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Home My WebLink AboutApplicationt ' Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 10\6 (970) 945-8212 JUN 0 2 www.garfield-countv.com 0 ~Manufactured Home (Single or Multi-Level) B"" Residential (SF, Duplex or Townhome) I a Reroof 1NVO.l;VE~ .. ~ARTi~$.: 1.'-' \:,_ -" . ' ... ··: . _-.\~ ~ !: : : . -.. t ~-. =·: t • -• ~ ~-~~·.:.· .;::· '. ·-~ . .'.~.~· ·:'.' ~-.:~ ; •• ; •• ; •. '::. : • :~ ... ~.~~J~~· ~:l~l~:~.:·J· :{.~·: ~ ~~ .. ·.~ ~: ... ~-. -. ~ ! ... ~. ;. : Property Owner: CJrfirle5 lo..W.sOV\ Phone: ( C(10 ) 3(nfo-\100 Mailing Address: 3~di V Q \f"C\ OJI\.\-w~ So..n Jo~~ CA qs\l1 Contractor: Fo~n.\\M "l?~eo.:..,,-o~ v.J~~-\e.Y-" Co\otado Phone: ( 'r70 ) aL.l a -a DCld. Mailing Address: a5'15 \-\\g~wa~ <o a."'d so lJv\H A ~v-a.htl ~ c. t-Co BloDI Architect: f\j If\ Phone: ( ) Mailing Address: Engineer: """Bn O.V\ \Zu..c-\--z_ Phone: ( C\10 ) q4S· t:,305 Mailing Address: 50\d (oU.M\~ Q.d l~L\ ~\enwcod 5ee.l"~s co 8l(oO\ Manufactured Home Installer: tJl~ Phone: ( ) Mailing Address: PR,QJEq. NAME:AND.. LqCAT:IOl'f -.. ·-.. ~ ... :_~-~-:~ ~-~~: ~ -~~ ~: 4: :<~~ >~··~--'·~. ,·. -~ . -. -.. ,. -.. -..• .. -'' Describe Work: "l< .e. ~a..l .f ~ u...V'da.. \-\ CJ(\ I Job Address: l~(o Wh\..\-~ ?Qo..\(s Ln ~\R~wocd ser\"'j5 co 8\bO\ Assessor's Parcel Number: ~acis-ra4-18-\3ct Sub. lro~\cr\05e. .su.h Lot l3q Block __ I Owner's Valuation of Work:$ ~5,000 Property Size (Sq. Ft .. or Acres): \S. 3\.\\ ~ Sq. Ft. of Building: ~otoa Height: #of Floors: \ ~ Class of Work: DNew j D Alteration I a Addition ISl'Repaf r I D Move/Relocation Garage: DAttached D Detached Septic: DOWTS D Community Type of Heat: D Natural Gas I D Propane I D Electric I 0 Other Driveway Permit: D Exempt 0 Perm.ft#: .. 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 Qr 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 ls suspended or abandoned for a period of 180 days after commencement. 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 submlttals 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 submlttals 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 Regulatlon(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 facllity(ies), described above, are not in compliance with County Regulatlon(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 BuUding Permit does not prevent the Building Official from: (1) requiring the correction of errors In the submlttals, If any, discovered after issuance; or (2) stopping construction or use of the structure{s) or faclllty(les) if such is In violation of County Regulatlon(s} or any other applicable law. Review of this Appllcatlon, Including submittals, and Inspections of the work by the Building Division do not constitute an acceptance of responslblllty or llablllty 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 lnformatio~ w~ »correct and accurate to the best of my knowledge. C/{t}-f{L.€5 1-.ffW.lOA./ ~ ~ ~-1f7-1,-D/(, Property Owner Print and Sign Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: 2 5 O(JO ~ td). 251-. 7 I 3 9 I -ZJ' Total Fees: Fees Paid: Balance Due ~ :/> <tl1i .:5 Setbacks: tf.A OCCGroup : :i::.f!c.. Date Manu home Fee: Misc Fees: ' I Date I .@: Gnrflcid coumy _J ~uilding/ Zoning f Ban Review Che'1ldist Permit Number: /JL,£'€ -06 -/6 -9 2 .5" 6 Building __ / __ Engineered Foundation /V,/A Driveway Permit ---t-Surveyed Site Plan --+-Septic Permit and Setbacks ----Grade/ Topography 30% / Attach Residential Plan Review list / Subdivision Plat Notes /V/4 Fire Department Review / Valuation Determination/ Fees / Red Line Plans/ Stamps/ Sticker / Attach Cond itions / Application Signed / Plan Reviewer to Sign Application __ / ___ Parcel/ Schedule No. JVl.I . 40#Snowload Letter-Manu. Homes #jlf Solis Report Planning/ Zo_ning f'l/ A Property line Setbacks --+---30 ft. Stream Setbacks --+---Flood Plain --+---Building Height --+---Zoning Sign-Off ---1---Road Impact Fees ____ Grade/ Topography 40% ---+--Planning Issues \ ----Subdivision Plat General Comments: /,Z_?OOO -,If'? ,sa}J#/;fecl ,,, r and/or plan~ fqr compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuan~e of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as, any Septie 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 repres!fntative. Builqing cannot b.e :occupied until a C~rtificat~ of Occupancy (CO) is issued . .Using the building without a CO will be considered an illegal occupancy arid may be grounds for vacating the premises.· (final/CO inspect1011 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. Property Owner Print and Sign Date