"tnt
tDrivcway
Permlt:
NOTTCË
Au!tìoflty. -lnr",rppi¡e Jtton fot a l!uriding PÍrnìit rÍusl ltD.,i¡¡rrr:d by llv.r O,.vrrrrr of tltfr t)lùl)írriT, dr.:¡.r¡[¡r.,ii ¡liov¡..
ell en ;tltlt0ri;r'd a¡;rtnt ll the i¡¡'¡¡,¡1¡¡¡1'l¡cloç¡ ir rìot thal ol the Ow¡itr, r 5,Jtr¿i¿tri lrtllarr of ;lri!hÕ,¡t/. :,rrlíilr{i irí
lll¡: Ov.'rrr¡r. uìU5t brr yrrovidr:d \.,,¡th lhr\ rlppliCation.
leßal Accers. Å ûuilcliil6 prrnrit c¿rnol bt ir:ue¡l wilhout proof of tr,¿altrnrl ,tejo(luatt: ¡(crr5) lÕ ti:c proprriy l¡r
piJrpolt:i ol rnspectioni l)y thc uulldlnfl f.)ivision.
Qt[er Pc¡¡¡!!5* lr'lultrple sep"lr,rt(: pernrils rray bc rcquire'tl: {1}St¡tc [jtrctr¡(;rf t'0rnl¡t, {])Courrly oVi t5 í'crnrrt,
('ì) ¿nÕthrr pFrrilit riì(¡r.iirrt¿i for t¡se orì the property irlentrfncl ât,ovc, r-',t:. 5t¡tc or Crrlntv I't¡álh!,r¡y/ F,ct;rri h:tt,.;:
Ò¡ ì St¡tr- \!,l5ti,w¡ter {')¡t:ch¿fBe Fftnìit.
Vo-id-f-qr-pjt, r\ íìtliidinfi P(ìrt'nll becomcl nuli ¡ncl vorrJ if thr¡ !,/ork ¡t¡ihori¡pd ¡ì not cÕnìr"rirní.'.rC !,/il¡ììn i$g rl.r7r
of thc dall' of isru¡nce ¡n(l ¡f work ir trri¡rnnr!ed or ¡b¡nc!orrt'rl for ,l pcrroe! of lfÌ0 ri,iy", ¿f tr:¡'er¡nlnrunc¡n:i'n!
CERTIFICATION
I ltetlbl' certify th.ll I h¡vr: roarJ th¡s AÊpl;côtion ¡ìnd lh;ìt lhc inlornr;rtion (ont¡¡nrjd ¡[]oì/{., rr !ru¡e ¿nd ccrrr,ûi i
r;¡rdt'r\t.l,rll lli¡l tlrrl Buildin¡4 Divirlon ùcce pts thc r\p¡.)liciìtion, ilorìg \.Jilh t¡r{j pl;in5 ¡¡¡d :,i¡r:c¡i¡c¡tôni ;ln(-t ùtrìrt
(J¡t,l lrlblìrrttrìd iJY nìc or on nry bchalf {sr¡t)ñrittrls}, btrrcd upon rny cerlificati6n;r5 to rç{r.rr¿.-y. Âs1ii|ï,ri¡1
corììpli:ler'Ìr¡5s oí the s{tbrììit!.11s irnd approv,rl of thi5 Af)plic¿tion, ;r ûuilc!rng pr¡rrnit vrill bc istlr:d ärn¡tra;l
¡rlrnttsriort to n1e, ni Or'¿ne¡, tô ccnst,ruc! thc structrrre{s) ånd fJcilìti(ì5 del¡rk-.d otl tlìt rutrrn¡tt¡1., rcYr¿rr,.,r,d by
thr Burldrrtg Fivìsron. ln corlSrde r¡rticlt of the issuðnct of thr" EuildinB Pcrm¡t, ! (ì&reo th¿t l;rnrl rny r;:rjnt1 r.¿rli
r.:lrnLllv r.''illì prQvrsions ol .rny iedcral. sl¿tc or loc¿l law rcgulating thif !'/ork ¿nd !hc G¿rlield Cruntv Bu¡icin¿
ai-:ír. owlS r{ri{uliìlions ancl applica[:le l¡ncl use regulatrons (county Ru¡1ul;rtion(s)). I ackn:lv;lrr.]¡.;r: ihill tht,
B'.rilJi¡1p l'ernl¡l may bc suspcndtd or revoketl, upon noti((: fro¡¡r thr-. County, il thc loc;tion, rcn!lrr¡tïior'ì 9r u.,r
.rf llì¡' itrtlcturc{E} ¡nd f¿cilitv{irts}, rJescribc<J above, ¡re not rn comp!iance w;ttì Count'/ Rrüu:¡lrs*l-,} Õr ,rny
çthr:r applrcable llrv.
¡hl.'¡tt,ry Êrdnt prtrñìi5sior] to thr¡ lìurlrling, Division lo enter the property, dFscribsd above, to iñ5Ë¿]ri thrr *¡rL. i
lurthlr ¡cknorvladgc lhat tlìr'issu¡nce of the Suilding Permit does not prevent thc Burlrring t{trci¿l frcnr; aiitrqiirrtlt the coÍreclion oI errors in tht 5ubnìitl.lls, if any, discovcrerl ¿ller iss*¡ncc; rr {¡} itùppiniì
e ûrr.',truct¡olì or use of tlìc structure{s} or f.rcìlity{ies} if such is in vrol¡tion of County lln¡iulatron{s¡ or ¡n,l oiiìùr
,rpplìe;rù:ln l¡',v. llcvir:vr of thii Âpplicrtion, including sul¡mlttalç, ônc, inspcctions of thf ïrorli by rht: Bri:lc!in¡
ãivìrrofi rlo rlÕl con5l¡tutr: ,'rn ðCCcpt,ì¡¡cr-.of ¡esponsibility or iiability by tht'County ol ¿¡rroß, oürr:\;ü¡ìr cìr
tli:trr'pancrcs. As the Ownsr, I ,¡cknogl¿,dgß that responsìbility for conrpliancc with fr:clarai. st¡rÊ Jnfl loe¡l i¡r.,'r
¡¡td Cc,unty Rl¡;ul;rlir:rr ¡qr:;t v¡ilh rne ¡nd rnv ðuthor¡riid.rgtnts, includin¡; '.,;iihoirl ¡rnìtl¡lton nry.rrchitt,tt
rlr.:i¡inr:-r, ('rqinerfr Ånü/ ôt lruildcr.
I hereby acknovrledgc that I have re¡d and underst¡nd thc Not¡ce ¡nd Certiflcation above, ¡s wcll ¡s, have
provlded the tequired lnformatlon whlch ls correct and ðccurate to the best of nry knowle.dge.
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Speciill Condltionsi
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OCC Group:
BUIIDING / Pr.ANNt¡tG DtVtSION :
Signed Approval
Const. Type:
DütÉ
Ga.rfield Counry
BUILDING DEPARTMENT
L08 Eighth Street, Suite 401, Glenwood Spr¡ngs, CO 8L601
Tel: (970) 94s-8212
PLAN RE VIE WCH E KLI T
permit No: fitR/fl$-Zzn*+8
Building lssues Pl a n n i ng I Zaning lssues
UØFrriveway Permit
Engineered Foundation ,/
N4
Nh
UND
-
Property Line Setbacks
30 ft. Stream Setbacks
Surveyed Site Plan
N/A septic Permit and setbacks
Grade/ TopograPhY 30%
.- Attach Residential Plan Review List
tt 6il s+u¿l a,ut lO
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Planning lssues
Red Line Plans/ StamPs/ Sticker
Subdivision Plat
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Attach Conditions llt..i.llll:i.ï ii liil;ì'ii'r'l'i"Ì liÙi''¡¡fii'i/\i\i[.l
rr i i-- I " il iiìjl.: i i ì i iI; ii i.i i = ii | ì i f i i::l i í:;'l i: { j ll:\ 1."
¡i:Lif iríl'l {:li'I" iri;ìi')i
Application Signed i?.fai.'í=ìii,j irii !:li/illlii',i
Plan Reviewer to S¡gn APPlication R.tn ttsl:y.à ûr1gÂ.lott - # o.w
-/ Parcel/ Schedule No.Frâ 34qo x74,bØ= 2q b7v,?â
crw)l 25bbx 18
40# Snowload Letter - Manu' Homes
Soils Report
ã Grade/ Topography 4O%
¡,: ri'r
n &s mma
Subdivision Plat Notes
usilàfi'resfanP
tireDeoartmeqlRep* ,
Valuation Determination/ Fees
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