HomeMy WebLinkAboutApplicationGurfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www.garfield-cou ntv.com
BUILDING PERM¡T
APPLICATION
WPE OF CONSTRUCT¡ON
Commercial/Multi-Family Demolit¡on
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PART¡ES
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Phone:812,"t14-xöon
Email Address:
Property Owner:
Mailing Address:
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Contractor:
Mailing Address:
Email Address:
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Phone: rîft ) ?0 q:Ú&72-
Arch¡tect:
Mailing Address:
Email Address:
Phone:t?'i1, M- 0b?4Engineer:
Mailing Address:
Email Address:
PhoneManufactured Home Installer:
Mailing Address:
Email Address:
PROJECT DETAITS
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Work:
tE7 Z9Ð-,82- Property size (sq. Ft. or Acres):
f of Floors zIr
¡-ot 3 Btock
Owner's Valuation of Work:
Sub.
Assessor's Parcel Number:
Job Address:
sq. Ft. or Buirding: 40tZ . 00 Height:22\ -
(AdditionNewftflemodel/Alteration ìClass of Work:
DetachedGarage:Attached v 0e p0l/0ñeà
\
Septic:
OtherElectricPropane
PROJECT DËTAIIS CONTINUED
Community
Natural GasType of Heat:
ExemptDriveway
Permit:
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 ¡nspections by the Building Division.
Other permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(gþnot¡ìer permit required for use on the property ¡dentified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Perm¡t.
Voidpermit. ABuildingpermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
Permit #:
NOTICE
AuthoriW, This application for a Building Permit must be
or an authorized agent. lf the signature below ¡s not that
signed by the Owner of the property, described above,
of the Owner, a separate letter of authority, signed by
CERTIFICATION
nd that the information contained above is true and correct. I
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 Perm¡t 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 Bu¡ld¡ng 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 submìttals, and inspections of the work by the Building
Division do not const¡tute 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 limÌtation my architect
I hereby certify that I have read this Application a
understand that the Building Division accepts the
d neer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the requi red information which is correct and accurate to the best of my knowledge.
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Property Owner Pr¡nt and S¡gn Date
Misc.Manu. H Fee:
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66
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z7è ?-OFFICIAT USE ONLY
Special Cogd'ffiat'
BP No:
1 ñ
ce Due:5sIii'¿li:r'
Zon sConst. ïype:
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OCC Group
8lTotal
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0tùr44tBUTtDING / PLANNIN6 DIVISION
Signed Approval Date
Gør.fteld County
BUILDING ÐEPARTMENT
108 E¡ghth Street, Suite 401, Glenwood Spr¡ngs, CO 81601
Tel: (970) 94s-8272
PLAN REVI E W CHECKL rsT
OLRh06-22-760/Permit No:
Building lssues
-/ EngineeredFoundation
Planning /Zoning lssues t
eØtoriveway Permit
-k surveyed site Plan
Ø ,"rr(Æ^dsetbacks
W;7
-/
Þ/
/
N/A
-/
Property Line Setbacks
Zoning Sign-Off
Planning lssues
Subdivision Plat
3û ft. Stream Setbacks
Flood Plain aM a/''t''ørV'-""'å);f-W"fþr*
Building Height
Grade/ TopograPhY 30%
-r'- Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/
Red Line Plans/ StamPs/ Sticker
Attach conditions pr ínf
Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manu' Homes
Soils Report
u
Road lmoact Fees r .
<6a2u* tv,tntr7zþrs
Grade/ T(pographV 40%
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Descri otion & Su mmarv:
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