HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(97Ole4s-82L2
www.Fa rfi eld-cou ntv.com
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)T Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Phone:{
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hEmail Address:
Property Owner:
Mailing Address:
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Contractor:
Mailing Address:
Email Address:
Architect:
Mailing Address:
Email Address:
Phone: ( )
Phone: (_)Engineer:
Mailing Address
Email Address:
Phone: ( )
Email Address
Manufactured Home lnstaller:
Mailing Address
PROJECT DETAITS
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Height:
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Lot
Assessor's Parcel Number,:
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Block
of Work:
Describe Work:
Sub.
Property Size iSq.:rt. sr Acres):
# of Floors:_
Job Address:
Owner's Valuation
Sq. Ft. of Building:
Remodsl/Aiteraljon AdditionClass of Work:New
Attached DetachedGarage:
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PROJECT DETAILS CONTINUED
NOTICE
Authoritv. 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. Multi ple 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 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, lagree that land my agents will complywith 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.
I horahrr drrnt n6rmiccinn +n tho Err rilrlinc Frirrician +^ 6h+6. +h6 ^r^^6.+r, rlacariharl rhnrra +n inc^6.+ +ha .^,nrL Irv L,r! eurrurilb I'r! prvpLr !t, ueJv, !v ,rrJp!!r
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, it any, discovered atter 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 responsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, 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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Owner Sign Date
Septic:OWTS Community
Type of Heat:E lectric
Driveway
Permit:
ral Gas Propane Other
Permit #:
OFFICIAL USE ONTY
Special Conditions:
Adjusted Valuation Plan Check Fee:'i6d"loo Manu. Home Fee:Misc. Fees:
Total Fees:
I, oo oc)Fees Paid:too.&Balance Due:-e-ffi,F-s6lA OWTS No:
Setbacks:OCC Grouo:+e( -
Const. Tvoe:M'r._-,Zgping:
Y\.
/-U)-.7 ,BUILDING /PLANNING DIVISION :
Signed Approval
An'--
Date