HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
, , . "..',',' ,' j 108 8th Street, Suite 401
Glenwood Springs, CO 81601
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BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
DemolitionCommercial/M u lti-Family
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Phone:
\"\n rnAi @ k6-Oon3truttti dA , Q.6Ylrl
Contractor: Oh)n4-,{- Phone:
Mailing Address:
Email Address:
Architect:EonnaUi\\a ()
Mailing Address:
Email Address:
ilt
Engineer:K n Phone: t41O I LSO' C.51L
Mailing Address:
Email Address:
t o
Manufactured Home lnstaller:Phone: (ffi A4{'q$1
Mailing Address:
Email Address:e6
PROJECT DETAITS
Describe Work:
b Address:\
Assessor's Parcel Number:2- t8 I tzLoozqs
5ub.Lot Block
Owner's Valuation of Work: Property Size (5q. Ft. or Acres):
Sq. Ft. of Building:llnDL Height: _zt'#of
+
Class of Work:X New Remodel/Alteration Addition
Garage Attached X Detached
PROJECT DETAILS CONTINUED
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.
2AL+
Property Owner Pri and Sign Date
1
CommunitySeptic:
OtherNatural Gas Propane ffirlectricType of Heat:
Permit #:Driveway
Permit:
pt
NOTICE
AuthoriW. This application for a Building Permit must be signed by the Owner of 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.
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
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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.
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 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.
OFFICIAT USE ONtY
Special Conditions:
eee a/*a&e/ /T/Z/US
Adiusted Valuation'dg 866.ao '&Hh'r7 Permit Fee;L/6L bb '"#ffi",81)Misc. Fees
"il'E"i2,r^Fees Paid:(orn @ Balance Due:
7/2 .22-
BP No:Mp-gQto OWTS No: /
s-6p[_gq ll
seibacks:OCC Group:tRc const.rype: IRO toffu'
t04r-24
-{
Date
BUITDING / PLANNING DIVISION
Signed Approval
Gwrfrcld ConwtY'
BUILDING DEPARTMENT
108 Eighth Street, Satte 40t,'tenwood Springs' co 81607
Tel: (970) 945-8272
Bu ing lssues
-' Attach Residential Plan Review List
Su+bdivlsion Plat $lotes
Fire Department Review
Valuation Determination/ Fees
UAD^ttach conditions
--Application Signed
Energy Cornpliance Path/Plan Received
Plan Reviewer to Sign APPlication
Parcellschedule No.
40# Snowload Letter - Manuf. Homes
PI.^A NRE rEw c HEC KL
Permit No:B/R€-Or-e4-99/A
Planning lZaning lssues
B.D,q 20 //a27.ft Qaee
Property Ltne sernacvsSlfrire q//na.
35 ft. Stream Setbacks €/, /r)
/
Flood Plain
rsT
a-*
Building Height
Road lmPact Fees
Grade/ ToPograPhY 40%
Planning lssues
Subdivision Plat
a//
/-Zoning Sign-Off
RIF 9.0,>=#/,
4779a/ sea auh,or /e#/-
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