HomeMy WebLinkAboutApplicationGarfield County
REOEIVI£lgmmunity Development Department
108 8th Street, Suite 401
DEC 2025 Glenwood Springs, CO 81601
•ARFIELD COUNTY (970) 945-8212
OMMLJNITY DEVE Lop M EMLvw.aarfieldcou ryco.gov
TYPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home or Tiny Home (Single or Multi -level)
Residential (SF, Duplex or Townhome) Reroof —
I Accessory Dwelline Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET _
INVOLVED PARTIES
}--t r P ( I�.
Property Owner: Phone:(
�a �
Mailing Address: jD �t �''`�� ° ' �'Ur
Email Address:
'
Contractor: ti�1 �a1 1�1 P� 7 _ Phone: (0 U 1 —01 Z
t
Mailing Address:
Email Address
Architect:
Mailing Address:
Phone:
Email Address: — y�
Engineer:
Phone:`' I
Mailing Address:
Email Address:
Manufactured Home Installer:
Mailing Address:
Email Address:
PROJECT DETAILS Y
�Describe Work: t4
Job Address:
Phone: ()
Assessor's Par II lumber: �l `) 2�
Sub. '� �00:t Lot AZ_ Block
Owner's Valuation of Work: $�
L �, <, Property Size (Sq. Ft. or Acres):
-fol
-�
Sq. Ft. of Building: r Height: 5 `r► # of Floors:
Class of Work: New Remodel/Alteration Addition
ttached Detached
Garage: --
W1
PROJECT DETAILS CONTINUED
Septic:
I/[0 WTS
Type of Heat:
�lvatural Gas ❑Propane
Driveway
215x`e mpt
Permit:
❑ Community
❑ Electric ❑ Other
❑ Permit #:
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. If 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.
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
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. In
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 (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 well as, have
provided the required information which is correct and accurate to the best of my knowledge.
4v - - Date
roperW Owner P/int a Sig
OFFICIAL USE ONLY �l�p
Special Conditions:
see���
Adjusted Val a,.,tion: Plan Check Fee: Per .® it Fee: �Manu. Home Fee: Misc. Fees:
2
111123� % fo .�— R I FD
Total ees: Fees Paid: OS Balance D e- P No: OWTS No:
1. 56.17,9_q
Setb cks: OCC Group: Const. Tyt: Toni
BUILDING /PLANNING DIVISION : 12-3
, � 1
Signed Approval Date
EC�G�ar�fieldCounty
BUILDING DEPARTMENT
108 Eighth Street Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Building Issues
Permit No: L12F,7- /2.-25� 9�20
Planning/Zoning Issues r
F.r.g np-rP_.d.FL)jjndation
Driveway Permit( iGTru,
Surveyed Site Plan
n 60>7--14 z 5
Septic Permit and Setbac s
Grade/ Topography 30%
Attach Residential Plan Review List
.f Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
(A144740Z r�
Energy Compliance Path/Plan Received
10�2� rr0 fir 'Palm
Plan Reviefver to Sign Application
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
ui'iding'rieig'ht
Zoning Sign -Off
EE� R-0-a d .1 m-p et.Fpes
Grade/ Topography 40%
Planning Issues
Subdivision Plat
�esa� 77��7
lq l F
®escri tiara � Summar ��-
��s iV 2zel6r. 1-710
� 1X �Z = 1�7�2,�
oD
Parcel/ Schedule No. �'� a � ��
_ 40# Snowload Letter— Manuf. Homes .9
Soils Report