HomeMy WebLinkAboutApplicationGarfield County
BU ILDING PERM IT
APPLICATION
Development Department,
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I Demolitioncommercial/Mu lti-Fami lv (LlvE FIRE SHOOr HousE)
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Dwellin Unit - MAXIMUM SIZE OF SQUARE FEET
101 W 8th Street, Glenwood Springs, CO 81601
Phone:(970 t384-6500Property Owner:City of Glenwood Springs-Police
Mailing Address:
Email Address:michael.prough@cogs .us / mike.young@cogs.us
Mailing Address:
Email Address:
Undetermined Phone: ( )Contractor:
Architect:
MailingAddress:
Email Address:
Phone: ( I
Mailing Address:
Email Address: -
)Phone:IEngineer:
Mailing Address:
EmailAddress:
N/A )Phone:IManufactured Home lnstaller:
Owner's Valuatlon of Work: $-
Describe Work:
(See Attached - Site Plan)
Height:
t,
# of Floors:-Sq. Ft. of Building:
Rd)d, Glenwood Springs, CO
Assesso/s Parcel Number:
JobAddress: 1205 Cou
Block _Sub. Lot
Property Slze (Sq. Ft. or Acres):
,/\ew Remodel/AlterationClass of Work:
DetachedAttachedGarage:
PROJECT DETAIIS CONTINU ED
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 Iand 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, 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 th read and understand the Notice and Certification above, as well as, have
provided the required which to the best of my knowledge.
S'za'z/
Print and Sign ; City Manager Date
is correct and accurateI t -:2 ll
A,Mrul AsTq
Community
El ectric Other
Permit #
Type of Heat:
Septic:
Driveway
Permit:
Natural Gas
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwnerof theproperty,describedabove,
oranauthorizedagent. lfthesigrraturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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 HighwaV/ Road Access
or a State Wastewater Discharge Permit.
VoldPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
OFFICIAT USE ONtY June24,2024
Special Conditions: s
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Adjusted Valuation
fr3Z,qoa
Plan Check Fee:
%G"03
Permit Fee:
472.65
Manu. Home Fee:Misc. Fees;
Total Fees:
11R.AR
Fees Paid:
2\1 .ot Balance Due:
55(.87
BP Nor
K'..o-81t4
OWTS No:
Setbacks:OCC 6roup:Const. Type:t)Zoning:R
BUILDING / PTANNING DIVISION :
proval