HomeMy WebLinkAboutApplication09/04/2015 11:06 FAX 9709257341
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G dield County
AS
��,�F1E�- d�`O fl���# nunity 108 8'1' Street,nent 5ulte 401 Department
);vI�1l�N�� Glenwood Springs, CO 81601
(970) 9115-8212
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_. P. 1 Ub—dn—!615
. TYPE OF CONSTRUCTION
❑ Conlrnercial/Multi•Family f ❑ Demolition
1❑ Manufactured ]•Ionic (Singie or Multi•Level}
Res dential (SF, Duplex or Townhome} I 0 Reroof
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I INVOLVED PARTIES
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Property Dw„cr: �� '�, jar..' S, a c' C.4'4; Phone: y r17o rC'7 f'7 ) 3
Mailing Address: :::)1 3.
Contractor: (11 )6,N. 11.11 •-i ''s�
Mailing Address: er 7/ a 5 Iir'
Architect' - rtf/rf
Mailing Address:
ki) ? '%iS 1�tr7��s lr , Cc) Y%
Phone: ( 9• to j 9-15 —9&;
r �
Phone: (
Engineer: _ Cr'vs.r) �,� •.t rc f' Y
Mailing Address: i� C (14-x- /75—r. Vrr)..l _. i'!>., VY073
Phone:( rf;$) '79-'555
Manufactured) Fialite Installer:- I'di 3, /2. VI"
Mailing
Mailing Address; AY odic. . (c7 i/ cI/
Phone: (q1 i'6') • .37 02
PROJECT NAME AND LOCATION /` // ��/ (/
Describe Work; Ali u �.. TLC /71,+F/,. rn. /'��rnC f7� Z+C ,G, 41 f�iN7 •r `•1
Job Address: (.'L,,c_k
Assessor's Parcel Number: 77-A72 Cr-OnSub. :ekslusete _ Lot , Black
Owner's Valuation of Work: $ /67,36'Z. Property Size (Sq. Ft. or Acres): ID• S.? col /1c.
Sq. Ft_ of Building: / Height: /'1 'Ca I. N of Floors: /
[lass of worn! I %new ❑ Atter;,tion j ❑ Addition 0 Repair 'I 0 Move/RI-location
i
Detached
Garai;e: 1 0 Attached ❑ `_.._..�_..........•--,.......
Septic:
L
Type of Float:
Driveway Pnrmit:
IOWTS 0 Community
❑ Natural Gas I g Prppane 0 Electric I 0 Other
O fxartlpt _I...- -i•• 0 Permit 11:
0 004/005
09/04/2015 11 07 FAX 9709257341
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NOTICE
Authority, ipillir..,l ton fora hu (ding Permit rni sr Ire Signed by the Owner of the property, described above, or
a�rp,orl:t:dr agent. I: rile signature below is nor llat of the Owner, B separate letter of authority, signed by the
Owner, re est be provided with this App !cat o i.
is al Access. A Building Permit cannot he'ssued without proof of legal and adequate access to the property for
purpose at inspections by the Building D'elsinn
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 alcove, G g. state or County Highway/ Road Access or
d state Wes. evrater Discharge Permit.
Vatd Permit. A ;)uiirline Permit becomes null end vo'd 'f 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
i hereby ct rr ry that I have read this Application and that the information contained above Is true and corrccr, 1
understand that the Building Division accepts the Application, along with the plans and specifications and other
' data s,rbrn erred by me or on my behalf (sulenlrtuls), lased upon my certification as to acrtiracy. Assuming
completeness of the subm°ttals and approval of this Application, a Building Permit will be issued granting
nennission to roc, as fawner, to construct the structures) and faciflt.cs detailed on the submittals reviewed by the
lluildinK 0:vision. In consideration of the issuance of the Building Permit, I agree that I ,'red my agents will comply
wltl, proveauns of any leciernl, state er Ictal Iaw regulating the work and the Garfield County Buntline Code, OWTS
regu'ations and appll:eh e land use regulations (County Regulaton(s)). I acknowledge that the Building Permit
'nay 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.
!hereby giant permission to the Building Division to enter the property, described above, to Inspect the work. 1
further acknowledge that the issuance of rhe Building Permit does not prevent the Building Official from: (1)
't fl lrir Il,o ern n:alai, of errors In the subm'tr I , if a •y, discovered after Issuance; nr (2) stopping construction
nr use of the ttructure(s) or faui ty(ies) if such is In violation of County Pegulation(s) or any other applicable taw.
Itevicw of :I 1. Application. including suLrnitte's, and Inspections of the work by the Bullding 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 ocal laws and County Regulations
rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or
icttilrJtr.
I hereby achnowlcdge that 1 have read and understand the Notice and Certification above, as well as,
have pr viderl rhe rt. Haired information which is correct and accurate to the best of my knowledge.
eff
rty Owner Print and Sign
OFFICIAL USE ONLY
5pi:dal [with: Div,:
Adjusted valuation:
r34Z8.00
Total Feet.:
79/. 4
£t tJanck',:
25 ers 5Iv
7)•4' -Rote
1
µD
Plan Check Fee!15'.2 1
For,, Paid:
"St)
UCC Group:
BUILDING / PLANNING D'VI510N :
Pa 4 LEDD )
Permit Fee:
z37. 25 itpp. Ob
Manu home Fee:
Valiance Due:
e Ne:
Misc Fees:
39/.46_�F
� 2c.
Const Type:
OWTS No:
sir- 3513
Tonin
Sinned Approve;
�r-
Date
005/005
55
Garfield Caurrty
ui / o i flan Review Checklist
Permit Number: 62/t4_8-1S-70-
SEPr-8 ��- 38 73
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
N/A
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter— Manu. Homes
Nil
Soils Report
Planning/ Zoning
Property Line Setbacks
30 ft. Stream Setbacks
f Flood Plain
Building Height
N)A
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
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