HomeMy WebLinkAboutApplicationGarfuld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-8212
www.ga rfield-countv.com
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCÍION
Commercial/Mu lti-Family Demol¡t¡on
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)I Reroof
Dwelli Unit - MAXIMUM SIZE OF SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Chcrvl Gdla phone:1116¡ LlÇ -S6bl
7 q Ëo{ ¡ø/t fû/,
a CI4 @ W:i,
contractor: {L¡v"S Lcl;qbJ¿ {'ueú;/t: phone: t 4h ?ft t^4øÇo
Mailing Address:;¿{ V;& '¿ L; r clt¿uÌc
(¡f l;oa*'Email Address:c
Architect:Phone: ( )
Mailing Address
Email Address:
Engineer:Phone: I )
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work:Te^( s{( otd th c q"44(.
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yt lrct 11¿d l,q.,t sk / l,;
Job Address:7 t4lL a
Assessor's Parcel Number:
Sub.Lot Block
Owner's Vafuation of work: S LG , ¿øO Property s¡ze (Sq. Ft. or Acres):
Sq. Ft. of Building:Height:f of Floors:_
Class of Work:New Remodel/Alteration Addition
6arãge:
ù /t,
Attached Dêtâchêd
PROJECT DETAILS CONTINUED
Septic:CWTS Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
Permit #:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent, lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Leeal Access. ABulldlngPermltcãnnotbelssuedwithoutproof of legal andarJequateaccesstu[lreproperLylor
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Pcrmit,
(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
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. I
understand that the Building Division accepts the Application, along with the plans and specifications and other data
submitted by me or on my behalt (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)). All County development requiring a permit, except for
resldentlal uses, are subject to Artlcle 7 of the Land Use and Development Code. I acknowledge that the BuikJing
Permit may be suspended or revoked, upon not¡ce 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, discovcrcd 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 Notice and Certification above, as well as, have
provided information which is correct and accurate to the best of my knowledge.
o 7/e/+3
Property Owner Print and Sign Dete
OFFICIAT USE ONtY
Special Conditions:
Adjusted Valuation:Plan Check Fee:Permit Fee:¡ ^^ ¡^lfll( tr ) ,--Manu. Home Fee:Misc. Fees:
o Fees Paid:'1"öä:oo lffooÇ,-gâ U
OWTS No:
Setbacks:OCC Group:Const. Type:,"K
Wa3BUttDtNG / PTANNTNG DtVtStON
Signed Approval Date