HomeMy WebLinkAboutApplicationGør.field County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ole4s-82t2
www.ga rfield-countv.com
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BU¡LDING PERMIT
APPLICATION
DemolitionCommercial/M u lti-Family
Manufactured Home (Single or Multi-Level)
ôr'Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:É/¡ (-' n ,rìt
Phone
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Phone:Contractor:
Mailing Address
Email Address:
Phone:Architect:
Mailing Address:
Email Address:
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Phone: (
Email Address:f "t:
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Mai ling Address:
neer:fic.cior.,, /'' (o,o, l5srr,'"ry'o 5 .2.t
Phone:Manufactured Home lnstaller:
Mailing Address:
Email Address:
PRO¡ECT ÐETAIIS
Owner's Valuation of Work: 5 T2, oc¡tl Property Síze (Sq. Ft. or Acres)
g,Vr/t'ûrn OVø"e*Describe Work:
Height:
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a_o
ú
Sq. Ft. of Building:el"G
Job Address:
# of Floors
Assessor's Parcel Number:
Lot 2* BlockgLt6. l/r.J ne-L-,{ h i¡ o,.-
KClass of Work:New Remodel/Alteration Addition
Garage Attached Detached
PROJECT DETAIIS CONT¡NUET}
Permit #
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 wìth 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. Mult¡ple 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 acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
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Property Owner Print and Date
CommunitySeptic:
Propane lTlErectric
OtherType of Heat Natural Gas
Driveway
Permit:
Exempt
NOTICE
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 issuanceof the Building Permit, lagreethat land myagentswill complywith provisionsof 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)). AllCounty development requiring a permit, except for
residential uses, are subject to Article 7 of the Land Use and Development Code. 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.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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.
OFFICIAL USE ONLY
Special Conditions:€eeattnîfulØ/ub /vanß
sted Valuation:Plan Fee:-aq Permit F "Y6 Manu. Home Fee:
oo
r+Fees id ance D "&ç
I
ks:ak OCC Group:Const.
K"l BP No:
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OWTí No:
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til,,t0-24-?3BUILDING / PLANNING DIVISION
Slgned Approval Date
Gørfield Coanty
BUILDING DEPARTMENT
108 E¡ghth Strcet, Suite 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN RE VI EWC HECKLI ST
Permit No:6u1EøV-27-æß
Building lssues Planning/Zoning lssues L
Engineered Foundation
Driveway Permit
Surveved Site Plan';;=i;;ää' thbelnm#
Seotic Permit and Setbacks /âouãetwn2a 4ft0.
Gradel Topography 30% ?A¿lS
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Line SetbacksprLW-on-Setbacks
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-'/ soils Report
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35 ft. Stream
Flood Plain
Building Height
Zoning Sign-Off rn
,m irrrue)trç*
Attach Residential Plan Review List
Notes
2
Valuation Dete
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Descri & Summa
Road lmpact Fees
Gradel Topography 40%
Planning lssues
Subdivision Plat
Application Signed^ï;åI:puiiìä+ økl
Energy Comp-lianc¿: Path/Plan Rçceived
+ r^/ inàNvQ4rûißç
Plän Reviewér toSifn APPlication
Parcell Schedule No.
40f Snowload Letter - Manuf. Homes
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