HomeMy WebLinkAboutApplicationGarfuld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www. ga rfi eld-cou ntv.com
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)I Reroof
Accessorv Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Phone: (_)
Phone:
(/4Email Address:
Contractor:
Property Owner:
Mailing Address:
Mailing Address:
Email Address:
Architect: Phone: (-)-
Mailing Address:
Email Address:
Phone: (Engineer
Mailing Address
Email Address:
Phone:(Manufactured Home lnstaller:
Mailing Address
Email Address:
PROJECT DETAILS
Describe Work:
fas/ cear/,
Height:
Lot
f of Floors
of Work: S
Block _Sub.
Property Size (Sq. Ft. or Acres):
Assessor's Parcel Number
Job Address:
Owner's Valuation
Sq. Ft. of Building:
New Remodel/Alteration AdditionClass of Work:
DetachedGarage:Attached
PROJECT DETAITS CONTINUED
Septic SWTS
Type of Heat:Natural Gas Propane Other
Community
Electric
Driveway
Permit:
pt Permit fJ:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparatelettercfauthority,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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or al-rarrdorred ft.rr a perioci ol.L80 days ia[Ler cornrrrencernenL.
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, 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
acceptanceof responsibilityorliabilitybytheCountyof errors,omissions,ordiscrepancies. AstheOwner, I
acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with
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I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
p ired information which is correct and accurate to the best of my knowledge
Owner Print and Sign Date
OFFICIAT USE ONtY I
Special Conditions:
Adjusted Valuation:Plan Check Fee:r.rO-/Permit Fee
\eDcr
Manu. Home Fee Misc. Fees:
Total Fees\oo .bot Fees Paid:
\ec>od Balance Due:
€-ffir -ffi01
OWTS No:
ott o'off'ft,
BUTLDTNG / PLANNTNG DtVtStON
Signed Approval
Setbacks:
4!q-t
Date
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