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Home My WebLink AboutApplicationGarfield Co1111ty Community Development Department 108 9th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com TYPE OF CONSTRUCTION iii'· Commercial/Multi -Family D Manufactured Home (Single or Multi-Level) D Residential (SF, Duplex or Townhome} INVOLVED PARTIES I D Demolition I D Re roof Phone: ( f'to ) t/56 -}5 9G t:o) Architect: _____ .........,_..__ _________ Phone:( __ , _____ _ Mailing Address: __________________________ _ Engineer: _______ ...L.:...y.:.:..;;..:.. _______ Phone: ( __ ------- Mailing Address: __________________________ _ Manufactured Home Installer: _ __,,_~-F"t-------·Phone: ( __ , ------ Mailing Address: __________________________ _ PROJECT NAME AND LOCATION Describe Work: klc.a.. /e_ JY':? h,/ <.. e.-o cc~ k/o :s ( l /k_ pq r/,_1/.}> /,.,-/ ot"' /k-/Jc5 lf-/Ar/1,o <, Ct?5/~vc,.(\--/ ?ob Address: ~I~ If •v 8',Z b. Wc>c;.-J r.'.r-.. CD Assessor's Parcel Number: .2_ 39 ? 0 7,2,o :Joo/ Sub. Lot J...... Block Owner's Valuation of Work: $ 1 (J ::J Property Size (Sq. Ft. or Acres): a. -g''{ A"" IP> Sq.Ft.ofBuilding: f5 .E J.f Height: J' #offloors:_._{ ___ _ Class of Work: D New D Alteration D Addition D Repair Move/Relocation Garage: D Attached ~'A D Detached Septic: OOWTS :?~./~v~ D Community Type of Heat: D Natural Gas D Propane Electric Driveway Permit: D Exempt }/,~ D Permit#: -' ... NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or I 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. CERTIFICA 'flON f---~ I hereby certify that I have read this Application and that the information contained above is true and correct. 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 Bu ilding 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 provisi ons 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 facillty(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 information which is correct and accurate to the best of my knowledge. ~n:!gf!/ ~1f48 t/t o//6 OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee : Manu home Fee: Misc Fees : J, 2 8 9. 57 31.14 +7.90 \--.J I n.. -- Total Fees: Fees Paid : Balance Due: BPNo: ' QWTSNo: 7?.04 ~ ;)o..,.50 15\J'O-l-1<11~ ~\} [). Setbacks: OCCGroup: Const Type: Zoning: I I I v<... :iZB C.Gt :r 50~ ~7.5, 51tJ • BUILDING / PLANNING DIVISION : /P .~~~ &/6 Signed Approval Date 7 '?o:'~ 'I\\} I (o Building/ ~oning Ppan Review Checklist Permit Number: ,&L-C O - / - / ( -f OZ CJ Building / ----Engineered Foundation "1/A Driveway Permit I _ __,__ __ Surveyed Site Plan --+---Septic Permit and Setbacks ---1---Grade/ Topography 30% ____ Attach Residential Plan 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 Letter Marni . I lmrteS" fJ/ 71 Soils Report Planning/ Zoning / Property Line Setbacks _ __..( __ 30 ft . Stream Setbacks / Flood Plain / Building Height / ----Zoning Sign-Off tf A Road Impact Fees General Comments: