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Home My WebLink AboutApplication-~· ; r Garfield County ~,.......~ ~ -r \I .\_ ~ • · C~munity Development Department ~t.~ ii 1.~~ 108 8th Street, Suite 401 I Grenwood Springs, CO 81601 \.. J (970) 945-8212 " .J • \ www.garfield-county.com TYPE OF CONSTRUCTION D Commercial/Multi -Family I D Demolition D Manufactured Home (Single or Multi-Le~~I) ---------------.. ~ Residentia ~ (SF.! Duplex or Townhome) __ j D __!!.eroof --~~~-------~::::~==== J INVOLVED PARTIES ----- Property Owner: \.\ e..c....6-r tv\. . ·:"b._, \o vJ MaillngAddress: _:p .o loo!<. '2. 68 ·'g 'f\e . Contractor: /J/A-~ e \ C: Phone: t'J-10 )_q.....__.._.E?_..1.._c ..... l ~--'--· Co 8l -6 $0 Phone:(~ -~-------i Maillng Address=-----..-...+------------------------ Architect: ___________ ~-..... -,.....,£......_\ ........... ~ _____ Phone:(,_ __ ------- Malling Address=---~---'-"~+-----------~---------- Engineer: --------1-'A"""/_,.~+A=...___<....;;;;..,.e__.._\..._£--: _____ Phone :'~--·------- Maillng Address: __________________________ _ Manufactured Home Installer: --~Iv~. 1.,..IA-._._ ______ Phone: (.__ __ ------- MalflngAddress: __________________________ _ PROJECT NAME AND LOCATION Describe Work:. _g0:..r 0>.5) e '---------------------------------------- Job Address: 'j '-\ C \ \.\ ~ (Z, .. __ 1$..'f \~ C Q Assessor's Parcel ~::,ber: '2. I 2.9~'25, oCfJl~:t-n D Y1 Lot Block Owner's Valuation of Work: $ .J!!![OQQ Property Size (Sq. Ft. or Acres): 40 Ac.rr r-:- Sq . Ft_ofBulldlng: fQOQ Height: /# /l'L 1' #of Floors :._· ...,L __ _ r Class of Work: l Oi(. New D Alteration a Addition a R;p~ir I D Move/Relocation Garage: D Attached . !Efbetached Septic; NIA 0 Community lectric pl Natural Gas _J_ D Propane ' --~-----1 IJ P~rmit#~----..------ D Other Type of Heat: Driveway Permit: 7 JI( Exempt NOTICE Authority-. -T-hl-s -applic~tr.;-n 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 I 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. Vold 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 l completeness of the submittals and approval of this Applicatron, 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)). r acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, ifthe 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 Regulatlon(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 I Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations 1 rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or I buil c!!r. _ 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. \:l io t &-'=J;u • \i "!Mw.I $ . .//._.. ~ Y' h ._,_L..._ 6 $""-/<:£-/S Property owner Print and Sign Date . OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Manu home Fee: Misc Fees: Total Fees: le J.7 .. Setbacks: 'RL /c9·11· 29/.~ Date J cG Garfield Coullly I B uilding/ Zoning Plan R eview Checklist Permit Number: Building //. 4. Engineered Foundation IJ' A Driveway Permit l(t..., y , /{ f k Surveyed Site Plan / ${.) ~eptic Permit and Setbacks ~ade/ Topography 30% ____ Attach Residential Plan Review List Subdivision Plat Notes bf..• a, Fire Department Review J ~on Determination/ Fees ____ Red Line Plans/ Stamps/ Sticker ~Conditions ~on Signed =.._ Pla~wer to Sign Application --~--Parc"'e 11/1 c: Srchhedule No. ~ 40# Snowload Letter -Manu. Homes ~ Soils Report Planning/ Zoning (/ Property Line Setbacks ~l ~ §tt. Stream Setbacks ){·fl. Flood Plain (() '~ing Height ----Zoning Sign-Off "/.._{,It Road Impact Fees I/~ n:J!. Ci) ~ f'e-.tbti) ---~-Grade/ Topography 40% '/../• // Planning Issues rl.fl Subdivision Plat General Comments: IJ/12 r 2i /2921/f; .. 3J 1 ocs "'=-2 ?, 2'5" (P