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Home My WebLink AboutApplication.pdfI· cEi Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com OF CONSTRUCTION ommercial/Multi-Family £.--'--!.J....::_;_t--'----'--D_D_e_m_o_li_ti_on ___________ ----1 Manufactured Home (SF or Duplex) ~al-{SF, Duple x, or Town home) 0 Reroof INVOLVED PARTIES Property Owner: ~...._ f [ ~ Yh.b 0-.c.l Phone: (a i 3 oCf ~/((. Z Mailing Address : ~:i :I 5 r(') ". -i ·£ ~ ~ c..Jl _-i ~ b X"[~) L I Contractor: G>uu J..Je f2-Phone:( __ ) Mailing Address : Architect : fl}~ I Phone:( __ ) Mailing Address: Engineer : !V i A-Phone:( __ ) Mailing Address : Manufactured Home l nstalle ~ /A Phone:( __ ) Mailing Address : PROJECT NAME AND LOCATION Describe Work: ~* r)_,( a re . 71-r \\{(:, c;, 0 ( 1'\,,' -\-\.0 '\/\,\A c). 11() K f A :/' ~ J Job Addre s~: , l)t?i /f> c~ 3 t/G ?c ~{ Co o t '='S "L- Assessor's Parcel Number: Sub. Lot --Block -- Owner's Valuation of Work:$ "53' 1 O"C> 0 Property Size (Sq .Ft or Acres): /,{) -f.-i4 CtrQ Sq .Ft of Building: :l..6J) cf Height: 2 1 #of Floors: Qn~ Class of Work: 13--New J 0 Alteration J 0 Additi on 0 Repair J 0 Move/Relocatio n Garage: 0 Attached µ l VJ-0 Detached Septic: OOWTS JJ (~ 0 Community Type of Heat: 0 Natural Gas J 0 Propane J ~Electri c J 0 Other Driveway Permit: l}'Uiempt 0 Permit#: NOTICE Authority. This application for a Bui lding Permit must be signed by the Owner of the property, descr ibe d above, or an authorized agent. If the signature be low is not that of the Owner, a se parate letter of authority, signed by th e Owner, must be provided with this Application . Lega l Access. A Building Permit cannot be issued without proof of legal and adequate acce ss to the property for purposes of inspections by the Building Division . Other Permit s. Multiple separate permits m ay 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 Hig hway/ Road Access or a State Wastewater Di sc harge Permit. Vo id Per mit. A Bui lding 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 o r abandoned for a period of 180 da ys after commencement. CERTIFICAT ION I hereby certify that I h ave read this Application and that the information contained above is true and correct. I understand that the Building Divi sio n accept s the Application, along with the plan s and specifications and other data submitted by me or on my behalf (submittals), based upon my certification as to accura cy. Ass uming completeness of the submitta ls and approval of this Application, a Building Permit will be iss u ed granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submitta ls r eviewed by t h e Bui lding Divisi on . In consideration of the issua nce of the Building Permit, I agree that I and my agents will comply with provi sions of any federal, state or local law-regulating the work and t h e Ga rfield County Build ing Code, OWTS regulation s and applicab le land use regulation s (County Regulation(s)). I ack now ledge that the Build ing Permit may b e suspended or rev oked, upon notice from the County, if the location, con stru ction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulatio n(s) or any other applicable law. I hereby grant permission to the Building Divi sion to enter the property, describ ed above, to in spect th e w ork. I further acknowledge that t h e issuance of the Building Permit doe s not prevent the Building Officia l from: (1) requiring the correction of errors in the submittals, if any, discove re d after issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation of County Regula t ion(s) or any other applicable law. Review of this App l icat ion, including submittals, and inspections of the work by the Build ing Division do not constitute an acceptance of respon sibi lit y or liability by the County of errors, om iss ions or discrepancies. As the Owner, I acknowledge that re sponsibility for compliance w ith federa l, sta te and local laws and County Regulations res t with me and my authorized agents, including without limitation my architect desi gner, engineer and/ or bui lder. I here by acknow l edge that I hav e rea d and under stand the Notice an d Certificati on above as well as h ave pr ovi ded t he required information which i s co rrect and acc u r ate to t he bes t o f my knowledge. Pro perty Owner Print an d Sig n Date OFFICIAL USE ONLY Special Co nditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee : Misc Fees: ~ ~4z .-ff 6 I 15~.z5 -- Total Fees: Fees Pa~ Balance Due: BP No: OWTSNo: z.sz , g-,6 P~. /6-Z . ~h ~L,-~.£, ~ ~311-- Se tbacks: 1 !Fz_{J!Z5,S/r> OCCGro up: VL Co nst Typ e: JZ=. !3 Zoning: R . ,d~ n~& BUILDING/ PLANNIN G DIVISIO N: Signed Ap p roval D~te ( Building Plan Review Description of Work: place a pre-fab Mor Storage Unit Bin#: Location Address: 5945 CR 346 SILT, CO 81652 Case Manager: David Bartholomew Plan Ca se Number: BLDG-9-14-8068 Parcel: 217917100157 Application Date: 09110/2014 Building / Engineered Foundation tl/A l Driveway Permit / Surveyed Site Plan t)A Septic Permit and Setbacks / Grade/Topography 30% tJ/fi Attach Residential Plan Review List I Minimum Application Questionnare f'J)A Subdivision Plat Notes /V)!t Fire Department Review / Valuation Determination/Fees / Red Line Plans/Stamps/Sticker 7 Attach Conditions 7 Application Signed / Plan Reviewer To Sign Application / Parcel/Schedule No. ;J/lt 40# Snowload Letter -Manu. Homes tJ/A Soils Report Monday, September 22, 2014 Contacts Owner: Paul Limbach Applicant: Paul Limba ch Appllcant Phone: (970)309-7162 Email: Planning/Zoning ___ / ___ Property Line Setbacks ___ / ___ 30ft Stream Setbacks ___ / ___ Flood Plain -----,7----suilding heighi ______ oning Sign-off __ /0~f_tf __ Road Impact Fees /J/A _____ HOA/DRC Approval / _____ Grade/Topography 40% I ____ _.Planning Issues / -----S'ubdivision Plat General Comments: J/4 J,t4 ftp1 (!'s,, u) ~ '/y Zf ,<?f~ 5 91t3 . .-- ,J 56 !/' ~ Z-f-, ~ ~~ I ~ 1-'/-. - NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official that additional information is necessary to review the application . and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The Permit Fee, as well as any Septic or Road Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by a person having written authority from the owner to act as their representative. I hereby acknowledge I have read, understand, and will abide with the requirements of this checklist. ~~ pc....__ I L'ML~J,~~"-"'J~'-. Property Owner Print and Sign Date