HomeMy WebLinkAboutApplicationGar$etd County
Community Development Department
X08 8th Street, Suite 401
Glenwood Springs, CO 81601
(978194s-82t2
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. TYPE OF COI*STRUCTTON
BUILDING PERMIT
APPLICATION
i
I
ElEommerciallMu
ff Manufactured H
tti-Family j tr Demolition
i tr Rerooi
ome or Tiny Horne (Single or Multi-Level)
tr Residential(5F,Duplex or T
rEI {c9q9ryry oqqlllns q{! {4D_ul - MAXIMUM SIZE OF SQUARE FEET
IS/OLVED PARTIES
, Property Owner:
, Mailing Address:
Email Address:
Il^Phone tfua-rs4FaoG@
: Contractor:
Mailing Address:
Ernail Address:
Architect:Phone
Mailing Address:
Email Address:
Engineer:
Mailing Address
Email Address:
Manufactured/ Tiny Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAIIS
Phone: (_)
Phone:
Describe Work:
Job Address:
Sub.
A ,**1"
Lot _ Block ----
Owner's Valuation of Work: $
Sq. Ft. of Building:Height:
'rff"'f of Floors:
Size (5q. Ft. orAcres): /OA UU
Class of Work:
Garage:
E New I Remodel/Alteration ]
EI Attached
El Rddition , EI Repair
fl Detached
Move/Relocation
PROJECT DETAI[5 CONTINUED
Septic:n owrs
Type of Heat:E Natural Gas Propane E Electric
Driveway
Permit:
NOTICE
mpt E Permit #:
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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.
LeFal Access. A Building Permit cannot be issued without proof of legat and adequate access to the property for
purposes of inspections by the Building Division.
Other Bermits. 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 1g0 days
of the date qf 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 c,ata submitted by me or
on my behalf {submittafs), 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 Articte 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.
f hereby grant permission to the Building Division to enter the property, described above, to inspect the work. ifurther
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 liabi{ity
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.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
the which is correct and accurate to the best of kn
Property Date
/&
OFFICIAT USE ONTY
nt and
'tea a(*a*e/ carvDl va///sSpecial Conditions
Adiusted Valuation: I Plan Check45072 F 8,6o,'ve 'ry'j,'2e Manu home F lbotArr>Misc Fees: 'HTNdDFffiZ
Total Fees:23 @t
Balance Due:/t4.*ffie-sqaa OWTS No:sffi-B?e<
OCC Group:
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constrv'ef p.,L 7o
BUTLDING / PLANNtNG DIV|S|ON to27-Zt--t
Signed Approval
t
Date
Gwrfield ConwtY'
BUILDING DEPARTMENT
7O8 Eighth Street, Saite 4OI, Glenwood Springs, CO 87641
Tel: (970) 945-8272
Building lssues
NR vrEw H K rs
Permit No:6trnF--09-Z/-812-
PlanninglToning lssues
E ngineered Fourrdation Property Line Setbacks
aw,eet Loriveway
-h Surveved
Permit
Site Plan
9 be/.en'a ,esfiy'zaez
Septi c Permit and Setbacks
Grade/TopograPhY 30%
Attach Residential Plan Review List
Subdlvision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Conditions
W"ad rmpact r"u, K/F /t/B>
35 ft. Stream Setbacks
Flood Plain
Buitding Height
Zoning Sign-Off
Grade/ ToPograPhY 40%
Planning lssues
afl88
R/F /UbD
Ap
Energy Cornpliance Path/Plan Received
lan Reviewer to Sign APPlication
nlication Sienedt/ar/HttP ha,,2-
Description & Surnrnarv:
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