HomeMy WebLinkAboutApplicationGarfield County
r i i: rl Ej: !V€gtnm unity Development Department
108 8th Street, Suite 401
ila; i ;{ 4 .ifill Glenwood sprinss, co 81501
t, .!' "qrr;lti"' (970)945-8212
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BUILDING PERMIT
APPLICATION
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TYPE OF CONSTRUCTION
Manufactured Home or Tiny Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
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INVOTVED PARTIES
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Property Owner:
Mailing Address:
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Mailing Address:
Email Address:
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Architect:
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Mailing Address
Email Address:
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Email Address:
Phone: ( )
Email Address:
Manufactured Home lnstaller:
Mailing Address
owner's Valuation of Work: S- Property Slze (Sq. Ft. or Acres):
PROJECT DETAILS
Describe Work:
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JobAd
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Assessor's Parcel Number:
Sub.
0(Remodel/Alteration AdditionClass of Work:New
/AttachedGarage:Detached
PROJECT DETAILS CONTINUED
Septic:
ral Gas Propane
Community
E lectricType of Heat:
Driveway
Permit:
Permit #:
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 Dischargc 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 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 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
acceptanceof responsibilityorliabilitybytheCountyof errors,omissions,ordiscrepancies. AstheOwner, 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.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
information co rate to the best of my knowledge.
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Property Owner Print an Date
OFFICIAT USE ONI.Y
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30cl_5q0,1-
Plan Check Fep:ltl I0 .t+Permi\f,g,gtn7zl ?t7- /e Manu, Home Fee:Misc. Fees:
RIFNgD PI^NII
Total lfees:
5,5fu,47 i,iii.qs Balance Due:
Lt b/o, tl BP No:WF.ffit^s OWTS No: 'ffiggt*
Setbacks occ Group:
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BUTLDTNG / PLANNTNG DTVtStON :Cillrr%
Signed Approval
r-t3-25
Date
Garfield County
BUILDING DEPARTMENT
L08 Eighth Street, Suite 407, Glenwood Springs, CO 81601
Tel: (970) 94s-8212
PLAN REVIEW CHECKLIST
bLpE-/lz{-Bf/g Lo/'Permit No:
Building lssues Planning/Zoning lssues
Grade/ Topography 30%
ch Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
h Conditions
n
Parcel/ Schedule No
40# Snowload Letter - Manuf. Homes
Soils Report
4nuHP/q* qv2?07
4/FrVFb:
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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INSPECTION 75P
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OPEN.HOLE SOILS REPORT
IS REQUIRED AT F'OOTING
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