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Home My WebLink AboutApplicationGarfteld County üT Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 94s-8212 www.ga rf ield-countv.com // BUILD¡NG PERMIT APPLICATION WPE OF CONSTRUCÍION n DemolitionE commercial/Multi-Family ReroofResidential,Du or Townhome) orME Manufactured Home INVOTVEDPARNES Property Ownen Mailing Address: fro/,,*Co//;^'g Phone:t 17ôt 9/8- áóal el, Email Address:¿Þ r-t á Contractor!Phone: I ) Mailing Address Email Address: Architect: Phone:( Mailing Address Email Address: Engineer: Phone:(I Mailing Address Email Address: Manufactured Home lnstaller: - Phone Mailing Address: Email Address: PROJECTDETAITS Describe Job Address:7 3 74u Zo Assessor's Parcel Number: Sub. lot Block _ Owner's Valuation of Work: $llz Size (Sq. Ft. or Acres): Sq. Ft. of Building:#of ,{t,.\t¿ l^J ÂltÀ L \ Class of Work:New Garage:Attached Alteration Addition I nepair Move/Relocation ! oetached ! Propane ll Electric l-lotnerType of Heat:l_lNatural Gas Drivewav Permit: Al"$rtm PROJECÍ DETAI tS CONNNUED Septic:Community Exempt Permit #: Authoritv. 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. Leqal 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. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of íssuance 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, lagree that land 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 ínspect 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 const¡tute 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 andf or buildere I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is "yyg and accurate to the best of my knowledge. Z"¿/*"/ &/z' t{- /,zZ^ %-/t/ d, Property Owner Print and Sign oa(e / ç OFFICIAT USE ONLY Soecial Conditions: - - ùt a+Þr.ltt¿- lisf of øøà¡tttot'e. Manu home Fee:Misc FeesAdiusted Valuation: 44u,620.0Ò Plan Check Fee:qEqa:î+Permit Fee:4 btâ.+? Total -41, Fees: 012.t4 Fees Paid: 6qï.Ur Balance Due:4øt4,qe Wv-Llltt 3slOWTS No:---7 €)¿,tsT rn3 ConstType: IFC Zoning:RSetbacks: FIR'2ø,4=lo occGroup: lR¿ lù BUILDING / PTANNING DIVISION qlnlan BuitdÍns.l Zanins P hecklist "/ Driveway Permit X Surveyed Site Plan '/ Septic Permit and Setbacks '1 Grade/ Topography 3o% '/ Attach Residential Plan Review Líst Ni/A subdivísion Ptat Notes N/A Fire Department Review '/ valuation Determination/ Fees '/ Red Line Plans/ Stamps/ Sticker Perrnit Number:Øvw'Ø-n'44t2 BuildinexEngineered Foundation Planni Zonine / property Line Setbacks N t..t/n N/A Building Height ZoningSign-Off N/^Road lmpact Fees Grade/ Topography 40% Planníng lssues Subdivision PIat 30 ft. Stream Setbacks Flood Plain NA "/ Application Signed / Plan Revíewer to Sign Applícation '/ Parcel/schedule No. Attach Condítions 40# Snowload Letter- Manu. Homes x Soils Report General Comments: ÇtlWrttøtf-l: WiNt-rt O^Àrú¿lL Øt6 tþ50 Tafal qtb6 V*lva,Åioa - btÞ Y \æo x Ð74.b6 " e 45t426. q?2.Ø . Q 44¡bo?. TOTAL Wc¿ -2Øb arl¿ìt " q 4ÞtÇ2b. 14ø,-Toø.> Foaà tm4ct Ft¿ z t:/A (¡v nwu àtucloPwvtnt ov ad)il'ou) F¡¿t Valtøh'ttn 'a 94þtØ"o.