HomeMy WebLinkAboutApplication-Garage RevisionEr'4,nü W "'f+ btRr*N',-11L7
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
lp7ol94s-82L2
www. garf¡eld-cou ntv.com
TYPE OF CONSTRUCTION
Gørfuld County
BUILDING PERM¡T
APPLICATION
DemolitionCommerciIti-
Manufactured Home e or Multi-Level)
ReroofResidentialor TownhomDu
Dwelli Unit - MAXTMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Phone:
Z
Email Address:
Property Owner:
Mailing Address:
fu' -t 7' ,' l/"n Phone: flþrt-¡Llt-*<nb/Contractor:
Mailing Address:
Email Address:
Phone 7
Mailing Address:'-
Architect:
EmailAddress:
n Phone:Engineer:
Mailing Address:
Email Address:
Manufactured Home lnstaller: é¿-Phone
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:
Job Address:
Assessor's Parcel Number:
5ub Iot Block _
Owner's Valuation of Work:PropertySize (Sq. Ft.o@'tß
Sq. Ft. of Building:7450Þ Height:f of Floors: /
Class of Work:New Remodel/Alteratlon Addltlon
DetachedGaragerAttached
PROJECT DETAITS CONTINUED
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
lherebycertifythatlhavereadthisApplicat¡onandthattheinformationcontainedaboveistrueandcorrect. 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 prov¡sions of any
federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulations and
appllcable land use regulations (County Regulation(s)). All County 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 lssuance of the Building Permit does not prevent the Building Official from: (L) requiring
the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construct¡on 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 the required information is correct and best of my knowledge.
//,ç- 2 q
Property Owner Print and Sign Date
Septic:
Type of Heat:
Community
Electric l_lother
Permit #:pt
l[le'.on'n"Natural Gas
NOTICE
Driveway
Permit:
OFFICIAT USE ONLY *
special conditions: 4l!05 (t**1 Èg¡a,-t -vØ?).4)
Adjusted Valuatlon:Plan Check Fee:Permit Feel Manu. Home Fee:Misc. Fees:
Total Fees:Fees Pald:Bãlãncê Duê:BP No:OWTS No:
Setbacks OCC Groupr Const, Type:Zoning:
It-ts +3
Date
BUILDING / PLANNING DIVISION :
Gwrfield Cownty
COMMUNITY DEVELOPMENT
hth Street, Suite 4O1, Glenrnnod Springs, CO 81601
Tel: (970) 94æ212, Fax: (970) 38+3470
BUI LDI NG PLA NS SUBMITTAL
E lnformation Requested by Plans Examiner
E lnformation Requested by lnspector
É Revisions to APProved Plans
E{,J.[.L E}I Ì{G .PE R,MIT
ÐescrãPtEo¡l of w@rk'incüu¡dímg cha es to ap p[ams:
Co mtact { r'l fonrm atåo¡'¡ :
Contact Name
Job Address
7(,,-2:l IPhone
(()/
Cell
E-mail
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