HomeMy WebLinkAboutApplicationGarfuld County
Community Development Department
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BUITD:NG PERMIT
APPLICATION
DemolitionCom mercial/M ulti-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
INVOTVED ES
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Phone: f41Q-fProperty
Mailing Address
Email Address:
Phone:
Email Address:
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Mailing Address P.O C3ov 147
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Phone: (M31n-q)3n
Email Address
Architect:
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Mailing Address: q'\n A/.-t
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Phone: tKlDt zz€-z-1zzEngineer
Mailing Address:
Email Address
Describe Work:
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Phone
Job Address:
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Sq. Ft. of Building: -n9,4t Height:a5t # of Floors Z
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Manufactured Home lnstaller
Owner's Valuation of Work: S
Assessor's Parcel Number:
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Mailing Address:
Email Address:
Property Size (sq. Ft. or Acres): ' 3 f1<.eeS ,
X AdditionNewRemodel/AlterationClass of Work:
X DetachedGarage:Attached
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PROJECT DETAITS
PROJECT DETAILS CONTINUED
Septic
Type of Heat:
Driveway
Permit:
Natr-rral Gas Propane Other
Community
Permit #:
Electric
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
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 devclopmcnt rcquiring 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 igsuance of thc Building Pcrmit does not prcvcnt the Building Official from: (1) requiring
the corr'ection 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 airci my auiiroiized agenis, irrciudirig without iirnitation my architect ciesigner, engirreer andT'or buiider.
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 aceurate to the best of my knowledge.
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Property Owner nt and Date
OFFICIAL USE ONtY \
6e€ athche/ 7*/A,"vsSpecial Conditions:
Adiusted Valuation; -6 4m 735,1t
Plan ChecL< Fee:
1377,!*
Fee:. n /Iq 23Permit2l Manu. Home Fee:Misc.FeeE: - , _ ^-'pttr 9?7t,"/
q7fotal Feef:
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Fees Paid:
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Balance Due: - ,
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Signed Approval
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Date
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BUILDING DEPARTIwEN.T
loi Eigtrh Street, Suite 4AL Glenwood Springs' CO afiAI
Te!: (970) 945-8272
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Permit No: E LEE-O/-2*SZ7/
Planning /Zoning lssues
Building lssues
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35 ft. Stream Setbacks
E+rg ineered fu $"Ediat'ior*
DrivewaY Perrnit
Surveyed Site Plan
Septic Permit and Setbacks
Gradel ToPograPhY 3O%
Attach Residential Plan Review List
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Valuation Determinationl Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
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Flood Plain
Building Height
Zoning Sign-Off
Grarlel TonogranhY 40%
Planning lssues
Subdivision Plat
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