HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
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< F Glenwood Springs, CO 81501
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DemolitionCommercial/Multi-Family
Manufactured Home (single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE Ot 1,000 SQUARE FEET
INVOTVED PARTIES
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Property Owner:
Mailing Address:
Mailing Address:
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Architect:
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Mailing Address:
Engineer:
Manufactured Home lnstaller:Phone: {
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Describe Work:
Assessor's Parcel Number:
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Job Address:
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Height:
PROJECTDETAII.S
Owner's Valuation of Work:
Sq. Ft. of Building:leoal
Property Size (Sq. Ft. or Acres):
#of
Block _
Mailing Address
Email Address:
AdditionVRemodel/Alterat¡onñew
DetachedAttachedn//a
Class of Work:
Garage:
ì PROJECT DETAII,S CONTINUED
i Septic:Community
Type of Heat:Natural Gas ropane Electric Other
Driveway
Permit:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthor¡ty,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 íssuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICANON
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 Bu¡lding 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 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 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 Build¡ng 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) orfacility(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
d ner er and/ or builder.
I hereby
provided
that I have and understand the Notice and Certification above, as well as, have
rs and accurate to the of my knowledge.
Permit f:
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Property Owner Print and Sign
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Date
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6eee,Èbâd,Ê/ ØA/Þ1770 tvESpecial Conditions:
Adiusted valuatioru,
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Plan Check Fee
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Permit Fee: -(gb 75 Manu. Home Fee:
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Misc. Fees: i
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toialfees:
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Fees Paid:
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Balance Due:qçL.?5 BP No:
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OWTS No:
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Setbacks
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OCC Group:
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Const. Type:
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Zoning:
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7-lg-zLBUILDING / PTANNING DIVISION :útì¡r'ttt
Signed Approval Date
Gørfield CounQ
BUILDING DEPARÍMENT
708 Eíghth Street, Su¡te 407, Glenwood Springs, CO 81607
Tel: (970) 945-8272
PLAN REVIE W CHECKLIST
Permit No: BLRá-- -7687
Building lssues Plan n i ng /Zoning lssues RUPAL
Engineered Foundation
7-tg-27
Driveway Permit
Surveyed Site Plan
paa Soils Report
NA
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Va luation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
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Description & Summarv:
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