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Home Phone: Property Owner: Cell Phone: Mailing Address: Email: City: State: Zip: Zip: State: City: Applicant/Contractor: Park County License No: Home Phone: Mailing Address: Cell Phone: PARK COUNTY DEMOLITION PERMIT APPLICATION PO Box 517 Fairplay, CO 80440 [PHONE REDACTED] email: [EMAIL REDACTED] Please Type or Print Legibly Date Received: Parcel No (www.parkco.org): Project Address: Legal Description: Subdivision: (Name) Lot: Block: Filing: Unit: Township: Range: Section: Initials Checklist of required information for a Demolition Permit 1. Please submit a completed Demolition Permit Application from the Building Department. 2. Copy of the recorded deed showing current owner. 3. A plot plan approved by the Park County Planning and Zoning Dept. indicating the location of existing and proposed structure(s) to be demolished (See page 4. A floor plan showing where and what is being demolished. 5. Submit in writing the method of disposal for the materials resulting from the demolition. Materials must be removed from the property within 14 (fourteen) days of the date of demolition. 6. Asbestos report from the State of Colorado. 7. $100.00 Fee I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give the authority to violate or cancel the provisions of any other state or local law regulating construction, the performance of construction, zoning or sanitation requirements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Applicant/Contractor Date Property Owner Date ---PAGE BREAK--- Schedule Number: SECTION A. PLANNING & ZONING APPROVAL 1. Please include a plot plan at a common engineering scale showing: a) The name of project, project address, a north arrow, and preparation date. b) The location of the driveway, roads, rights-of-way, access easements, and any parking spaces, including ADA parking, if the project is for commercial purposes. c) Location of the septic tank and leach field. d) The location and dimensions of all existing and proposed structures. e) Distance between all existing and proposed structures. f) All setback distances from each existing building(s), proposed building(s), septic tank, leach field, and well to all property lines (measured at 90°). g) Property line dimensions. h) Overhead utility lines. i) Propane tank. j) Any watercourses or wetlands (see the National Wetlands Inventory). 2. A recorded and current Warranty Deed showing the full legal description of the parcel. If there are multiple names on the current Warranty Deed demonstrating ownership other than in “Joint Tenancy”, all other owners on the deed must either sign this application or provide a notarized letter of authorization stating approval for the project. If the property owner is an entity other than a person(s), supporting documentation to verify who is permitted to sign for that entity will be required. 3. Deed Requirements: • Agricultural zoned parcels less than 35 acres – a warranty deed prior to June 1, 1972 is required. • Properties not in a subdivision less than 35 acres – check for legal lot creation. 4. If the application is for a Retail or Medical Marijuana Establishment, please attach a copy of the applicable State and County Licenses. Office Use Only: o Owner name: o Deed reception Type of Tenancy: o Statement of Authority or Add’l Deed Info: Mapping Research: o Address Verification: o Zone District: Acreage: o Fire District o Ridgeline: o Floodplain/Wetlands: o Historical Review Comments: Additional Research: o Accela Conditions: o Plat Review Comments: o Certificate of Occupancy o Notes: Type of Permit: Approved by: Date: PARK COUNTY DEVELOPMENT SERVICES – DEVELOPMENT PERMIT APPLICATION Page 3 of 8 ---PAGE BREAK--- 01/10/2023 KS Park County Building ---PAGE BREAK--- 01/10/2023 KS Park County Building Are you Remodeling, Renovating or Demolishing? Please Note: A demolishing, renovating, or remodeling permit cannot be issued without a State Inspection. Before any remodel, renovating or demolishing permit is issued by Park County, the Contractor or Home owner must call the Colorado Department of Public Health and Environment (C.D.P.H.E.) at [PHONE REDACTED] and ask for an Asbestos Inspector. The Asbestos Inspector will inform the Contractor or Home Owner about testing requirements and require that they send an inspection report to (C.D.P.H.E.) verifying that they got an appropriate inspection. Then the (C.D.P.H.E.) will email the Contractor or Home Owner in regards to their property. Once the division is in receipt of the proper documentation for the referenced property, indicating that either no regulated asbestos materials will be impacted during the planned renovation, or yes, there will be abatement. This documentation will be necessary in submitting the Park County building permit application. For More Information, please contact: Asbestos Compliance Assistance Group Asbestos and Demolition Permit Coordinator Phone: [PHONE REDACTED] Fax: [PHONE REDACTED] All asbestos abatement and demolition permit application forms are available through their web site or by calling the asbestos program.