HomeMy WebLinkAboutApplicationGarfield County
}":{:Development Department
4F^ - 108 8th Street, Suite 401
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BUILDING PERMIT
APPLICATION
tl Commercial/Multi-Family tr Demolition
tr Manufactured Home or Tiny Home (Single or Multi-Level)
tr Residential (5F, Duplex or Townhome)tr Reroof
Unit - MAXIMUM SIZE OF SqUARE FEET
Propefi Owner:
Mailing Address:
Email Address:
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Mailing Address:
Email Address:
L\F) 6&Phone:Contractor:
Architect: B RAb Jofa..b4 J GI
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Phone:q7
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45aMailingAddress:
Email Address:
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Mailing Address:
Email Address:
Phone:A rT-P44+Engineer:
zv Lnn-ta(. tDescribe Work:
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Propertysize (sq. Ft. orAcrest: I t5A fyC
,ObSq. Ft. of Building:frof
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Height:LL'-b"
Owne/s Valuation of Work:s 154?o6 E,be
Phone: ( l
L, b37 U^?-t + Na;Crrsfq- Co 4ra +-7Job Address:
Manufactured/ Tiny Home lnstaller:
Assessor's Parcel Number:
Sub.lot 4 aloct
Mailing Address
Email Address:
Class of Work:l1 ruew tl Remodel/Alteration EI nddition E Repair tr Move/Relocation
Garage:[,Rttached E Detached
Permit:
PROJECT DETAI I.s CONNNUED
Septic:flowrs E Community
Type of Heat:E Natural Gas E Propane Electric E other
Driveway Exempt E Permit #
Authoritv. This application for a Building 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.
lesal 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 aftter commencement.
CERNFrcAflON
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 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 d or builder
I have read and understand the Notice and Certification above, as well as, have
'I
I hereby
provided the which is correct and accurate to the best
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Property Owner Date
OFFIOAT USE O'{LY
s@ ah&dUrttp/Va/1/sSpecial Conditions:
Permit Fee: --/.32/ /o Manu home Fee:
U llt Misc Fees:
RIFA/ED €?gL
Adiusted Valuation:
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BP No:
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'"WltD OCC Group:
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const Type: RO trff'
BUTTD|NG / PLANNTNG DtVtStON :
Signed Approval Date
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Gurfield Coanty
BUILDING DEPARTMENT
108 Eighth Street Suite 401,6lenwood Springs, CO 8L601
Tel: (970) 94s-8212
PLAN RE VIEW CHECKLIST
stxrtZ-2y'-?a7ePermit No:
Building lssues Plan ning/Zoning lssues
Qt>r rry'
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Grade/ Topography 40%
Planning lssues
Subdivision Plat
^::l#:-il.:'eF,7"4 Yk=Road rmpactFees PlF /1/ E>
ptic
bdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
d Line Plans/ Stamps/ Sticker
ttach Conditions
Application Signed Description & Summarv:
Energy Compliance Path/Plan Received trLS /Ze7x 748= ry,6/l
Plan Reviewer to Sign Application c3r lfus x a2
Parcel/schedule No.
40# Snowload Letter - Manuf. H
flrrVED f80
6 /056
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Gufield County
BUILDING DEPARTMENT
t08 Eighthstree\ Suite 401, GlenwudSptings, CO 81601
Tel: 070 945-8212
Property Ownerts Certificate of Compliance
Accessory Dwelling Unit (ADU)
The undercigned property owner certifies thot the attoched Building Permit Applicotion
for Accessory Dwelling llnit (ADUJ is in complionce with the following list of standords,
regulations and requirements fur ADIIs per Gorfield County's Lond Use & Development
Code.
1. Floor Area - Maximum floor area of ADU shall not exceed 1,2@ square feet.
e Measurement is from the inside of exterior walls and/or demising walls from the main
residence.
r Garages, exterior decks, patios, and stairs are not to be included.
r Laundry rooms and mechanical rooms accessed from spaces outside the ADU are not to
be included.
r Unfinished spaces are not allowed unless counted in the 1200 square foot limit.
2. Ownership Rectriction - ADU is restricted to leasehold interest (cannot be sold or subdivided).
3. ADU per Lot- A maximum of one ADU is allowed with a primary single-family home.
Properties with primary business structures and the Uses are allowed, a
number of ADU's explained in Section 7-7O!.A.4 of the LUDC.
4. Legal Access - Property Owner confirms legal access to proposed ADU as illustrated on site plan.
5. Water - property Owner represents that they have notified either: (a) their water supplier to
address additional tap fees (if applicable) or {b) State of Colorado's Division of Water Resources
to secure any necessary water rights to supply legal water to the ADU.
6. Sewer- property Owner represents that they have notified either: (a) their sewer & wastewater
provider to address additional tap fees (if applicable) or (b) alternately, if an on-site wastewater
treatment system (OWTS) is employed, limitations on the number of occupants using the ADU
shall not exceed maximum recommendations of existing/proposed septic system per State of
Colorado's OWTS standards.
7. A deed restraction must be in place to waive Permit Fees and Transportation lmpact Fees.
*pLEASE NOflE: This form witl be digitolty scanned into the Community Development Deportment's office records
irnd witlbe ovoitabte for publicview ond reference in ony future title seorches lor the subiect property.
I hereby read the preceding checklist and agree to abide by these
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Property Date
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