HomeMy WebLinkAboutApplicationGarfteld County
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WPE OF CONSTRUCTION
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BUILDING PERMIT
APPLICATION
Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
ReroofResidential (SF, Duplex or Townhome)
Manufactured Home or Tiny Home (Single or Multi-Level)
DemolitionCommercial/M ulti-Familv
Attached DetachedGarage:
X AdditionRemodel/AlterationNewClass of Workl
owner's Valuation of Work: 5 .o) 6 ,0 N . O0 Property Size (Sq. Ft. or Acres):
dun
Describe Work:
Height:
II
Iot
00
t?
Block
5q. Ft. of Building:
Sub.
# of Floo
Assessor's Parcel Number:
Job Address
f\d "/
PROJECT DETAII.S
Phone: (_)Manufactured Home lnstaller:
Mailing Address:
Email Address:
STrrl:" lw Fnai,n €e&E phone J6(- 8676q7o
-vEngineer:
Mailing Address:
Email Address:
JTu J io ln Ert4n €e/a-,s phone:
Email Address:OlA
A;F/,2
- r67d7d
Mailing
,'A e-efu, €ltsTudi
Address: llt Eqd '!R
Architect:
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6q. ftte
Phone: tX?flContractor:
Mailing Address:
Email Address:
Property Owner:
Mailing Address:
Email Address:
/tq
/1^
t
A Phone
INVOLVED PARTIES
PROJECT DETAITS CONTINUED
Propane
mpt
CERTIFICATION
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understand that the Building Division accepts the Application, alcng 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 willcomply 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.
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 Officialfrom: (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 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
required n which is correct and accurate to the best of my knowledge.
Property Owner Print and n Date
Authoritv. This application for a Building Permit must be signed by the Owner ot 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.
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 abandoned for a period of 180 days after commencement.
NOTICE
Driveway
Permit:
Natural Gas Other
Permit #
ElectricType of Heat:
Septic Community
uel
Signed Approval
BUILDING / PLANNING DIVISION h,,J;'4h,
Date
Setbacls:const' rvRel Roocc Group:
t BC ZOKi"Ht'l'st'"'^2'E 1.zb
OWTS No:BP No:
NQc-Ks+'&Yl:25
^/li'ffifi)'ao Manu. Home Fee:'wT'?6'rvr;w *i7H
See atua$ed bN>lTO/V<Special Conditions:
OFFICIAL USE ONLY \
CwwwftiffiaxffiEd
BUILDIIVG DEPARTMENT
1O8 Eigffih Street, Stite 40t, Gtenwood Springs' CO 81607
Tet: (97O) 945-8272
PtA N REVil hfi cKt [57EW
perrnit No: 6LKE* 06 -2q -995/
Planning/Zoning lssues
Building lssues
E;tg;*eered Fe$ovid*t'+€+*
l\u
P ro"perLY Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Cff
Road lmPact Fees
Grade/ ToPograPhY 40%
Planning lssues
Subdivision Flat
W/ 5 rivewaY Pernrit
// surveYed Site Plan
Septic Permit and Setbacks
Grade/ ToPograPhY.3O%
Attach Residential Plan Review List
S*b-d.ivlsio'n Fle-t Sla'tes
Fire Department Review
Valuation Determination/ Fees
Red Line Flans/ StamPsl Sticker
ttach Conditions
ived
ri ion & Sul rT'l marv:
Application Signed ."#mi:i",?|*J..."
675 x fat'
'/ Plan Reviewer to Sign Application
ParceU Schedule No
40# Snowload Letter - Manuf" Homes
Soils Report
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