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Home My WebLink AboutApplicationGarfield County ~. :. Community Development Department ~-"-1 1 \l, 108 8th Street, Suite 401 ..-f' \l \ ~ ' Glenwood Springs, CO 81601 . . I\\\~ (970) 945-8212 \\'I~ " www.garfield-county.com :i~\\ ' \.\t - . ' . ~'-TYPE OF CONSTRUCTION D Commercial/Multi-Family I INVOLVED PARTIES Property Owner ?Cl~ <[ \: ~ L l""J' 1'} ]) D \ tt"" Phone: ( 1 "f D ) 2.Di 2...L-{ 2.. "3 Mailing Address: 3 :k-l e, l f2-. 2-\ L\ \ S" \~ \+ ( D -Zl/o~ 0------------- Architect: _________________ Phone:( __ ------ Mailing Address: _________________________ _ Engineer~UT s~.~ -Tf'\)S<!.f/~ -~ (_.. P~one: ( __ )____,,................,. __ _ Mailing Address: ~\j L S -\J 1t..!\\:-31 LvV""'\;)'if' -]<....\\'llt:..._.. " Manufactured Home Installer:-----------Phone: ( __ ------ Mailing Address: _________________________ _ PROJECT NAME AND LOCATION De~cri ~e Work: :).. L\ " j 2... \ r D ~ 'e_ ~V' ~ { B { C,I<. ~ ~~ (c'-'V"C~ t <'.?\)er h.1"1' 0 Job Address: "31-l2:, l-R 2-l L{ :S~ \-\-l{) <2Jtb52- Assessor's Parcel Number: Sub.--------Lot Block Owner's Valuation of Work: $ 30 I DD 0 <.P Property Size (Sq. Ft. or Acres}: ,,). • ~ Sq. Ft . of Building: ..:{-~ g, Height: \5 #of Floors:. __ \ ___ _ Class of Work: ew D Alteration D Addition D Repair D Move/Relocation I Garage: D Attached D Detached --·-Septic: OOWTS D Community Type of Heat: D Natural Gas D Propane D Electric D Other Driveway Permit: D Exempt D Permit#: - -- ---- I I 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 signatur e below is not that of the Owner, a separate l et ter of authority, signed by the Owner, must be provi ded 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. CERTIFIGA1il0N I hereby certify that I have read this Application and that the information contained above is true and correct. I understand that the Building Di vision accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (subm ittals), 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 t he 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)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, const ruction 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. 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 facillty(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 responsibili ty 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 a rate to the best of my knowledge. 12_a\o ~°'DD Ct0 ~ Property Owner Print and Sign Date V GFFIGIAL USE ONLY Special Conditions: Adjusted Valuati on: Plan Check Fee : Permit Fee : Manu home Fee: Misc Fees: I~ z.eo-:-(-l - Total Fees: Balance Due : ~: OWTSNo : 19 6, 7Z. ;v p Zoning: Setbacks: OCC Group: 25~4"5"10 .:z=.;zc Const Type: JP..C- Date f @ Gnif,eiti Conmy J Permit Number: ~b,L§"-06-16-1-z.1? Building P,lanning/ Zonins JJ//I Engineered Foundation 7 . Property line Setbacks j / Driv2way Permit 30 ft. Stream Setbacks / ' Surveyed Site Plan flood Pla!n / Septic Permit and Setbacks Building Height Grade/ Topography 30% / Zoning Sign-Off / Attach Residential Plan Review List rJ(__A Road Impact Fees / Subdivision Plat Notes / Grade/ Topography 40% l"/A / Planning Issues Fire Department Review I J / Valuation Determination/ Fees Subdivision Plat / Red line Plans/ Stamps/ Sticker / Attach Conditions / Application Signed General Comments: / Plan Reviewer to Sign Application / Parcel/ Schedule No. I! ~ µ)A :?'1 X'40~f6C>X18.CO .~ I~ 2BO. . 40# Snowload Letter-Manu . Homes N/'9 Soils Report