HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ol s4s-8212
www.ga rfieldcountvco.sov
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/M ulti-Fa mily Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)I Reroof
Dwelling Unit (ADU - MAXTMUM SIZE OF 1,200 SqUARE FEET
INVOIVED PARTIES
Property Owner:TO v.J vL0 J Phone: (1o
1
ztA' 61q-,
Mailing nauresr' 443 \
Email Address:r,^JpuuoJr5-1 At
1,1 f'-r ?r)Contractor:Phone t
Mailing Address:{I
Email Address r r t"a
Architect:Phone: ()
Mailing Address
Email Address:
Engineer Phone: (
Mailing Address
Email Address:
Manufactured Home lnstaller:Phone:)
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work:
lob Address:raLi,u'\=
Assessor's Parcel Number
Sub.Lot Block
Owner's Valuation of Work: S Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:Height:# of Floors:-
Class of Work New Remodel/Alteration Addition
Garage:Attached Detached
PROJ ECT DETAI tS CONTINU ED
Septic:OWTS Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
xempt Permit #:
NOTICE
Authority. 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.
Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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 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 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 (2lrstopping 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, includingsubmittals, and inspections of the work bythe 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 designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
rovidgd
il,"
p the required information ich is correct and accurate to the my knowledge.(5 J
Property Owner Print a Date
4
FJA ,2_
OFFICIAT USE ONLY \
Special Conditions
Adjusted Valuation:Plan Check Fee Permit Fee
\ crtr .Oc2
Manu. Home Fee:Misc. Fees:
iE6"'.oo
Fees Paid:\ooc)o Balance Due
-(h"*
BP No:
AnoF-qA3c
OWTS No:
Setbacks OCC Group:
TA-O ^
Const. Tvpetn(,'tXio
Signed Approval
5-l,as-
Date
BUTLDtNG / PLANNING DIVISION: