HomeMy WebLinkAboutApplicationGarfteld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www. garfi eld-countv.com
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BUILDING PERMIT
APPLICATION
CONSTRUCNON
Cci fn mercia l/tvl u lti-Fa m ily Demol¡tion
Manufactured Home (Single or M ulti-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Phone:(
Mailing Address:
Email Address:
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^o1Evrt\veEngineer:
Architect:
Mailing Address:
Email Address:
Mailing Address:
Email Address:
Mailing Address:
Email Address!
Describe Work:
31.Ø{
Phone:
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t
Sq. Ft. of Building:fuÞ >1+4- sor Floors
Manufactured Home Installer:
Owner's Va luation.of ;Work:
Sub.
Assessor's Parcel Number:
Job Address:
Property Size (Sq. Ft. or Acres):
[ot_ Block_'
Class of Work:ellAlterationNewlffi+dmoa Addition
Garage:Attached Detached
PROJECT DETAITS
PROJECÍ DETAITS CONTINUED
Septic:
Type of Heat:Natrrríìl Gac
Driveway
Permit:
pt
Community
Propane Electric
Permit #:
Other
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner
or an authorized agent. lf the signature below is not that of the Owner, a sepa
of the property, described above,
rate letter of authority, signed bY
the Owner, must be providcd 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 perm¡ts. Multiple separate permits may be required: (L) State Electrical Permit, (2) County OWTS Perrrtit,
(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 wlthln 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
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
applicablc land use regulations (County Regulation(s)). All County development requiring a perm¡t, except for
resldential uses, dre subject to Article 7 of the Land Use and Developmcnt 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.
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) stopplng construct¡on or use ofthe
structure(s) or facil¡ty(ies) if such is in violation of County Regulation(s) or any other applicable law' Review of th¡s
Application,including submittals, and inspections of the work by the Building Division do not constitute an
accepta nce of responsibility or liability by the County of errors, omissions, or discrepancies. As the Owner, I
acknowledge that responsibility for ance with federa state and local laws and County Regulations rest with
me and my authorized agents,designer, engineer and/ or builder
rh and Certification above, as well as, have
to the best of my knowledge.
I hereby certify that I have read this Application and that the information
understand that the Building Division accepts the Application, along with
Property
contained above is true and correct. I
the plans and specifications and other data
þlæÞ3
Date
itation my a
nderstand theread and
which isthe req
and Sign
ONLY
6æ ett^ùteol cc\Jbtfr CNSConditions:
Misc.Manu. Home Fee:Permit g?I8äAdjusted
Paid:oe Balance Due:75
tng:Const.
L--¿
OCC Group;Setbacks:o
lbo-l-2cBUILDING / PTANNING DIVISION :
Signed Approval Date
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Gøtfuld CeæmtY
BUILD/,NG DEPARTMENT
1O8 Eighth Street, Suite 407, Gtenwood Spr¡ngs, CO 87607
Tel: (970) 945-8272
PLA N REVIEW CHEC K LIST
permit No: út XF-I02î8{0J
Building lssues
Engineered Faundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Rev¡ew
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlicatio
Parcell Schedule No
40# Snowload Letter - Manuf. Homes
Soils Report
9F
e,/.
Pl a n ni ng lToning lssues Pur
Property Line Setbacks
35 ft. Stream Setbacks
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-/
A/
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Descri n&Sum
Flood Plain
Building Height
Zoning Sign-Off
A Road lmpact Fees wt in imuç <
Grade/ TopograPhY 40%
¿' Planni ng lssues
Subdivision Plat
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