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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 JUN 2 8 Z016108 Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION Commercial/Multi-Family O Manufactured Home (Single or Multi -Level) O Residential (SF, Duplex or Townhome) 0 Reroof 0 Demolition INVOLVED PARTIES Property Owner: fl1&6 LLLP phone: ( ctlo) 9E5L-1 -210I fen cun e_artct_ PI VDCS-VS P‘oct-fk 5 Vieu' , eo Mailing Address: L4 1.(c) Contractor: CO \I \AI I son phone: 1 ) 2,B5 -0335 Mailing Address: V, 60)( 53 l� -4711,Lonee K 053 Architect: W,4 Phone: Mailing Address: Engineer: ..7\ Oh() C\ (th\/ E /0350.122al-ft--, Phone: ( ,,r5C9) E144 (c8 Mailing Address: ?-) "a) Ott- 13 ISVV CtTY1 (1) \A)! Manufactured CI 2:Zfl Manufactured Home Installer: Phone: ( Mailing Address: PROJECT NAME AND LOCATION Describe Work: ac- n enSVI Lt (4i 0 (I Job Address: zi 1r I) P-v)ad Plat e 00, 3/(05C Assessor's Parcel Number:2I3l - 14- 2?Z-6DI Sub.1-6-siei Q042 1141 /tOr S.tia. Lot 1— Block Owner's Valuation of Work: $ 100) 000 .00 neC W2 -- Sq. Ft. of Building: Vet\ gc,„,N- 51 iSi-111 cid-2- Height: 1-1 Property Size (Sq. Ft. or Acres): 12_ 219 OCCP,!) # of Floors: Class of Work: New 0 Alteration 0 Addition Garage: 14 pt. Septic: 0 Attached 0 OWTS Type of Heat: NA 0 Natural Gas 0 Propane Driveway Permit: 0 Exempt O Repair 0 Move/Relocation O Detached O Community Electric 0 Other 'it/Permit PA to D 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)). 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 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. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided e required information which is correct and accurate to the bestofmy knowledge. °/rte /1 Property Owner Print and Sikn Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: /66,z6¢.3% Plan Check Fee: 887.6'Z Permit Fee: 168, 45 Manu home Fee: N l R Misc Fees: Total Fees: 2258.77 Fees Paid: a1cz 6 Balance Due: 2158.77 BP No: OWTS No: aIo-y,�R. 3.En_ 9308 Setbacks: Z.c ,ZZ, 5 I a OCC Group: 1't' Const Type: / JZ'S Zoning: BUILDING / PLANNING DIVISION ` --. 8 2,5"/6 $ Signed Approval Date `a:Ad / po. °6 iii Garfield Comity c tt ailfaR Permit Number: /�zeo - 6 /6 -15,e4 5 -e/777.6 -/6-4;a9 Building Engineered Foundation / Driveway Permit Surveyed Site Plan 5pptic Permit and Setbacks / Grade/ Topography 30% Nl A Attach Residential Pian Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Sumps/ Sticker Attach Conditions Application Signed PIPn Reviewer to Sign Application Parcel/ Schedule No. N/A 40#SnowlQad Letter — Manu. Homes NL Soils Report Planning/ Zoning Property Line Setbacks / 30 ft. Stream Setbacks Flood Plain / Building Height / Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat General Comments: 0%(/1,477 SS44 9X z9 99 = // 6