HomeMy WebLinkAboutApplicationGørfield County
_-, - r. il iVËçgmmunity Development Department
isr:( ' r" - 109 gth Street, Suite 401
Glenwood Springs, CO 81601
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BUILDING PERMIT
APPL¡CATION
TYPE OF CONSTRUCTION
Commercial/M ulti-Fami Demolit¡on
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Dwelli Unit (ADU) - MAXIMUM SlzE OF 1,000 SQUARE FEET
INVOI.VED PARTIES F
Property Owner:
Mailing Address:
Email Address:
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Contractor:
Mailing Address:
Email Address:
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Arch¡tect:
Mailing Address:
Email Address:
SA rc E - K¡ ,*¡. ¡rÈ phone:,lto, 9VS-11ä ôoEngineer:
Mailing Address:
Email Address:
Phone:Manufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:1
Lot
Height:
PoÕL ?¿R*,tt
BlockSub.
Property Size (Sq. Ft. or Acres):
# of Floors:_
Owner's Valuation of Work:
Sq. Ft. of Building:
Assessor's Parcel Number:
Job Address:
Class of Work:New Remodel/Alteration Addition
Attached DetachedGarage:
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PROJECT DETAITS CONTINUED
CommunitySeptic:
Electric OtherType of Heat:Natural Gas Propane
Permit #:Driveway
Permit:
pt
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
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 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
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 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
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 Not¡ce and Certification above, as well as, have
provided tlre required information which is correct and accurate to the best of my knowledge.
Q.W.rtlrr"trror"Mav 04.2023
ir$rrv *"r Print and sign Date
OFFICIAL USE ONtY bl 2-
&êa/3Special Conditions:
'PlanCheck Fee:\Ro. to t 'äu'äÏr6 Manu. Home Fee:Misc. Fees: zrN //t
BP No:
Ar LF-k ffi OWTS No:#rï',ii#Fees Paid:tqo (,(" ö"ri"u
const'rvRe¡ Rc t"¿r'kSetbacks:
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OCC Group:]RL
Uìir44,,5-Jo-23BUILDING / PLANNING DIVISION :
Signed Approval Date
Garfield County
BUILDINC DEPARTMENT
708 Eíghth street, Suìte 407, Glenwood Springs, CO 81607
-tel: (970) 945-8212
PLAN REV IEW CHECKLIST
Permit No: Útß,8- 05-2V-gOîî
Building lssues
r
Engineered Foundatíon
Pla n ning/Zoning lssues
't/ Property Line setbacks
35 ft. Stream Setbacks
Flood Plain
Buildíng Height
Zoning Sign-Off
Road lmpact Fees
Septic Permít and Setbacks
Grade/ TopographY 30%
Attach Residential Plan Revíew List
Subdivísíon Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Applícation Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manu' Homes
Soils Report
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qA'qrpLD riveway Pe rm it>l' Surveyed Site Plan
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t/ subdivision Plat
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t/Gradel Topography 40%
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