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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.earf'ield-countv.com TYPE OF CONSTRUCTION ❑ Commercial/Multi-Family ❑ Manufactured Home (Single or Multi -Level) Residential (SF, Duplex or Townhome) BUILDING PERMIT APPLICATION O Demolition ❑ Reroof INVOLVED PARTIES Property Owner: tTWSTOI? f TRA4X mys/2.5 Phone: (97O ) . 76 . C66 Mailing Address: So/ LIQ A35 $SLT, co g/65.2 Contractor: fog RA0l00 Phone: ( f70 ) 379 -/050 Mailing Address: PD. eat MO ALFLf , 60 6165o Architect: Phone: ( ) Mailing Address: Engineer: ___c5' J 4 Phone: (?70 ) 711S---/ a° 4i Mailing Address: 1I sr 014, 1. gf, Swi k 4r27 54cicL Manufactured Home Installert r (* ) 5�Z 7 —'Od 7 'iv/0c ti,AC ,t. � Phone: Mailing Address: /' 1 , lam%• i1.10..., u 74Z/ PROJECT NAME AND LOCATION Describe Work: HoBB Y S/foP / raW rnSTAG Ilkuorner Job Address: SO/ G " 35 51-177,2. r co /65 Assessor's Parcel Number: 62r7''O/30d677Sub. Lot '4 Block sn Owner's Valuation of Work: 0'104 1100 Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: .32.0o Height: / $ # of Floors: 1 Class of Work: I. El New 1 0 Alteration I 0 Addition Garage: Septic: O Repair = 0 Move/Relocation 0 Attached Type of Heat: Driveway Permit: 0 OWTS O Detached 0 Natural Gas j 0 Propane O Community 0 Exempt 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)). 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. 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. lit ron 111 r e5 Property Owner Print and Si Date OFFICIAL USE ONLY Special Conditions: get Affacka ii . Adjusted Valuation: -7(0) c 00.00 Plan Check Fee: s4 t .24 Permit Fee: $32.75 Manu home Fee: Mist Fees: ._ Total Fees: 1)S14.04. Fees Paid: 456 8(c' Balance Due: 714.18 BP No: OWTS No: 2E - 4y k)) A Setbacks: 014latutlopc. OCC Group: I RG Const Type: I RCS Zoning: R. BUILDING / PLANNING GLUMIb 15/ f f DIVISION : p 1 Signed Ap Date Le *WO aZ.c96 eGarfield County Building/ Zoning Plan Review Checklist Permit Number: R.Re..G1-160_ 4403 Building Engineered Foundation PA. Driveway Permit _ Surveyed Site Plan NA • Septic Permit and Setbacks Grade/ Topography 30% . ` Attach Residential Plan Review List Subdivision Plat Notes "^ Fire Department Review Valuation Determination/ Fees _ R• ed Line Plans/ Stamps/ Sticker A• ttach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter— Manu. Homes Soils Report Planning/ Zoning Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off PA. Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat General Comments: Sic. 4c x € c = 52Co 0 Val vetliC14 3200x*24- 740ii/600.