HomeMy WebLinkAboutApplicationGarfield County
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ity Development Department
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108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www.garfieldcountvco.gov
TYPE OF CONSTRUCIION
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BUILDING PERMIT
APPLICATION
F Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
tr Rerooftr Residential (SF, Duplex or Townhome)
tr Manufactured Home or Tiny Home (Single or Multi-Level)
tr Demolitiontr Commercial/Multi-Family
E DetachedE[ RttachedGarage
tr Move/RelocationE RepairE AdditionE Remodel/Alterationp trtewClass of Work:
DescribeWork: R,^:l) tr'zJ ADl'-
rob Address: tq t S A/k A/[tL,si/+ oo q/lss
Assessor's Parcel Number: 91 7 q27 161 6A2
Sub..Sia ma l/,:s t t-ot J Block _
Owne/s Valuation of Work: $ t' ) ^ ^ * Property Size (Sq. Ft. or Acres):31"
sq. Ft. of Building: 3e28 Height: P I t g /r/tt # ot Ftoors: 2
PROJECT DETAITS
Manufactured/ Tiny Home lnstaller:Phone: { )
Mailing Address:
Email Address:
Engineer:Phone: I72d )? l?-.S?.i(r
Mailing Address t
Email Address:
Architect:Phone: $Zo )8te-/dts
Mailing Address:
Email Address:
Contractor: $a.vW I Phone: (_)
Mailing Address:
Email Address:
Property Owner:Phone:(gzo l L/8 -5703
Mailing Address
Email Address:
INVOTVED PARTIES
PROJECT DETAITS CONTINUED
Septic:E Community
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Prope Owner Date
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 bythe 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 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
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
or builderneer aa rchitect
Driveway
Permit:
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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. 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 andvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
Exempt E Permit #:
CERTIFICATION
NOTICE
E Electricfl PropaneE Natural GasType of Heat:E other
El owrs
Signed Approval
BUILDING / PLANNING DIVISION '7-lg-25htJtr#
Date
/RoOCC Group:Setbacks:.flnt'constrveTRo
WW-1s+t
Balance Due: -,2l3Vg.'t'Fees Paid: ^^$Qr)4.on'*"f;*Lll ffi:,q,0-+e,
,J'U,FEZg'ry2:i:vtl"'Adiusted Valuation:-
/bq- 0,4.E 5/{q*aMisc Fees:
letFSSP
Manu home Fee:
sPec a'""0;:;Z ota * t/ AND / 77A/1/S
{.1OFFICIAT USE ONIY I
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 81601
Tel: (970) 94s-8212
PL^AN REVIEWC HECKLIST
Permit No: E/48-O -?272
Building lssues
DU C*t af An7/retaa,
Pla n n i ng I Toning lssues
Surveyed Site Plan9€Ppor-*"-?zfg
Septic Permlt and Setbacks
Grade/ Topography 30%
Attach Residentiai'Plan Review'Ljst
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stam ps/ Sticker
&,#b
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building 'l{eigtrt
Zoning Sign-Off
Road .l.mpact.F€es
eruF
Engi.neered :Fou.ndatto n,k@tr-'2*222?
-/
-/
€FD
Grade/ Topography 40%
Planning lssues
Subdivision Plat-/3oz5/8
&rs,E,>,ttach Conditions
Application Signed
Parcel/ Schedule No
-<40# Snowload Letter - Manuf. Homes
a
Descri otion & Su mmarv:
Energy Compliance Path/Plan Received
/' Plan Reviewer to Sign Application ot6x AZ =
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Soils Report
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