HomeMy WebLinkAboutApplicationGarfield County
BUILDING PERMIT
APPLICATION
Community Development Department
10g 8th Street, Suite 4{11
Glenwood Springs, CO 81601
(9701 e4s-8212
www.ga rfi eld-cou ntv.qom
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Manufactured Home or Home or
Demolition
ReroofResidentialFor
Dwelli Unit (ADU) - MAXIMUM SlzE oF SqUARE FEET
INVOLVED PARTIES
Property Owner:
MaillngAddress:
EmailAddress:
Contractor:
I
Phone:
Phone:
Mailing Address: ,.
Email Address:r.
Architect:Phone:()
Mailing Address:
Email Address:
Engineer:Phone:
Malling Address:
Email Address:
Manufastured Home lnstaller:Phone:
Mailing Address:
EmailAddress:
PROIFCTDETAIIS
Describe Work:
Job Address:
Assessor's Number:
Sub.BlockLot
Owner/s Va of Work:
Sq. Ft. of Building:
Class of Work:ew
Property Size (Sq. Ft. or Acresf:
Addition
IGarage:Attached
Height:
Alteration
#of
Detached
?{{?\
PRO'ECT DFTAIIS COI{TIilUED
' Septic:
i ryp"ofHeat:
I
1 -.".---- - - --.- -
Gasuraat
Community
Eleiiric OtherPropane
Driveway
Permit:
Exempt Permit #:
J NOTICE
Authoritv. 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. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Othe.r Permits. Multiple separate permits may be required: (L) 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 1"80 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIF ICATION
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 cornpliance 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 architect designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as
provided the required information which is correct and accurate to the best of my knowledge.
well as, have
Property Date
IOFFICIAL USE ONLY
oeatta&ey'a/I/D/T/a/t/sSpecial Conditions:
Manu. Home Fee:Misc. Fees: ,
Rl-FE-itbr7abPlan Check Fee:/oa,oa ,WT"bSAdiusted Valuation:2g- 300. aa
qgu)BP No:
Vr 9E
OWTS No:Fees Paid:
lr-n oo 'ZPEi'bs'"'t7i,or
zryitg:\Aconst., RCuOCC Group:lReSetbacks;,nt*nt)a21
Signed Approval
BUILDING / PTANNING DIVISION:
Date
'r'f-L,.
Garfield CoaratY
BIJILDING DEPARTMENT
108 Eighth Street, suite 401, Glenwood Springs, CO 81601
Tel: (970) 94s-8212
PI.AN REVI EWCH ECKL rsT
ErR€-obd5-ry7y'Permit No:
Building lssues
/)D
Pla nni ng lZoning lssues
/et-b
*y
NA
.En"gj.nee.red .Foundatio n
Driveway Permit
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
/V e,ukn>retb ,///./lr4aw
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
'Bui'iding'i{eight
Zoning Sign-Off
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
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.@ Road rmpact Fe-es )' oef EL'9'
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