HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
t08 8th Street, Suite 401
Glenwood Springs, CO 81501
f rA1, .,! 'r 4n,jr. (9701 945-8212M/\l | .j llNl-"}''' www.garfieldcountyco.gov
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INVOTVED PARTIES
BUILDING PERMIT
APPLICATION
DemolitionCommercial/M u lti-Fa mi
Manufactured Home or Tiny Home (Single or Multi-Level)
_rt-rResidentialor TownhFDu Reroof
Dwelli Unit (ADU)- MAXIMUM SIZE OF 1,200 FEET
EmairAddress: A ha"tc,lrs &*(re.Ec/*rc eCtulX .Ln
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Phone:170{rt?, L
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f7 6 {q,2Property Owner:
Mailing Address:D -\,'(+C ft/s-L
Sa"*t'e
5c,rc-
Phone: 1-_1 E1G 512(
Mailing Address
Email Address:
Contractor: OtrVCf
LLtr oq,K S+ Sl.^^b""+ C ga4a7
s Phone: ( )Architect ou+
Mailing Address
Email Address:
J*'t''Phone: ( )Engineer:
Mailing Address:
Email Address:
Phone: ( )Manufactured Home lnstaller
Mailing Address:
Email Address:
Class of Work:New Remodel/Alteration Addition
Garage Attached Detached
PROJECT DETAILS
Describe Work:e)ol;la'v + r,Qrl.. (,,^I t 0."1
Job Address:{
Assessor's Parcel Number:
Sub.
e2
Iot Block
Property Size (Sq. Ft. or Acres):Owner's Valuation of Work:
Sq. Ft. of Building:{Height:f of Floors:_
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:rlNaturalGas Propane
Community
E lectric Other
Authoriw. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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 nurll 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
unders[arrd LlraL Llre Buildirrg Divisiurr aucepts Llre AppliuaLiorr, alorrg wil-li the plans and specificatiorrs arrd 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) anci faciiities cietaileci on the submittais revieweci by the Buiiciing Division. in
consideration of the issuance of the Building Permit, I agree that I and my agents will comply with provtstons 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
ennlinehlo lerrr
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, ifany, discovered after issuance; or (2) stopping construction or use ofthe
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 designer, engineer and/ or builder.
Driveway
Permit:
NOT!CE
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the req uired info
Permit #:
o
which is correct and accurate to the best of my knowledge.
t-8-2{
Owner Print and Sign Date
OFFICIAT USE ONtY
spe'a*ono"'on"
sre, athclea &lv D i n on/S
Ali..-.^J rr^1.,^.i^-.AqtuttEu Ydtudttptt^
,6p.14J4. oo "272y,'&7 '"i;Eil:le *"""t7Y"'*'XJ?
'"Yifrao el Et#'oq ,?}TF,Yg BP No:
FmEqOqa
OWTS No:
Setb5cks OCC Group:tt2/,,""tt.rve"j pC zoniR
Lil,7f/u b-425
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BUITDING / PLANNING DIVISION :
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Gwrfuld County
BUILDING DEPARTMENT
lOB Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVI EW CHECK LIST
BtKE-o€'e*?e/6Permit No:
Building lssues
./
/
-/
-/
OPEN-I.|OLE SOILS REPORT
IS REQ UIRED AT FOOTING
Engi.neered Founda tio.n
Permit
Attach Residential Plan Ret4evu l-ist
./ subdivision Plat Notes
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NA s^3,93^,H"r
inimvt-S
Planning/Zoning lssues
erty Line Setbacks
35 ft. Stream Setbacks
Flood Plain
uilding Height
f crade/ Topography aO%
//
/-
Description & Summarv:
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
trLs /4g x /01,,/5--//4//?'
ucP/d qM X lg = 72 W,oa
blfl bo
Planning lssues
Subdivision Plat
.TWI-tachconditions
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