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Home My WebLink AboutApplicationGarfield County \.)\'~ ' G :-+ t:LJ ,_v .~ 1 c,O>mmunity Development Department ..... ~\\.\\<ii' De. t. -108 81h Sreet, S.lite 401 Genwood E.prings, CD81601 (970) 94~212 www .garfield-county.com TY'FEOF CDN srRJCTI ON 0 Cbmmercial/ M ulti-Pcmily 0 Manufactured Home (Sngle or Multi-Level) Ja' Residential (S:, OJ plexorTownhome) INVCl.V8) PARTI ES l o Demolition I D Feroof PropertyONner: .::TOJ/-A/ /:3 v hA/:Z .. /J5 Alone: (9"70 ) b 3-0 '-/& MailingAddress:~<" Eai-'7' /~ /l(.e5 r Cr C;t-/2.f?"'7AJ,Q/ll./; C& 91 ~ .J Omtractor: ,LEO //j/du ka..es Alone: flzo )210-II fJ 7 Mailing Address: ..-/; r CfJ (' ""75 Architect: ___ .....,....,«......,...1 ..... 4 ..... · _________ Alone:'~-~------ Mailing Address: _____________________ _ Manufactured Home Installer: · //9 Alone: ( --7~1V___,,LL.....,._.._ ___ ~ ~-J~----- Mailing Address: _____________________ _ ~NAMEAND LOCATION DescribeWork:/2-e&'h'j G~1t/Jfj e E/2rJtn (Jf~;-51~ S[/Jlj!l/2 4.A/O cv-,i,~n1j!'f Z1J Z in y Le.ve-/ - .bbAddress: ve/9-'f:-s Asses&>r'sParcel Number: ~(?t/l lfbD SJbf{2.o 1,/3 /2.J{} <5-E wtlt/'3 Block ONner'sValuation of Work:$ .-z../, :J_sP,OU Property Sze (9:1. A. or Aaes): '._)) r/ 8:1. A. of Building: E/7Z ~ Height: #ofAoors: Z P!tlS t31l>rz Oass of Work: O New D .AJteration D Addition ,)( Fepair o Move/Felocaion Garage: Attached D Detached ~tic: D ONfS _,X Cbmmunity Type of Heat: JS(Nat ural <?as D Propane o 8ectric D Other Driveway Permit: O Bcempt o Permit#. _____ _ Authority. This application for a B.Jilding Permit must be signed by the Ovvner of the property, des::ribed above, or an authorized agent. If the signature below is not that of the 0.Vner, a separate letter of authority, signed by the O.Vner, must be provided with this Application. !..sqal Aa::ess. A B.Jilding Permit cannot be issued without proof of legal and adequate acx:ess to the property for purposes of inspections by the B.Ji I ding Division. Qher Permits. Multiple separate permits may be required : (1) Sate Bectrical Permit, (2) Cbunty OMS Permit, (3) another permit required for use on the property identified above, e.g. Sate or Cbunty Highway/ R>ad Access or a Sate Wastemater Discharge Permit. Void Permit. A B.Jilding Permit beo::>mes 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 aft er commencement. I hereby certify that I have read thisApplication and that the information oontained above is true and correct . I understand that the B.Ji ldi ng Division acxiepts 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 acruracy . Assuming completeness of the submittalsand approval of this Application, a B.Jilding Permit will be issued granting permission to me, asO.Vner, to construd the strudure(s) and facilities detailed on the submittals reviemed by the B.Jilding Division. In consideration of the issuance of the B.Jilding Permit, I agree that I and my agents will oomply with provisions of any federal, state or local law regulating the work and the C?srfield Cbunty B.Jilding Cbde, ONTS regulations and applicable land use regulations (Cbunty Fegulation(s)). I acknowledge that the a.ii I ding Permit may be suspended or revoked, upon notice from the Cbunty, if the location, construdion or use of the strudure(s) and facility(ies), des::ribed above, are not in compliance with Cbunty Fegulation(s) or any other applicable law. I hereby gant permission to the B.Jilding Division to enter the property, de&:ribed above, to inspect the work. I further acknowledge that the issuance of the SJilding Permit does not prevent the B.Jilding aticial from: (1) requiring the correction of errors in the submittals, if any, dis::overed after issuance; or (2) stopping construction or use of the strudure(s) or facility(ies) if such is in violation of Cbunty Fegulation(s) or any other applicable law. Feview of this Application, induding submittals, and inspections of the work by the SJilding Division do not constitute an acceptance of responsibility or liability by the Cbunty of errors. omissions or discrepancies. As the Ovvner, I acknowledge that responsibility for compliance with federal, state and local laws and Cbunty Fegulations rest with me and my authorized agents. induding 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 whidl is correct and accurate to the best of my knowledge. ~1112~ JJE s -2-1-;S-Pro~ Print and Sgn Date ~~GlAll-~"t -... ~--~..----~:.<;"~ -.. - --·--· -----..• -&lecial Cbnditions: Adjusted Valuation : Aan Check Fee : R!rmit Fee: Manu home Fee: Misc Fees: '21 ~50.ai t,~1". 0' 3~.1S ---, Total Fees: Fees Paid : Balance~: BP No · OllfTSNo: )1-(e. 2-(p 51<t-U, Mt---3ll~3 Sat backs: O::CG'oup: , Cbnst Type : Zoningp U.J) 0/A .:i:JZ.C-1 JZ.(., BUILDING/ RANNI NG DIVISON : 1~~ 5/z-~5 6'ate l Building Plan Review Description of Work: foundation repair Bin#: Location Address: 81 WHITE PEAKS LN GLENWOOD SPRINGS, CO 81601 Case Manager: David Bartholomew Pinn Case Number: DLDG -5-15-8318 Parcel: 239512418143 Application Date: 0512 112015 Building ___ / ___ Engineered Foundation --~ .... t_lt __ oriveway Permit __ ,..... __ surveyed Site Plan __ ._ __ Septic Permit and Setbacks Grade/Topography 30% / Attach Residential Plan Review List / Minimum Application Questionnare / Subdivision Plat Notes fV/11 Fire Department Review / Valuation Determination/Fees / Red Line Plans/Stamps/Sticker / Attach Conditions / Application Signed 7 Plan Reviewer To Sign Application / Parcel/Schedule No. IJ/A 40# Snowload Letter -Manu. Homes /V//I Soils Report Thursday, May 21, 2015 Contacts Owner: John B Richards Ill Applicant: John B Richards Ill Applicant Phone: 970-704-6113 Email: Planning/Zoning __ N-+-f _A __ ,Property Line Setbacks 3 Oft Stream Setbacks Fl ood Plain R uilding height '7 oning Sign.off oad Impact Fees ,. H OAIDRC Approval G rade/Topography 40% I anning Issues ' ~ -----Subdivision Plat General Comments: ///f /u,1 /;Pf// ;J' z~ 7so .gt;. ~ >JA./?;;?tl;fecl 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 person having written authority from the owner to act as their representative . Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand and will abide by the requirements of this checklist. ---S--2-/-/5 Date