HomeMy WebLinkAboutApplicationGarfield County
R *- {: Eb\6{ihtl n ity Development Depa rtme nt
108 8th Street, Suite 401
MAY I 0 ?08tbn*ood Sprinss, co 81601
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BUITDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE O F T,2OO SqUARE FEET
b?-Phone:A t
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Property Owner:
Mailing Address
Email Address:
Phone: (-?tq ) sbci - -\k2^Contractor:
Mailing Address:
Email Address:
Architect: Phone:
Mailing Address:
Email Address:
Email Address:
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Mailing Address:
Engineer:Phone: ( ?OU Ll Dl|- 512'b
Manufactured Home lnstaller: Phone:
Mailing Address
Email Address:
PROJECT DETAII.s - Mffi.flSut
Describe Work
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Assessor's Parcel Number
Job Address:
Owner's Valuation of Work:Property Size (sq. Ft. or Acres): '7 ,045 arros
Sq. Ft. of Building: Qf Q Height:
AdditionRemodel/AlterationClass of Work lffi'rew t_t-Garage:Attached Detached
PROJECT DETAILS CONTINUED
Septic;)WTS Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
Exempt Permit #
NOTICE
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.
Lesal 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 thisApplication, a Building Permitwill 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, lagreethat land myagentswill complywith provisionsof 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.
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 (2l,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
provided the required information which is correct and accurate to the best of my knowledge.
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Property Owner Print and Sign Date
OFFICIAT USE ONLY
Special Conditions:sea altaile/ U4VP / T/2NS
Adiusted Valuation:
49,o2a. ed Plan Check Fee4053t '"iuZ]ea Manu. Home Fee:Misc, Fees:
Total 66 Fees Pa
/.1b6 '044
Balance Due;5b* q7-BP No:
HLE'\IoYJ
OWTS No:
setba6kl_---OCC Group /RC Const. rro"j RC 'oflt'
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'r%b-/-ZBUILDING / PLANNING DIVISION
Signed Approval Date
Gurfield Cou;wt1t
BUILDING DEPARTMENT
708 Eighth Street, Sutte 4A7:, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PI.^AN REVIE c H CK LIST
Permit No:BLRF-05-2 4-gb7Z
Building lssues
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C'?,",- ottach co nd itio ns
Application Signed,
t4nhal€d
Energy Compliance Pathy'Plan Received
Plan Reviewer to Sign APPlication
Parcell Schedule No.
40# Snowload Letter - Manuf. Homes
soirs Report KrA Z4-7/41
CIBHh{ +{OLE $CIti-$ RHPORT
I$ F{EQU!RtrN AT FOOTING
IN$pFe'fi ar* J500**PbF
E*gineened Fou*dat'torr
Drivewav Permit";;;;;Z; /-/6^zba/<
surveyed site Plan--;;'-h;;k z2rP//)/r1
Seotic Permit andSetbacks , .
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GradelTopogra{hV 3O% u '/
Pla n n ing I Zoning lssues
Froperty Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Buitding Height
Zoning Sign-Off
Road lmpact Fees na FL'S
Gradel TopograPhY 40%
Planning lssues
Subdivision Plat
Attach Residential Plan Review List
S*Mlvision Plat Notes
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Red Line Plans/ Stamps/ Sticker
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