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Home My WebLink AboutApplicationGørfteld County v'1'- . r : i ti,i d; )ilfi''ii t\'ii't¡\b 1r4_ri s',' Community Development Department lo8 8th street, Suite 401 Glenwood Springs, CO 81601 l970le4s-82t2 www.garfield-cou ntv.com BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION E Commercial/Multi-Family Demolition E Manufactured Home (Single or Multi-Level) fE Residential (SF, Duplex orTownhome)Reroof INVOLVED PARTIES Tl4tu 8t þL3r. ¡5Þ At€- rì\ Cvtn-lru I LeçrEr ù 4 Kmscw pn"{ tg 'Dr+Mu.) ìc'<@ r-o.cEmail Address phone:r'i1o t 1qø.- o3rgProperty Owner: Mailing Address: Architect: Þ.1.^ , Ñe .¡*r r+r{ '}qStc.ñ fuq{ phone: - ? S'ÞL "r a F" ¿¡= à*r rtevrÃ ¿-ra " (o ñEmail Address: cì ¿L. G Contractor: Mailing Address: Ð 4q Þ 'b. tÀ ,Ñe..¡rrAr$ñqÌ . Co Phone: P36"¡ az t1 c.t¡n S ?-o, ß o x 73t1 c,.r.J S Co Àort ñ¿J wt Al"t . Lo tct 9 t¿oz l.r5 - Mailing Address: Email Address: (o 8t uoe É - ot3çC.ug^:s! oo\Ç';¿.rcfv L€l't- ( tvo t f' q I r'ì + 8tZ Þr < ttro &urlg Engineer: Mailing Address: Email Address: Phone: (o one: (_)Manufactured Home lnstal Mailing Address: Email Address: PROJECT DETAITS LorDescribe Work: î ¿:ev't l.* "l3e-S.:#Àoor r+c \cLf ';,,.t,Åel "*| ,.gìdthcc.." b",I *t. ç6 Job Address: Height: Owne/s Valuation of Work: $ Sq. Ft. of Building:9&o Property Size (Sq. Ft. or Acres): Y>5 rrr¡r,Ê \'1 ' rof f .1"oJ ^c¿îe:tSoaKt \+ È¡.¿'l r4, Þ¡ffiro¡¡ Þ Assesso/s Parcel Numbe ¡: 7 sub. l\çtsÈ êL.Eßl rot FI elock 3,q 5-----f-=-r ! nepair I wtove/RelocationClass of Work:fl ruew LlAlteration ll Add¡t¡on ! DetachedGarage:!attached !ottrerI Propane flElectric Dg Type of Heat:|}(lNatural Gas U x l_lPermit #:Driveway Permit: PROJECT DETAILS CONTINUED Septic:OWTS Community Exempt NOTICE 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. 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 perm¡ts 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 HiShway/ 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. 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 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 fr€rneer or builder I hereby acknowtedge that I have read and understand the Notice and Certification above, as well as, have provided the req uired information which is correct and accurate to the best of my knowledge.tt**'*8"27. l'? r Print and Sign Date ) OFFICIAL USE ONLY Special Cond¡t¡ons:lm Manu home Fee:Misc Fees:RPlan Check Fee: Ks1 .+q Permit Fee: -bteølsAdjusted Valuation: P.F¡ lttô Balance Due: r(r.sl '70>iåifr¿'4ffi0 owrsNo: nlrtlotafFees: r l+]o .74 Fees Paid: ?-lDt.1+ Zoning: p UpSetbacks:'ffiaConstocc Date BUILDING / PLANNING DIVISION : fD IT ¿tE¿ L-êøruøtAræ--, Buildin s.l Zonine Plan Review Checklist þ,-rlE ^O8^ )7- +8lOPermitumber ¡ld¡ Engineered Foundation Driveway Permit aluation Determination/ Fees Lin e Plans/ Stamps/ Sticker Conditions - / rroperty Line Setbacks '/ dft. str"rr setþacks ' Sf**, N"trS __<)tooanail!9ffifr*". t-/ Building Height Planni Zonins Zoning Sign-Off N ,1,-d lmpact Fees Grade/ Topography 40% /',/ Surveyed Site Plan Sept¡c Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review l('4, ñu* l,/'ß *y ication Signed Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report /' ''/ Planning lssues -/Subdivision Plat General Comments: G#?åþÞ 8æsF r 8z -- 4n, òÐò eUa.ø tls ıSt¡,À " eo "- 277æ lrwa 525sF^z**A,6ø - 6b/ l oo