HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
i ll.(l[:i1fli[08 8th Street, Suite 401
. Glenwood Springs, CO 81601
f,11;lr ; i, ,i,. ; (970) g4s-gzLz
www.earfi eld-countv.com
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
DemolitionCommercial/M ulti-Fami
Manufactured Home or Tiny Home (Single or Multi-Level)
- MAXIMUM S|ZE OF 1,200 SQUARE FEET
ReroofResidentialF
Accessory Dwell
lex or Townhome)
Unit
INVOTVED PARTIES
Property Ownen
Mailing Address:
Email Address:
b{v tt o 0n*+ K€t *t phone: (agt ) ) 3c/- 8(fr3
63 sueerGnft ss SAtv e- A4QM)a+tFco &<
,9a ue-kStsD@icloud - Corrl
contractor: fREifO Becrrttesres phone: (?7Ol't,9G - 8? 3{
Mailing Address:
Email Address:
I L Puqe tArtg e A2<&a^t A4-ts (o 9(Q2r
sc"#<6 -e,"h^ i lr} -r,o
Architect:seQ64tr A(W4 ITEEUQE /4J(. prrone &ZGts -(/-?o
Mailing Address:Po &ox to3r GLeacporn SPrltoCS CO 8l6Oa
cotwlEmail Address:I
,t)t8-("6?o
Engineer:N Phone:
Mailing Address:ffo ROx @ l-{37 EAs4,vl-.D 8t6)t
coEmail Address:
Manufactured Home lnstaller:lto /n Phone:
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:P4rro Ror
Job Address:Srrr DMV6 co 8t 6>:
Assessor's Parcel Number:3?3eo,toqo)>
sub. AsPal GtEtt ,o, 0D Btock
-
Owner's Valuation of Work:o@. oo Pro Size (Sq. Ft. or Acres):
Sq. Ft. of Building:Height:notrtoorst I )/L
2
h
Class of Work:New X Remodel/Alteration dition
Garage:(Attached Detached
PROJECT DETAITS CONTINUED
Septic
Type of Heat:Natural Gas Propane
Community
E lectric Other
Driveway
Permit:
mpt Permit #
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. IfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Leeal 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 Pernrit.
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 commenccment.
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 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
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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.
CERTIFICATION
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
the required and accurate to the best of my knowledge.
//-tr- 2or/
Property Owner Print and Sign Date
OFFICIAL USE ONLY
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Adiusted Valuation:8.424 do Plan Check Fee:t0g.7l '"iDv,2a Manu. Home Fee:
-
Misc. Fees
Tot/l Fees:
^n E clb
f f -tz lU.
BP No:
RTp-Qrroo
OWTS No:Fees Paid:\og.n\Balance Due: ,t t t'7 26/?/t-"
Setbacks: -WrT5,E OCC Group:R(-,""t.rflpt ,"VhD
0,Nl*h*BUtLDtNG / PLANNTNG DtVtStON :
Signed Approval Date
t7l
Garfteld County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No:B.-RE_ I l_Zr/_ZOe Ke,/o**
Building lssues
Engineered Foundation
Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Line Plans/ Stamps/ Sticker
ch Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Planning/Zoning lssues
Llzb"3a
Description & Summarv:
i>-zz, Fla I,/J
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road rmpact Fees nz4er// F/-S
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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Soils Report
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