HomeMy WebLinkAboutApplicationGarfield Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www. garfi eld-cou ntv.com
BUILDING PERMIT
APPLICATION
TYPE OF CON5TRUCTION
Com mercial/M ulti-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET
PARTIES
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Property Owner:
Mailing Address:
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Contractor:Phone:
Mailing Address:
Email Address:l-ce
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Phone: ( g>q
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Architect:
Mailing Address:
Email Address:
Phonel { )Engineer:
Mailing Address
Email Address:
Phone: (_)Manufactured Home lnstaller:
Mailing Address
Email Address:
PROJECT DETAILS
Describe Work:
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Height:
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Lot
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Property Size (Sq. Ft. or Acres):
BlockSub.
Assessor's Parcel Number:
Owner's Valuation of Work: S
Sq. Ft. of Building:t 57t
Job Address
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sofFr
AdditionClass of Work:New Remodel/Alteration
Attached DetachedGarage:
PROJECT DETAITS CONTINUED
Septic:Commrrnity
Type of Heat:
I hcreby acknowledgc that I havc rcad and undcrstand the Noticc and Ccrtification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
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erJperty oilner Print and Sign Date
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Natural Gas Propane Electric Other
Driveway
Permit:
Exempt Permit #:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizcdagent. lfthesignaturebelowisnotthatoftheOwner,aseparatclcttcrofauthority,signcdby
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 Permit.
VoidPermit. ARr,rildingPermithecomesnLrll andvoidiftheworkaLrthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of L80 days after commencement.
CERTIFICATION
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 willcomply 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 herebygrant permission tothe Building Division to enterthe property, described above, to inspectthe work. I
further acknowledge that the rssuance of the Burldrng Permrt does not prevent the Burlding 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
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.
OFFICIAL USE ONtY
special conditions: t ! I I -/1 -n>x ./ Z\. ./-r .-a --,. n / Ceee Af,fu-Cbe1( c--s7vP i / /(_///-:>
Ae{ir rc+ad t/rlrrr+ian. -.
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Total Fey's:
ab+, /2 i"cri'po "EE\|ro trtitr-gors OWTS No:
Setbacks:OCC Group lRC Const,uib
U);,.*l- 16-25BUTLDTNG / PLANNTNG DTVtStON
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Garfield County
BUILDING DEPARTMENT
L08 Eighth Street, Suite 407, Glenwood Springs, cO 81607
Tel: (970) 94s-8212
PLAN REVIEW C HECKLIST
6tz=-tkz4*?ol5 3*Permit No:ia-
Building lssues
no L?Engineered Foundation
Driveway Permit
Planning/Zoning lssues
no As
M
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign ApPlication
Parcel/Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
inolbri)/K
Grade/ Topography 40%
Planning lssues
Subdivision Plat
6 artzt o
Description
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