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Home My WebLink AboutApplicationGurfield County \(r BUILDING PERMIT APPLICATION N'ì iì"r I1l1Ï Community Development Department 1OB 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701 94s-8212 WPE OF CONSTRUSNON DemolitionComulti-Fam E ufactured Home or Multi-Level ReroofResidentialDulex or Townhome INVOTVED PARTIES Property Owner: Mailing Address: Email Address: C/.¡f,o th¿ Phone: ?le: Eol I lø I 8lG+ó H . bC-o|*ISu LTI \tG@,Höfq lZl t Mailing Address:,420 ME)A $f< frrrr-E= cô Email Address:Al L . cct-,\ contractor: Mn*t=l*> Phone:Architect: Mailing Address: Email Address: Engineer: Phone: (-)- Mailine Address: Email Address: Phone: ( )Manufactured Home lnstaller: Mailing Address: Email Address: ¿DT Côtv*ñt DÞt,{*)\l Ti¿ß-^{ ExlsTlf\K, c^5¡ r.sòô¿d "6 ,NST\LL Ñx;Ð A,qSEr\'{ENSf PROJECÍ DETAIIS Describe Work: ËGKESS u)tPDÕ-\l +- r¡òE-l dZôô¿). e¡ Õof Work: Job Address: Height: Property Size (Sq. Ft. or Acres): f of Floors: Lot Block Assessor's Parcel Number: Sub, .nt MEL e*7 Owne/s Valuation Sq. Ft. of Building: LJ¡dd¡tion ll Repair Move/RelocationClass of Work:! ruew þAlteration DetachedGaragerIRttached PROJECT DETAITS CONTINU ED Septic:OWTS Community I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as,have provided the information which correct and accurate to the best of my knowledge' ¿//tz and Sign ;"t{ / ! etectric LJ llotrerNatural Gas U PropaneType of Heat: I lPermit #:Driveway Permit:Exempt NOTICE Author¡W. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days 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. ln 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 lÌability 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 e and/ or builder // OFFICIAT USE ONIY Specia! Conditions: Misc Fees:P.ermit Fee:a roq.zø Manu home Fee:Adiusted Valuation: þ2,Ooo.0o Plan Check Fee: 94É.0t BP No: Ø-ifrc- Wrab OWTS No:Fees Paid: r"lç 0l Balance Due:4talçTotal Fees:4 t tj.zø ConstType: ßC ton'nu'Rb\OCCGroup: ßCsetbacks: N/e BUILDING / PLANNING DIVISION DateSigned 6lzølç0ry Pb ¡{çCIl , w,u IT Cøunty Buildin s.l ZoningP lan Review Checklist Permit umber Wßa'ou-tl-4tt ø Buildi Planni 2on NA Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department ReviewN / Valuation Determination/ Fees '/ Red Line Plans/ stamps/ sticker Attach Conditions '/ Application Signed Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat N/^ N/a NA General Comments: ru/a Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter - Manu' Homes Soils Report Flgl*uvhu,t\ o( w'*Y wtuùow @'fuqururl^^+ wM qv1æ ula'+ A/,r'g Wìr'à\W Wr,ll .