HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
i\l'l{ U { nrtj,:';10g 8th Street, Suite 401
,., . .; Glenwood Springs, CO 81501
iliiirii,,ijii;i i i;l:vr.r-.,; ,,,, .(9701 945-8212
www.garfield-cou ntv.com
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BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Comm ulti-Fam Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
I Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Email Address:@ /\u
Property Owner:QL,:t* l&.lr:Ozan 1c Phone: I9?0 | ?1 1. ??uft
Mailing Address:bu,dalt (n .R/A??2,113( ?o,,orn^o D
PhoneO-^n-Contractor:
Mailing Address
Email Address:
Mailing Address:
€ri" t lor*rn.,,.Phone: ( )Architectr
Email Address
o t
C\^.^4 T S^^.V\
t ,e-l I
€o. h,Email Address:
Engineer:
Mailing Address:
Phone: (
Mailing Address:
Email Address:
Phone:Manufactured Home lnstaller:
PROJECT DETAITS
\o^boDescribe Work:
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(?,c A,,.,Owner's Valuation of work:S ?1,1?6
Sq. Ft. of Building: Zf oO Height:7?-'
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Sub
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Job Address:
A 9.r
Assessor's Parcel Number
Property Size (Sq. Ft. or Acres):
#ofF
lot ?1 Btock
AdditionNewRemodel/AlterationClass of Work:
X tretachedGarage:Attached
PROJECT DETAITS CONTINUED
Septic:
atural Gas
Community
Type of Heatr Elcctric Other
Driveway
Permit:
NOTICE
AuthoriW. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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
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 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, 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 issuance of the Building Permit does not prevent the Building Official from: (1) requiring
the correction of errors in the submittals, ifany, discovered after issuance; or (2) stopping construction or use ofthe
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
provided the required information which is correct and accurate to the best of my knowledge.
t;,1 \ eec^z o
Property Owner Print and Sign Date
OFFICIAL USE ONtY 'l -()-A
Special Conditionsl ecaatuh4 e7r72> /T/aN<
Adiusted Valuation: -57Meo 'tlt,rl]*#r ,"HF,Yg Manu. Horne Fee:A/r-+Misc, Fees:A/4
'*"t'i}rl,r?5'{i'9l
Balance Due: -b,4b.ab ffiffir-&nA
OWTS No:TA
Setbacks: ,srF(./a-
OCC Group:/ kc-'Const. Type;a -//<L,t"'H
Oil,'rr-l/t Ll2
BUTLDTNG / PTANNING DIVtStON :
Signed Approval Date
GarfuId CowwtY
BUi,LDING DEPARTMENT
708 Eighth Street, Suite 4Ot, Glenwood Springs, CO 87607
Tel: (970) 945'8272
PI.AN EVI EW CHE CKLI T
Permit No: BIRE-Oy'-A(-9602-
Planning lzoning lssuesBuilding lssues
cn 0-
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lw(r,
Fotrndation
Attach Residential Plan Review List
Su+Mivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Plan Reviewer to Sign APPlication
Parcell Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Froperty Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
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4'//4 ra/-rz:
N"4M
/// Zoning sign-off
Road lmpact Fees nA Z'S '
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
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Application Signefl harn ,Knf.!{ffi elaay ftxd/=/uoo
D riotion & Surn marv:
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