The URL can be used to link to this page

Home My WebLink AboutApplicationGørfuld County REC E Mfrnmunity Development Department 108 8th Street, Suite 401 ¡lÍÅY 3 T l¡"1? Glenwood Springs, co 81601 (970194s-82t2 G A Rt- I Ë LD C O U N Tlúww.sarf¡eld-countv.com EOfüMUNITY IIËVELOPMEffi BUILDING PERMIT APPLICATION wPE F CONSTRUCflON Com mercial/M ulti-Family I Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SlzE OF 1,000 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: '1c- n^¿l>{ÀJK'T_Phone: lSWt Qbl q7>> ¡Áj C.o Stt o I . \rg I C C¡ r¡$i-Ð.-\j ¿fad-t-) Contractor:phone:(5i4 bøtq?7> Mailing Address: Email Address: /Ll (A,t €rrz>¿5 8ti C{>¡J, ùS Arch¡tect:J ÕìZÞAP ft-a+vtrTECTS Phone: (_) Mailing Address: Email Addressl Engineer:Phone: ( ) Mailing Address: Email Address: Manufactured Home Installer:Phone Mailing Address: Email Address: PROJECT DETAILS Describe work: I r-revZ-b¿-r.^øt--r Tl(ir-¡ Job Address:b1l t¿ Co ..- 9'L (À,,^*n¡r ct¿>\ gP at Nb \ C'-D Q/(Go Assessor's Parcel Number: Sub.lot Block Owner's Valuation of work: s 16. AzzO Property Size (Sq. Ft. or Acres):11,6 isë eç Sq. Ft. of Building:(1 , 5@qFH eight:*ç"# of Floors: å Class of Work:New ldemod el/Alteration Addition Garage:Attached Detached ()l PROJECT DETAITS CONTINUÉD Septic:OWTS Community Type of Heat:ral Gas Propane Electric Other Driveway Permit: Permit #: NOTICE Authoritv. ThisapplicationforaBuildingPerm¡tmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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. 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 Perm¡t, 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 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 designer, engineer and/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have the required which is correct and accurate to the best of my knowledge. '7:1 )> Property Owner Print Sign Date (\OFFICIAT USE ONIY oÒ Special Conditions:T I Misc. Fees: Nì INPlan Check Fee:\\ lfå 'ää.Ç]'oo Manu. Home Fee L\ lAAdjusted Valuation trr I fl BP Nö: trtrrY\ô -+as OWTS Nd:í r) /n Fees Påid:9eyæ Balance Due:úS.ooTotal FeYes: lo.'ç- Ôo *+uï T '"öT LsetbáókiN\I A OCC Grouo:-r?'0 . BUILDING / PTANNING DIVISION : Signed Approval Date