HomeMy WebLinkAboutApplicationnI
Gsrfietd CotrrttT,
Development Department
108 8th Street, Suite 401il[ ! P 3 4l,ah*ood sprinss, co 81501
L; r,. ::'. i- $ L'. L li-,, {-. U i,, ! { TP70} 945'82L2
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or Multi-Level)
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Property Ownen
Mailing Address:
, Email Address:
Mailing Address:
Email Address:
Architect:
, Mailing Address:
; Email Addressr
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Phoner
Phone:
Phone:
Contracton
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Mailing Address:
Phone: (%A9qV-96++
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EmailAddress:
Manufactured Home lnstaller:Phone: { }
Mailing Address:
Email Address:
PEoJEcr DErAt!!
Describe Work:'flat t l*t
' Job Address:
Assessor's Parcel Number;
, Sub.
Owner's VaJuation of Work
Sq. Ft. of Building:
Lot Bloc k
Height
Property Size (sq.Ft.
f ol Floo
o',19LqsJJ
Class of Addition
, Garagei
Work;
Attached
odel/Alteration
Detached
?"?ry
I
- -tl :
i PRCIJECT DETAITS CONTINUED
mmunity
Electric Other
: septic:
i Type of Heatl atu ral Gas
pt
Authoritv.This aPPlication for a Euildin
i or an auth orized agent. lf the signature
-'r-fr:-'
Propane
g Permit must be signod bY the
below is not that of the Owner,
Owner ofthe property, described above,
a separate letter of authority, signed by
Permit #:
the Owner, must be provided with thi's Application'
LegalAccess.ABuildingPertrlitcal''lllotbei.ssuedwithoutproofoflegalandadequateaccesstothepropertyfor
purposes of inspections by the Building Divjsion'
other permits. Multiple separate permits may be required: (1) state Electrical Permit, {2) county owrs Permit'
(3) another p€rmit requlred for use on the property identified above, e.g' State or county Highwav/ Road Access
or a State Wastewater Discharge Permit'
null and void if [he work authorized is not commenced within 180 days
Void Permit.A Building Permit becomes
, of the date of issuance arrd if work is susPe nded or abancloned for a period of 180 days after comtnencement'
' CeRnflCRflOt',1
I hereby certifY that I have read this AP plication and that the information conta
understand that the Building Division acce pts the Applicatic'n, along with the plans and specifications and other data
submiited by me or on my behalf (submitta ls), based upon my certification as to accu racy. Assuming comPleteness
of the submittals and approval of this Appiication'a Building Permit will be issued granting permission to me, as
iOwner,to construct the structure(s) and facilities detaileci orn the submittals reviewed by the Building Division' ln
consideratio n of the issuance of the Building Permit, I agree: that I and nry agents wiil comply with provisions of any
federal, state,or local law regulating the work and the Garfield Co unty Building Code, OWTS regulations and
applicable land use regulat ions (County Regulation(s)). All County development requiring a pennit, except for
residential uses, are subject to Article 7 of the Land Use ancl Deve lopment Code, I acknowledge that the Building
Pernrit rnaY be susPend ed 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 cornpliance with CountY Regulation{s) or any other
applicable law
l hereby grant permission to the Building Division to enter the property, descrlbed above, to inspect the Work' l
.furtheracknowledgethattheissuanceoftheBuildingpermitdoesnotpreventtheBuildingofficial from: {1)requiring I
i ;;;;;r;;;;;;.;r 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 violatton of county Regulation(s) or any other applicable Iaw' Review of this
,
, Applicatlon, including submittals. and inspections of the work by the Building Division do not constitute an
i u..*p,un." of responsibility or liability by the County of errors, omissions, or discrepancies' As the owner' I
. acknowledge that responsibility for cornpliance with federal, state and local laws and County Regulations rest with
i ;; r;; ;;.uthorized agents, including without limitation my architect designer' engineer andl or builder'
I hereby acknowledge trrat I trave read and understancl the Notice and certification above' as well as' have
provided the required inforrnation which is correct and ar:curate to the best of my knowledge'
,:l
t*1"*-'jc-,' '- t v
DateProperty Owner Print and Sign
Special Conditions:
6ee
Misc. Fees:Manu. Home FeelPermit Fee 35Check'trbsted
Tota s Pai Due:
?r
OCC GrouP:
BUITDING / PLANNING DIVISION :
Signed APProrral Date
Cr/,t/-
Garfield C*nwtY
BUILDING DEPA'RTMEN|
flg Eighth Street, Suite 4Ot, Glenwood Springs, CO 816AI
Tel: (970) 945-8272
N EV!E c KLI TE
Permit No: flRF- /h2(- g?73
Pla n ni ng I Toning lssues
6 an //-/-42
E*g'r*eered Fourrdat'ron // Property Lrne Setbacus 7ry1rP' 1
ryrrivewayPermit
5 ft. Stream Setbacks
Surveyed Site Plan
Septic Permit and Setbacks
Grade/TopograPhY 30%
Attach Residential Plan Review List
Flood Plain
Buitding Height
Plat $lotes
Subdivision Plat
P
Building lssues
Zoning Sign-Off
Road lmPact Fees
Grade/ ToPograPhY 40%
Red Line Plans/ StamPs/ Sticker
Conditions
Parcel/ Schedule No.
40# Snowload Letter - Manuf, Homes
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