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HomeMy WebLinkAboutApplicationCorfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, 0081601 (970) 945-8212 www. garfi el d -co u nt v. co m BUI LDI NG FERN] IT APPLI CAII ON TYPE OF CONSTRUCTION Commerdal/Multi-Family a��vta.v".4 rc� Manufactured Home(Sngle or Multi-level) r� it Residential (W,, Duplex or Townhome) ! Demolition BU %roof INVOLVE ffioperty Mailingl Email Add Cont recto Mailing A Ernail Add Architect: Mailing A Email Add Engineer: Mailing A Email Add Manufact MailingA Ernail Add } PARTIES IT Gruner: i L.4 ) N �./o a 1 u- s Phone: (9 y0) S ? 9 - / 33 `i VG t- idress: / 90 P./ o-zt. [. iv g 04-54 -4_7 ress: ij 5- ( G' ‘...)147 k -P6 --it) i C -o tit r: Phone: ( ) idress: ress Phone: ( ) idress: ress: Phone: (_ ) idress: ress _red Home Installer: idress Phone: ( ) ress PR OECT❑EMLS l Describe Work: Ai -_e_ p 4 61-4-- f f p loo o4 4. v o. Z s c - A4 . 54-r ..l Job Address: tp Ut2_ l 7) Assessor's Parcel Number: Slab. Lot Block Owner's Valuation of Work `$ 1 21000 -') Property Sze (Sq. Ft. or Acres): Sq. R. of Building: /o 5-O O Height: #of Roors: ( Class of Work: M New ®Alteration L JAddition UU %pair Garage: LlAttached I Al Detached PROJECT DEfAILSODN11NU® ptir_ !ovvrs Type of Heat: 71 Natural Cas 11 Propane F9 RB FO A� Community Driveway Permit: Ftl Exempt Electric Il J Other Iermit NO110E Authority. Misapplication 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 thisApplication. Legal Access. A Building Permit cannot be issued without proof of legal and adequate accessto the property for purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (1) gate Electrical Permit, (2) County OWTS%rmit, (3) another permit required for use on the property identified above, e.g. gate or County Highway/ Road Access or a Sate Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized isnot 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 asto accuracy. Assuming completeness of the submittals and approval of thisApplication, 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, CWTSregulationsand 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. 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. Ieview of thisApplication, induding 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 Fegulations rest with me and my authorized agents, induding 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 informatio .ch is correct and accurate to the best of my knowledge. Rope ner Rint and Sg Date omaAL uffi ONLY Special Conditions: otiitx,c16k5L Lii-. of (iItdi'iown.9 AIjusted Valuation: V2)000. o0 Plan Check Fee: Pi . 01 mit Fee: 2c� • 25 Manu home Fee: Mi Fees: Total Fees 416 345.2G Fees Paid: ( '0 ( OX Group: Balance Due: 43 204.25 Const BP No: CWTSNo: 3LCO - 4' Type: —, K)10-' Zoning: c„, E..., 5et�s: N BUILDING/ PLANNINGDIVISOV : 4'jr0017 1 _ Garfield Cosmo Building/ Zoning Plan Review Checklist Permit Number: 13LG4- 05-17- 4725 Building N/A NVQ, Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach �ie1 Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes NSA Soils Report Planning/ Zoning N/A Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height FF - 1 Zoning Sign -Off NSARoad Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat General Comments: T.6u M Fi(M91/1 09 BCc 9'41 • i avvi Vk[.0 e e -i (i.);•(-11 tt<+ jII + Qvi of 9pr6.4 &9041/) r7��C of f c.- f b *c6t/ j -( i •: 362 va( Aiow : 12i Com. pm, elopi444 met, rAc•t otic.. tyA (oI4JJJ