HomeMy WebLinkAboutApplicationGørfuld Coanty
Community Development Department
108 8rh Street, Suite 401
Glenwood Springs, CO 81601
1e7ol94s-82t2
www.garfi eld-counW.com
BUILDING PERMIT
APPLICATION
Reroof
Dwel Unit - MÆ(¡MUM SIZE OF SQUARE FEET
PARTIES
Property Owner:
Mailing Address:
Email Address:
Contrac{or:
Mailing Address:
EmaitAddress:
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Phone:
Phone:
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Arch¡tect:Phone:
Mailing Address:
Email Address:
Engineer:Phone:+ffi
Mailing Address:S.
Emall Address:
Manufactured Home Installer¡Phone:
Maillng Address:
Email Address:
PROJECT DETAIIS
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work: @v¡& 0A*N tó00 ¡Ç ì4Zt 6øs.f' ADUDescrlbe
Job Address:
Assesso/s Parcel Number:
Sub.
Owne/s Valuatlon of Work:
Sq. Ft. of Building:
Class of Work:
s
rct ZB Btock
Propefi size(sq. Ft.orAcres): 8. 168 ¡C
tleight:-Nt #of Ftoors: Z?å
Garage:Attached
Remodel/Alteration
Detached
PROIECT
Septic:
Type of Heatr Natural Gas Propane
Communlty
Electric Ollrel
Driveway
Perm¡t:
NO.TrçE
Author¡w. This appli;t¡on ior a Building Permit must be signed by the Owner of the property, describeel 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 Permats. 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 Wastewâter Discharge permit.
Vold Permit. A Building Permit becomes null and void if the work authorized is not commenced within 1.80 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 Permi! 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
applicahle land ltse regulations (County Regulation(s)). All County development requiring r pêrm¡t, except for
residential uses, are subject to Art¡cle 7 of the Land use and Development Code. I acknowledge that the Buildìng
Perm¡t may be suspended or revoked, upon not¡ce from the Count¡ ifthe location, construct¡on or use ofthe
structure(s) and facitity(ies), described above, are not ¡n 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. t
further acknowledge that the issuance of the Bulldlng Permit does not prevent the Building Officíal 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 Buildine 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 l¡mitat¡on my architect designer, engineer and/ or builder.
I hereby acknowledge thet I have read and understend the Notlcc and Certification above, as well as, håve
provided which is correct and accurate to the best of my knowtedge.
t0.40.%
Property Owner Date
Permit #:
OFFICIAT USE ONLY
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Manu. Home Fee:Mlsc. Fees: J
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Total Fe'es:Joss.+?Fees Pald:goQ"4 Falance Due:
\ . ârls.15 BP No¡wE-8¿tæ ga8'6/OWTS No¡
SEPr-Setbacks:- r
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zoning': P¿/Þ
BUTTDTNG / PLANNINC D|VIS|ON :
Signed Approval Date
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Gørfreld County
BUILDING DEPARTMENT
108 E¡ghth Strcet, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN VIEW CH KLIST
Permit No: tsLKE-lt-ZZt AÞ/
Building lssues
-/
-/
Planning/Zoning lssues
"X€r'rÉ rrive way pe rm it
Ø/l/D septic Permit and setbacks
Engineered Foundation
Gradel Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Øn'nBuirding Height
-/ Zoning sign-off
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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¿' Red Line Plans/ stamps/ Sticker
Attach Conditions
Application Signed
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