HomeMy WebLinkAboutApplicationGsrfield CounQt
Goro3e
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82r2
www.ga rfield-countv.com
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BUILD]NG PERMI!T
APPLICATIOhJ
TYPE OF CONSTRUCTION
Demolition
Reroof
e or Multi-Manufactured Home si
Commercial/Mu
Residential ex or
Accesso Dwell Unit - MAXIMUM SIZE F 1,OOO SQUARE FEET
INVOTVED PARTIES
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Mailing Address:
Email Address:
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Engineer:
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Contractor:
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Architect:ou)NeîIt L,
Mailing Address:
Email Address:
1LMailing Address:
Email Address:
Manufactured Home lnstaller:
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Email Addressl
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PROJECÍ DETAITS
sq. Ft. of Building: t OoZ 7 Çl ' t- ne¡gtrt, 2L' # or Floors: 'þF E-
Describe Workr
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Owner's Valuat¡on of Work:
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Assessor's
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Parcel Number
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X AdditionClass of Work:New RemodeUAlteration
X Attached DetachedGarage:
PROJECT DETAITS CONTINUED
Community3"09-OWTS
OtherPropaneElectricType of Heat:I Gas
Permit #:K""tP'Driveway
Permit:
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, d
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 180 days after commencement.
escribed above,
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true an
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
d correct. I
designer, engineer and/ or builder
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I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
correct and accurate to the best of my knowledge.orovided the reouired information which is'Ã^u Ks H'PtD , Ltc (aoaner )
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Property Owner Print and Sign
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Date
OFFICIAT USE ONtY
Special Conditions:
6ee athdúa/ c0NÞ/77ail€
ê'!i:Ëuw'Plan Check Fee
,øÀ, g,'tiyi:þ,Manu. Home Fee:Misc. Fees:.N/ft
Totallees:887-7ß 'äiåi's Viåius iffiçstut OWTS NorãiÇhnq
Setbacks:
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Date
BUtLDTNG / PLANNTNG DIVISION :
Signed Approval
Garfield Coanty
2
BU/,LDi,NG DEPARTMENT
7O8 Eighth Strcel Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 94s-8212
Building lssues
PLAN REV IEW CHE CK LIST
Permit No: gLRÉø-/ â-g,.VA/
Pla n ning lZoning lssues
ê,orr?AAØ2
,-/Property Line Setbacks
35 ft. Stream SetbacksEþTìÈ
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Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Recelved
Plan Reviewer to Sign ApPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
''l Flood Plain
-/ Fire Department Review
r-'€-Gra d e/ To pog raphy 3OTo
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Attach Residential Plan Review List
Subdivision Plat Notes
Building Height
Zoning
Road lmpact Fees na t L,.9.
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Descript ion & Summarv:
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