HomeMy WebLinkAboutApplicationGar.field County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ol94s-8212
www.garf ield-cou nty.com
TYPE OF CONSTRUCTION
Commercial/M ulti-Family
Manufactured Home (Single or Multi-Level
(,r'\ il i
)
iEo emolition
Reroofidential(SF, Duplex or Townhome)
Accessory Dwel!!ng U¡j! (nOUl wt,AxllvlUM Sl4E OF 1,000 SQUARE FEET
BUILDING PERMIT
APPLICATION
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address r^
f,7 Phone:rl7ot ?êS*6/þ
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contractor:BA rê^, l'\ ,* * w ãQ.--Phone: r?lo¡ 3tÎ- - 51ll
Mailing Address 76 q Lt pcoLp ,4u,2 C u-øontcr-r . Cô I (6?3
Email Address:C
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Architect:
Mailing Address
Email Address:
3rn Ka-S S', q € a a-r-c. Qo rtn
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Engineer Phone: ( )
Mailing Address
Email Address:
Manufactured Home lnstaller:
Mailing Address
Email Address
Phone
PROJECT DETAITS
Describe Work:¿L VtAôo e*t S s tN
TÞ CO¡L ê
Job Address /8 o
Assessor's Parcel Number d 31 3eL?2-too
su¡. Dor¡¿ Ger¡rr+^l Lot I elo.L
Owner's Valuation of Work:
E*, sr,,*cucn¡,<o t4S 7þ
I
Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:9¿¿/
Class of Work:New
# of Floors l
Addition
Garage:ched
,3 4
Height:
l/Alteration
Detached
PROJECT DETAI[S CONTINUED
Community
Type of Heat:Natural Gas Propane lÇf*rectric ig.otn"'"
Driveway
Permit:
Exempt
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
orattauthorizedagent. lIthesigrral-ure[.relowisnul-tllal"oIl-heOwner,asepariJtelel"l"eruf aul"Irt-rrity,sig,rredby
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.
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinL30days
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 Application and that the information contained above is true and correct. I
undeistand 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.acçuracy. Assuming
completeness of the submittals and approval of this Application, a Builcling Permit will be issued granting
permission to mc, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Building Division' ln corrsideration of the issuance of the Building Perm¡t, I agree that I and my agents will
comply with provisions of any federal, state or local law regulat¡ng the work and the Garfield County Building
Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the
Building Perm¡t 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 anV
other applicable law.
lherebygrant permission tothe Building Division to enterthe property, described above, to inspectthe work. I
further acknowledge that the issuatrce of the Building Perrnit does not prevent the Buildirrg Official frorrr: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construct¡on or use ofthe 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 responsihility or liability by the Cor.rnty of errors, omissions or
discrepancies. AstheOwner, lacknowledgethatresponsibilityforcompliancewithfederal,stateandlocal laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
designer, engineer andl 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 m
Permit #:
v5 e<
Property Owner Print and Sign Date
Septic:
oFFrcrArusE oNry pAl D. f 313,t{o c.c. ôt/6t /zczz éÅ"*
Special Conditions: ,ièäùe/a/pnV ¿lse 6Fp <
Adiusted Valuation72.7¿b Plan Check Fee
3t3.'[o
Perm¡t Fee: -r+92^tb Manu. Home Fe6:
N/t
Misc.^Sfr:NiA mìn;rnúí
'*^tl"fti. gg Feest3 Pa
3 {o "ifuiir6 BP No:
tsLR.€' -1qqg
o\ ITs No:
¡.t /s
Setbacks:no alzza2,orroroul,p/-Const. Type:l.B.c.Zoning:
RvE.A L(
BUtLDtNG / PLANNTNG DtVtStON /r/),6-2bz
Date
f
Signed Approval
Gøffield Cowrtryr
BUILDING DEPARTMENT
L08 E¡ghth streel Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN R EVNEW C HECKLIST
Permit No:8tree5-Z-74??
Building lssues Pl a n n i ng/Zoning lssues
tu_Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Nlotes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu' Homes
Soils Report
Property Line Setbacks
3û ft'. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
ll/fr Road rmpact Fees mtbtb¿a9
Descri ion & Summ
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