HomeMy WebLinkAboutApplicationt{Hcb"ilvFtrr
,ltlt I il lii1t1
{ { l: (:[lii/f:-Ur
,.1i r itt.t I .i .Jij;ii;.jl:i i't llili
,, I'rt,ii:Li'i s
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(970t.94s-82L2
www.garfi el d-countv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
gesidential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET 3INVOTVED PARTIES
Phone r3l4 -- t8 -atGBPropertyowner: Akqonl A/"tLgCl+
L.{) rt*-t g r>++ @ - 6 /4 dT L -C}A
ARMailing Address:
Email Address:
ilS
S'eL(Phone: (_)Contractor:
Mailing Address:
Email Address:
BilAfi Phone:
,L
il fl ,4A5oA r) kj/A fl. ( t+ Lf f-cf aQ> C*t*ft L.*t*4
Architect:
Mailing Address:
Email Address:
6""0 /\k^)ftttt,a,*zn tlAl)Phone: ( )Engineer:
Mailing Address:
Email Address:
Phone: ()Manufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAILS
Desqibe Work
Job Address:
t
il0
I
-.4
Assessor's Parcel Number. L J -l ) (U I A (A b Sr' b) U/
Property Size (Sq. Ft. or Acres):/-r tl
# of Floors: I
s"a.Vf.5tfi&rtA Etruut lrJt\'frtl
Height:
T
Lot 6r
Oejul l.R@,a*"s
lLt
f
Block
Owner's Valuation
Sq. Ft. of Building:
of Work:
776
X Remodel/Alteration AdditionClass of Work:New
x DetachedGarage:Attached
PROJECT DETAITS CONTINUED
Septic c ]WTS Community
Electric o'h"'axtNlfzType of Heat:Natural Gas Propane
Driveway
Permit:ly'Txemnt
Permit f:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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 arrd Developrnerrt 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 enterthe 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
acceptance of responsibility or liaLrility Lry the County of errors, omissions, or discrepancies. As the Owner, I
ackriowledge thai responsibility for corripliance wil-li ledeial, sLaie arrcl local laws and County Regulatioiis resl. 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
provided uired info wh correct and accurate to the best of my knowledge
rty Owner Print and Date
OFFICIAT USE ONLY
Special Conditions:' see aLka&ed /T72kS
Adiusted Valuation:
i9,4.%'r1v:ufT'Permit Fee:^ -7n7.zb Manu, Home Fee:
-
Misc. Fees:
Tota/Fees:r'n/ alb3{/b,
Fees Paid:
\qq,=r\Balance Due:aa,a ) E--JU'/, -
BP No:wj.-gqg.OWTS No:
Setbacks:Const. Typq:.n /It<L-Zqfhg: nY(.[ lJ .
OCC Group: , -.\ /1lK(r
u_J4
Date t
BUTLDTNG / PLANNTNG DTV|STON :0'(,il,',f[/'L
Signed Approval
Garfield County
BUILDING DEPARTMENT
708 Eighth Street, Suite 401., Glenwood Springs, CO 81601
Tel: (970) 94s-82L2
PLAN RE VIEW CHECKLIST
Permit No: g LKF' /2-2hg/56
Building lssues Planning/Zoning lssues n/ >
Oxbhlrriveway Permit
rvz
Engineered Foundation Property Line Setba ,n( weefe
Yu>ouilo
oel.toacks)N*
Septicg5
Grade/
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Permit and Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees hA fl^,-S
Grade/ Topography 40%
lanning lssues
Subdivision Plat
'zb ekahhq
Topography 30%o-
lft/ry)
MA
y'80,@
AN> soirs Report
}8 REAUIRED AT FOOTING
',/ ,(*
tllfficTtw{ lnm wF , ./( /,/,;p/M//ank/u,fffiffim%,//
/r