HomeMy WebLinkAboutApplicationGørfreld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www.garfi eld-countv.com
BUILDING PERMIT
APPLICATION
TVPEOF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET
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Email Address:
Property Owner:
Mailing Address:
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Contractor:
Mailing Address:
Email Address:
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Mailing Address:
Email Address:
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Engineer:
Mailing Address:
Email Address:
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Mailing Address:
PROJECT DETAITS
Owne/s Valuation of Work: S- Property Size (Sq. Ft. or Acres):
Describe Work:
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Job Address:
Assessoy's Parcel Num
Þ*¿-Sub.Lot ir3 slock
¡ o¡¡¡oorr, 2sq. Ft. of Buildins: 5"26 Height:
Remodel/Alteration AdditionClass of Work:[ruew
DetachedAttachedGarage:
PROJECT DETAILS CONTINUED
CommunitySeptic:fWTS
Electric Other
[NaturalGas
PropaneType of Heat:
Permit #:Driveway
Permit:
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. tfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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 180 days after commencement.
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 Bu¡lding Division. ln consideration of the issuance of the Building 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 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
that responsibility for compliance w¡th federal, state and local laws
authorized agents, including without limitation my architect
discrepapçies. As the Owner, I acknowledge
a0d{ouhtV Begulations rest with me and my
¿6s¡dnd[, dniïn""l. and/ or builder,
CERTIFICATION
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that I have read and understand the Notice and Certification above, as well as, have
uired informat¡on which is correct and accurate to the best of my knowledge.
Ce.c"à \'ZQ *>4
Print and Sign Date
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3OFFICIAL USE ONtY CC
,tee attaúd /77ÔAt&Special Conditions:
þi"ËËBnâz,ro3'Tïî/.É Manu. Home Fee:NA^yülüyä:",t4'lþh\'ä',
BP No:FTF.?Affi OWTS No:Ba Due:23Total Fães: -r I Fées Paid:
6,?27,eþl,t.,Q4¿þt
const.rwc) R{.':PuLû)crouP:
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BUTTDTNG / PIANNING DlVlSlON :
Signed Approval Date
Gørfield County
BUILDING DEPARTMENT
708 E¡ghth Street, Su¡þ 4A7, Glenwood Springs, CA 81601
Tel: (970) 5-8212
PLAN RE VIEW CHECKLIST
Permit No:øLR*o¿/-ã-Ø8?
Building lssues Pla nning/Zoning lssues
l/ Engíneered Foundation Ø+Property Line Setback, ( E - \
,/ 35ft. stream Setbacksry
NA
Driveway Permit
Surveyed Site Plan
Septíc Permit and Setbacks
Gradel Topography 30%
Attach Residential Plan Review List
t/
Yæ Road lmpact ru", E, Br>,
Flood Plaín
Building Heíght
Zoning Sign-Off
Grade/ Topography 40%
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v/
Y*t/
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,r/--7 Planníng lssues
Subdivision PlatVal uation Determ ination/ Fees
Red Line Plansl Stamps/ Sticker
Attach Conditions
Applícation Sígned
Plan Reviewer to Sign APPIícation
Parcel/schedule No.
40# Snowload Letter - Manu' Homes
Soils Report
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