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Home My WebLink AboutApplicationf, C Garfield County Community Development Department :ciEP 2915 108 81h Street, Suite 401 Glenwood Springs, CO 81601 GARFIELD COUNTY (970) 945-8212 )MMUNITY DEVEL PG."L www.garfield-countv.com TYPE OF CONSTRUCTION BUILDING PERMIT APPLICATION ❑ Commercial/Multi-Family 0 Demolition ❑ Manufactured Home (Single or Multi -Level) O Residential (SF, Duplex or Townhome) ❑ Reroof INVOLVED PARTIES Property Owner: `fi" ' GL-wtti 1..11 Phone: (R70 erg, a7,,71.1 Mailing Address: -14D f1- i , I --- CO Contractor: T1 Pf IC.g14� Mailing Address: q 'lee? C_2 2.5'2 % l f:::/ { Architect: N2 - Phone: ( 97, 0) 0-71 6025 Phone:( ) Mailing Address: Engineer: )0)4__ Phone: ( ) Mailing Address: Manufactured Home Installer: Phone: ( ) Mailing Address: PROJECT NAME AND LOCATION t Describe Work: ( n&5 s fi O4 , c e CJ -d t 5 4+ C- rikrz e Job Address: a M 0 \-0 IM Assessor's Parcel Number: 11 O9 lOtt1 Sub.5 1 I S & Lc-tE f r1'Blo -Eti � Owner's Valuation of Work: $_ 1 to 00 Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: C{ Height: / 2,1 Class of Work: Garage: Septic: Type of Heat: O New Alteration 0 Addition 0 Attached ❑ OWTS O Natural Gas 0 Propane Driveway Permit: 0 Exempt if of Floors: O Repair 0 Move/Relocation ❑ Detached ❑ Community 0 Electric 0 Other O Permit #: NOTICE 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. Void 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. CERTIFICATION 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)). 1 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. 1 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. hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. 011 117/1 Property Owner Print and Sign Date OFFICIAL USE ONLY Spedal Conditions: Adjusted Valuation: g Z59. 2O Plan Check Fee: /08. 7/ Permit Fee: /6 7 25- Manu home Fee: ,--- Mist Fees: --- . Total Fees: -z7s.9& Fees Paid: 90.57 Balance Due: / P S. 45° BP No: OWTS No: Ea - bs Setbacks: f50/ R75 5/D OCC Group: ' S, /1„, 5/ Const Type: .= Z. 5 Zoning: C 1 - BUILDING BUILDING / PLANNING DIVISION :/fix-• //7 Signed Approval Date 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. Property •wner Print an Garfield County liaf evil Permit Number:/1jG CO - 9-/j ; 905- Building (07/3Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Nan Review List Subdivision Plat Notes 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 tetter — Manu. Homes Soils Report NJA iv/4 Planning/ Zoning Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Nj4 Road Impact Fees Grade/ Topography 40% Planning Issues N/A Subdivision Plat General Comments: 6,316 1/4/a/I-Xeri 8/.6/ 2719 - 5/ 62- (1 /60 ,r 57.6Z z- A g/259.20