HomeMy WebLinkAboutApplicationGarfuld CounQt
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: Community Development Department
.; 108 8th Street, Suite 401
i"! Glenwood Springs, CO 81601lLi lsTols4s-szL2
l: www.garfield-countv.com-2
BUILDING PERMIT
APP].ICATION
DemolitionCommercial/Multi-Family
Manufactured Home or Tiny Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
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Mailing Address:
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Contractor:
Mailing Address
Email Address:
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Architect:
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Email Address:
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Phone:
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Mailing Address:
Email Address:
Manufactured Home lnstaller:
Mailing Address
Email Address:
Describe Work:
Size (Sq. Ft. or Acres):
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Parcel Number:
Job Address:
Sub.
Owner's Valuation
Sq. Ft. of
Remodel/Alteration AdditionClass of Work:
DetachedGarage:
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Septic:3 >-7e Community
Type of Heat:GaslFll"""'Propane Electric Other
Driveway
Permit:
Permit #)1
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 Pcrmit.
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.
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 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)). 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, ifthe location, construction or use ofthe
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 designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
which is correct and accurate to the best of my knowledge.
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Owner Print and Date
Special Conditions: _ ! _l _-,1 _-- e!-_ _ q !_41s@ ahabd tT/atx/9
^gifvi'f:ab "2ff3r,ryb "Rlff'''";i['s"'95 Manu. Home Fee
"'"5w.6a ,AHJ'bI 'uu"iY/BP No:Wr {sb OWTS No:
Setbacf: *OCC Group:tRu const' rvnT Re 'S'ut:
2-24BUITDING / PTANNING DIVISION :
Signed Approval
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Date
Gurfield CowntY
BUILDING DEPARTfiVIENT
708 Eighth Street, Suite 40!, Gtenwood Springs' CO 87607
Tel: (970) 945-8272
P NRE VIEW CHE CK LIST
Permit No:ntRE-- 02-/4-3520
Building lssues Pla n ni ng lZoning lssues
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Valuf,tion Determination/ Fees
Engrneered Fourrdatlon
Driveway Permit
Attach Residential Plan Review List
SuMivision Plat Notes
Red Line Plans/ StamPs/Sticker
ttach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
Parcell Schedule No.
40# Snowload Letter - Manuf. Homes
IS REQUIRES AT FOOTING
ff^?tr'2'+;Ya,*-,*'u,?ef,Pnn4*ptic Permit and setbacks
-/ Grade/Topography 3o%
NA Buitding Height
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Gradel TopograPhY 40%
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Property Lrne Setbacks
35 ft. Stream Setbacks
Flood Plain
Planning lssues
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