The URL can be used to link to this page

Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81501 (97Ols4s-82L2 www.ga rfi eld-cou ntv.com SUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION tr Commercial/Multi-Family tr Demolition I Manufactured Home or TinV Home (Single or Multi-Level) tr Residential (SF, Duplex or Townhome)tr Reroof tr Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOIVED PARTIES Phone: ,7/0 ,JZ7'' AY/2 &. Email Address Property Owner: Mailing Address: Contractor:Phone: ( ) Mailing Address: Email Address: Email Address: Phone: (_)Architect: Mailing Add Phone: aMailingAddress: Phone: r&Zt gff, - guaT p& /2a-3672 Engineer: Manufactured/ Tiny Home lnstaller: EmailAdd Mailing Address Email Address: PROJECT DETAITS Assessor's ParcelNumbert 23 7l.ZO 48e .Z fl 2t F- 6,rV 1v -L Describe Work: 6/623Job Address: / 'J) 4arrJ / /1 t*TT*Adz*J Size (Sq. Ft. or Acres):Owner's Valuation # of Floors:Sq. Ft. of Building: Sub.Lot / Block ! ruew E Remodel/Alteration E Addition E Repair tr Move/RelocationClass of Work: E DetachedGarage-d Rttached Bq */ PROJECT DETAITS CONTINUED Septic ! OWTS E Community I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the requi red information which is rate to the best of my knowledge. br 3-to-5 Property Owner Print and Sign Date E Propane D Electric E otherType of Heat:B Natural Gas 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 Discharge Permit. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. NOTICE E Exempt E Permit #:Driveway Permit: lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. lunderstand 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 thatthe Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use ofthe 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 bytheCountyof errors,omissions,ordiscrepancies. AstheOwner, lacknowledgethatresponsibilityforcompliancewith 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 OFFICIAL USE ONLY \-\\ - Special Conditions: 6ee attarJel /T/ANS Adiusted Valuation 12Q t7P Plan Check Fee:n6L50 Permit Fee'- /I166.t'r1AU'trO Misc Fees: RttrEED lZ.ZXa fotai-r/es:g30nb6 'nm"oo Balance Due; .' I qDz bb BP No:BLMFlNI OWTS No: / 5-zArqla& Setb-acks: efi oCC Group: RO ,""t rr'"tlp.A t"H$ Signed Approval *L% Date BUILDING / PLANNING DIVISION Gnrfaeld Coun$t BUILDING DEPARTMENT 108 Eighth Street, Suite 401", Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REV IEWCH EC KLIST permit No: 6wF-03_e}_q e l Building lssues ome on nl Plan ning/Zoning lssues e// I ar Property Line Setbacks 35 ft. Stream Setbacks Flood Plain 'Building Height nrng ra tLh Planning lssues exdu IA ,?,Fr{h*^;2r?;^?r!22 Jsu rveyed Site Plan -/ -/ Grade/ Topography 30% Attach Residential Plan Revievu list Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signedowft Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication Parcel/ Schedule No. '-/ 40# snowload Letter - Manuf' Homes Soils Report wurun)ee de.d, q b9@, 17 AL8 TrimarTWilenu/ Subdivision Plat Descript ion & Summarv: I -/ 1I 2204 trLS rno/ular c,ndu EanF-ql4 e #/m 2u4b,,*,Q'ni b^stj,ah r tl"/ f zz! zordeg OPtrN-HOLE SOII-S REPORT IS REQUIRED AT FOOTING |N$PECTIAN e,ona-.PSF hmpach'ontreprt fuefrn*fr// + tgoort a/-LacAg/ ^2,-,, z _/;rp, #32-:#'5Vbao