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Home My WebLink AboutApplicationGøffield County 1 ú., çgs 0 ?'rttl Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601,ì. (97o194s-82t2 www.garfield-cou ntv.com BUILDING PERM¡T APPLICATION TYPE OF CONSTRUCTION tr Commercial/Multi-Family tr Demolition tr Manufactured Home (Single or Multi-Level) I Residential (SF, Duplex orTownhome)tr Reroof INVOTVED PARTIES Property Owner: Mailing Address: EmailAddress: CxRir Þ unn phone: fl1o ) 6l74l*Sq o o-19 Fo* ku,.rr LrÉ\e- <.l:l %lø5o ¿-{ÞUnn a So$flÞ-d.f€t Contractor CrÀ$.r* b.f Phone: lof(Þ )b\%'}t sg Mailing Address: EmailAddress: ) LJ Architect: 4HR.tS 'b,cnn phone:1??o ¡ LlØ, 3¿55 Mailing Address: EmailAddress: H\\< P.rr-r¡ Rff¿t¿-t9 q{6fr Engineer:Phone: Mailing Address EmailAddress: Manufactured Home lnstaller: Phone: Mailing Address EmailAddress: PROJECT NAMË AND LOCATION Describe Work: GennQe- F'tuuL^ilq Sr[.nß .Y srruolLv oê n&ac Job Address:afrq FaN Ru*r, aìft* Qo gleØ Assessol's Parcel Number Çl¡b.Lot Block Owner's Valuation of Work: $54f4¡,¿ .où Property Size (Sq. Ft. orAcres): # of Floors: ISq. Ft. of Building:/ç1 +g Height:/ål Class of Work:lE ruew E Alteration E Rdd¡t¡on E Repair E Move/Relocation \E DetachedGarage:E Attached E CommunitySeptic:tr OWTS Type of Heat:E otherE NaturalGas E Propane El Permit #: E Electric Driveway Permit: Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Lesal 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0daysof the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. E Exempt NOTICE 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. ln consideration of the issuance of the Building Permit, I agree that I and my agents will comply with prov¡sions 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 Build¡ng 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 Cert¡fication above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. G) C'> ^z_- /.*/7 Property Owner Pr¡nt and S¡gn Date OFFICIAL USE ONLY Spec¡al Cond¡t¡ons: Ønpþ urlh alt øûúìlùuq ænfaircl' i" @4 srqlu@ Misc Fees: N/A Permit Fee:Øazzç Manu home Fee:Adjusted Valuation: +41,??z.oo Plan Check Fee:ø%b.bt BP No: ØtXø- tYlr6 OWTS No: --ñ lÁ- Fees Paid: +æ q'+ Balance Due:sbt4..qzTotal Fees:4qtø.ø(" Zoning r< ConstType: IRCSetbacks: Vle=2g,JzIo OCC Group: ßA BUILDING / PLANNING DIVISION Signed Approval olzt lan Date FP Ita,') oú , Lt', z L lt Gartield Buildins.l Zonins Plan Review Checklist Permit Number:Þvrr- 02-t1- 4bþ6 Buildins Plann Zonins Engineered Foundation '/ Property Line Setbacks '/ Driveway Permit '/ surveyed site Plan N/A N/ N/A OK Building Height N/e Road lmpact Fees "/ Grade/ Topography40% s/e General Comments: MAìtn Çtø<.: 4cx44 = 30 ft. Stream Setbacks Flood Plain Planning lssues Subdivision Plat Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List NA Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker / Attach Conditions '/ Plan Reviewer to Sign Application x '/ soils Report Parcel/Schedule No. 40# Snowload Letter - Manu. Homes !øtvwtton: r,b4ô \61Ø x ¿þ 71 . = Ø44t252 .