HomeMy WebLinkAboutApplicationCommunity Development Department
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Garfield County
BUILDING PERMIT
APPLICATION
Commercial/Multi-Fa Demolition
dential or Townho
red Home or Home or
Reroof
- MAXIMUM SIZE OF SqUARE FEETDwelliUnit
Property Owner:
Mailing Address:
Email Address:
Phone:/
2f
f
e<{Phone: (Contractor:
Mailing Address:
Email Address:
Phone:Architect:
Mailing Address:
Email Address:
Phone:Engineer:
Mailing Address:
Email Address:
Phone:Manufactured Home tnstaller:
Mailing Address:
Email Address:
Describe (
z
(
&
Ft. or Acres):
Sub.
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Assessor/s Parcel Number:
Job Address:
Owner's Valuation of Work:
Sq. Ft. of Building:
Class of Work:ellAlteration Addition
Garage:Detached
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PRO'ECT DETAILS CONTINUED
Other
CommunitY
Electric
Septic:
Type of Heat:
Driveway
Permit:
PropaneNatural Gas
Permit #:
NOTICE
AuthoriW. This aPPlicati
or an authorized agent.
on for a Building Permit must be
lf the signature below is not that
signed by the Owner of the Pro
of the Owner, a separate letter
perty, described above,
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
prtpotut of inspections by the Building Division'
Other Permits. Multiple ,"pur.," p"rrnit, may be required: (1) State Electrical Permit' (2) County OWTS Permit'
(3) another permit required for use on the property ijentified above, e'g' state or county Highway/ Road Access
or a State Wastewater Discharge Permit'
Void Permit. A Building Permit becomes null an
of the date of issuance and if work is suspended
d void if the work authorized is not commenced within 180 days
or abandoned for a period of 180 days after commencement'
CERTIFICATION
I hereby certifY that I have read this APPlication and that the informa tion contained above is true and correct. I
understand that the Building Division accePts the Application, along with the Pla ns and specifications and other data
L^L^l{ lcr rhmi++rlc\ hasPSUbmltleo oy rrle ul ull rrrY uErrorr \Juerrrr!rq'v" v-v-d 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 deta iled 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 requ iring a permit, excePt foi'
residential uses,are subject to Article 7 of the Land Use and DeveloPment Code. I acknow ledge that the Building
Permit maY be susPe nded or revoked, uPon notice from the County, if the location, construction or use ofthe
structure(s) a nd facilitY(-.-^ -^r:-iesl, descrloeo aoove, dle rruL rrr ^^*^rirnaa rrrirh cnrrnfv Resulation(s) of anVLVr I ryrrur rvv other
applicable law
I hereby grant Pe rmission 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 Officialfrom: (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 sub mittals, 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. Asthe Owner, I
acknowledge that resPonsibi lity for compl iance with federal, state and local laws and CountY Regulations rest with
me and my authorized agents, including wit hout limitation my architect designer,engineer and/ or builder
lhe reby aeknowledge that I have read and understand the Notice and Certification above, as well as, have
p information is correct and accurate to the best of my knowledge'
3 -17 ,'7 4/
Property Owner and Sign Date
IOFFICIAT USE ONLY
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Const. TyPe:OCC GrouP:Setbacks
BUILD]NG / PLANNING DIVISION
DateApproval
Garfield County
BUILDING DEPARTMENT
7oB Eighth Street, Suite 401, Glenwood Springs, cO 81601
Tel: (970) 945-8272
PI.AN RE VIEW CHEC K LIST
Permit No: BrXg- OZZ4- 9557
Building lssues Planning/Zoning lssues
bt /a
E*gineered Fot^+*datlor+
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Sr^+b'divislon Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
z7
,/
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Buitding Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
& Summa
6
Energy compliance Path/Plan Received apltl I Y16
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