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Home My WebLink AboutApplicationc::G Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION D Commercial/Mu ltHam ily D Manufactured Home (SF or Duplex) D Residential (SF, Duplex, or Town home) INVOLVED PARTIES I D Demolition f: n..tJL.~ ~ +ee { R"'"; l! (. nc. I D Re roof v Phone: ( q 7ti ) o Property Owner: D '\.,'-5-\-:y {,j D Q._ \ ~ Mailing Address: \? ~ r,0 y b '"?:> '7 a e'<l) Crhrs±( ~ . G :r . QI b i7 ' Architect: __________________ Phone:( __ ------- Mailing Address: ___________________________ _ Engineer: C' \ '1 ~ t ""Yb ~ <-rz..i ""::S Mailing Address: 17. "'1 t, LA l . 4 ~ 0 5 • Manufactured Home Installer:--....-~-------Phone: ( ________ _ Mailing Address: _ __:m~~.£...---------------......------- PROJECT NAME AND LOCATION I I Assessor's Parcel Number: 2.1213Y1tie?.o3 Sub. Lot Block Owner's Valuation of Work: $ _________ Prope rty Size (Sq.Ft or Acres): _ ... t ... 6....._ _ ___, Sq.Ft of Building: I S D 0 Height: #of Floors: _ __._ ___ _ D New D Alteration D Repair D Move/Relocation JZL.Detached Septic: DOWTS D Community Type of Heat: D Natural Gas D Propane D Electric D Other D Permit#: --------Driveway Permit: D Exempt NOlilCE 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. Vold 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. CERTIFIGATION 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. 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)). 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 informaf n nd accurate to the best of my knowledge. Ku..s.~ /-21-/~ Property Owner Print and Sign Date OFFICIAL USE ONLY ·- Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: Misc Fees: ~7. oo_a .-Z.67. 44-411. 45 -- Total Fees: 'eesPald: ~ Balance Due: ~: OWTSNo: 678. 8 9 578.15 1 "417E~ 35/,z) ~\)rJ. \00. Setbacks: DCC Group: Const Type: Zoning: rz / %~[lZ~ 5/!J J"/2-C-..:&1'?G d~~,> .;:i#~f BUILDING / PLANNING DIVISION : Signed Approval Dat~ / Building Plan Review 1 Description of Work: steel storage shed/detached garage Bin#: Location Address: TBD CR 285 SILT, CO Case Manager: David Banholomcw Pinn Case Number: BLDG-1 -15-8205 Parcel: 212734200303 Application Date : 01129/2015 Building / Engineered Foundation / Driveway Permit / Surveyed Site Plan fl// I Septic Permit and Setbacks / Grade/Topography 30% / Attach Residential Plan Review List / Minimum Application Questionnare NIA Subdivision Plat Notes /I// If Fire Department Review / Valuation Determination/Fees / Red Line Plans/Stamps/Sticker / Attach Conditions / Application Signed / Plan Reviewer To Sign Application / Parcel/Schedule No. IV/A 40# Snowload Letter -Manu. Homes /J/A' Soils Report Tuesday, February 3, 2015 Contacts Owner: Dusty & Amber Worley Applicant: Dusty & Amber Worley Applicant Phone: (970)379-9808 Em all: Planning/Zoning / Property Line Setbacks / 30ft Stream Setbacks / Flood Plain / Building height / Zoning Sign-off fJ/11 Road Impact Fees tv/fi HOA/DRC Approval / Grade/Topography 40% I Planning Issues I Subdivision Plat General Comments: /500 I/'/ /8.oo..: ~ :z 7 ooo-:- .1