HomeMy WebLinkAboutApplicationGarfield County
',*,,CqnltHnIIY Development Department
i: 'r 'I08 8th street, Suite 401
, Glenwoqd Springs, CO 81601
i i ,:: .rr; ,, :. ,i.'(97A1 945-82L2
www.ga rfi eld-countv.com
BUILDING PERMIT
APPTICATION
TYPE OF CONSTRUCTION
DemolitionCommercial/M ulti-Family
Manufactured Home or Tiny Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Dwell Unit - MAXIMUM SIZE OF FEET
INVOLVED PARTIES
Phone: &70 )377- 81,2 stProperty Owner:
Mailing Address
Email Address:
Phone: (170 t 37? ^ 81,,28!
0
D r4
Contractor:
Mailing Address
Email Address:
;
5 ,a
Phone: (v2 tgfl -723qArchitect:
Email Address:
Mailing Address:
I
tEngineenl,t eeks
5
n^t) Asgnci Phone: (fro | 225 - ?*ZZ
Mailing Address:
Email Address
Email Address: ,
Phone:
Job Address:
Describe Work:,t/n PtoosJo,,")- Ne"J SF
PROJECT DETAILS
Manufactured Home lnstaller:
Mailing Address:
sua rct l / Block
-
owner's Valuation of Work: S- Property Size (Sq. Ft. or Acres): l0q /44 ' 4
Heightr JfSq. Ft. of Building:?9e t # of Floors
AdditionClass of Woili:lffiruew Remodel/Alteration
AttachedGarage:Detached
PROJECT DETAITS CONTINUED
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describeda
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal Access. A Build ing 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 L80 days after commencement.
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.
Property Owner Print and Sign Date
Septic:
Type of Heat:Natural Gas Propane Other
Community
Electric
Driveway
Permit:x'*"'olv,rmit #l
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.
r L^*^L., --^^+ ^^-*i^^i^^ +^ +L^ D..ill:-- ni.,:^i^- r^ ^^r^-.L^ l^^^-;L^l ^L^.,^ +^ :-^-^^+ +L^ .^,^-1. rr rrcicuy 6ruirL Prrrrir)5ivrr tu iirE uuirurr16, ulvrirvrl LUcilLsi irle piupgiLy, uuSLl iuuu duuvs, iv irr)PsLl rric vvuiN. r
turther acknowledge that the issuance ot the Building Permit does not prevent the Building Otticial trom: (1) requiring
the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use ofthe
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 bythe 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.
OFFICIAL USE ONLY I
SpecialConditions: , I r Ir_ :_ _-__ _4 !_-.1e@attuaaa( G7t1 t)// /o/v-
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:47;:bt#:'!4 Plan Check Fee:lr{35,1>
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270R^70
it^-.. U^-^ E^^.lllOllUr IlVlllt fEt.ItJlisc, Fees:
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'"'3.h"4+J,Fees Paid:
\L$F sa Balance Due:
2zgg,q5 BP No:
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OWTS No:qffi-RQ3.r
SetbCcks:occ GrouP:
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Gwrfuld CowwtY
BUILDING DEPARTMENT
708 Eighth Streq Suite 407, Gtenwood Springs, CO 81607
Tel: (970) 945-8272
P NR EVIE WCHE CKLI T
Permit No:6LR*/a-z/-gqa
Building lssues Pl a n ni ng lZoning lssues
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E*gineered
Nncr olua
FropertY Line Sethacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
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Pe ,t-5-zT
Grade/ TopograPhY 30%
Residential Plan Review List
SuMivlsior+ Plat Notes
Fire Department Review
Valuation Determination/ Fees
Line Plans/ StamPs/ Sticker
Conditions
Application Signed
lV*tpta/T
Energy Compliance Path/Plan Received
@RoadrmpactFees@,8>
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Grade/ ToPograPhY 40%
Planning lssues
Subdivision Plat
Jraar?
QItr N,F,D.=
Description & Summarv:
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Applicatit'n
Parcel/ Schedule No.
40# Snowload Letter - Manuf- Homes
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