HomeMy WebLinkAboutApplicationGarftcld County
Communlty Development Department
l': r" ' .tQfl,lt Street, Sulte tl01
Glenwood Springs, CO 81601
0EU l7 ?0t{70)vlsa2t2W
Unit -MAXIMUMSIZEOF FEET
BUILDING PERMIT
APPLICATION
DemolitionCommercial/Multi-Family
Manufactured Home orTiny Home (Single or Mu Iti-l-evel)r ReroofDuolex or Townhome)
Aeraccnnr l.lrwcllinc I lnit lAlll ll 1.200souARE
'Residential (SF,x
Malllng Address: -
Emall Addrest:
Maillng Address:
Email Address:
Phone: tQlor Q4b'QL?L
LLEmail Address:
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Phonc:,gn 6t6qaqo
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Phone:
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Phone:o IJrrJ E-e-.
Architect:B rza> J.,rr-*n-J
Manufactured Home lnstaller:Ntn Phone:
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4izrtt Lxw"<rv^)Engineer:
C.ontractor:
B3
MailingAddress:
Email Addressl J otISA^,
MailingAddress
Emall Address:
Prop€rty Owner:
MaillngAddress:tbL L),
Describe Work:Ll E il 1' JG t*. Ft*,tu v llJ{ rbil CI
Job Address:4 t4 RrJtQ 9*Llt- (-A.J E
Assessoy's Parcel Number:??13 ?zto 5-to
w lQ elock. f:
OwneCs ValuatiOn of Wixk:6 Property Slze (Sq.
Sq. Ft. of Bullding:Height:L*all(- f of Floors
Class of Work;
n orxresl:1!!1fufu!
Garage:
nuq h,5
Remodel/Alteration
Detached
L
Community
Electric Other I
Permit f:
Aulhorlw.This application tor a Euilding Permit must be signed by the Owner of the property, described above,
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.
Lcnal Acccss. 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 Permlts. 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 Permlt. 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 afiler commencement.
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 (submittalsl, 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 subiect 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
sttucture(s) and facility(ies), descrlbed above, are not in compliance with County Regulation(s) or any other
applicable law.
I hereby Srant 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) requlring
the correction of errors in the submittals, lf 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 liability by the €ounty 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 aBents, including without limitation my architect designer, engineer and/ or builder.
I hereby ackno$rledge thet I have read and underrtand the Notice end Certiflcation above, or wcll os, havo
provlded the required information which is correct and accurate to the best of my knowledge,
u
M I e '1c!,LU<l:L-6'2oL 45ta,*k t
Propeny Print and Sign Date
Septlc:
Type ol Heat:
Drlveway
Permat:
l[-1t,.oo"n"
Gas
s@ qttal)pl Q/l/b / ftAVSSpecial Conditions:
Adlusted Valuatlon: ,$bsz,9ta.tf Manu. Home Fee:
a
Mlsc. Fees:
<tFtrB>82.7a;
Total Fdes:3.q7+.qr A"Due:OWTS No:
'oo(9)l'lb ocCGroup: KA ,""t.rrrypo
[p* E,E' \
bulrorrue / prn*Nrl{.t-3-tu2
Signed Approval Date
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DrvtsroN: