HomeMy WebLinkAboutApplication - ORIGINALGørfield County
BUILDING PERMIT
APPLICATION: ,.' ,','i,'ä l:ì,
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mmunity Development Department
108 8th Street, Suite 401
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Glenwood Springs, CO 81601
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TYPE OF CONSTRUCTION
E Commercial/Multi-Family Demolition
n Manufactured Home (Single or Multi-Level)
VResident¡al (SF, Duplex or Townhome)Reroof
INVOTVED PARTIES
2l t -5'16Property Owner:
Mailing Address:
Phone:6e)
lat'21 V\C)l.(rr vu1¿h ì). Cc^v '^é-o\e , co (t6¿<
EmailAddresr' îfdu¿k JJ¿< 6,(.ì*^.u.\- cÕ\^-\
Contractor:A^'T Ì".t.Lu is l\n n^.,,,.J*,non",r '1ì0 ) 3oq-13 3 I
Mailing Address:lr V\ LL?'ïi (o
EmailAddress:Aptr- Gunx,vve-\ Crr¡t4C vnc¡ t t Co L"^
Architect: ç" I R"olr*tr\"-,.Phone:lo zlq-¿6q 5
Mailing Address: ?'O '7 {oq " ìq, o ?ir"u ?(a
EmailAddress:
t SLo. <-U,.'i e-.{S¿o6 Y\ð-\Q- . CÕ v.^
Engineer:5 oto €ro\'., s-qb 6r( -7oı
Mailing
t.
Address: IOC{ô Moi . \. c]au o rr¿!a ('Õ 6(62
EmailAddress: Sq'. @ e-, o\v es4r l ) r.'-CÕ i"'\
Manufactured Home lnstaller:Phone:(
Mailing Address:
Email Address:
PROJECT DETAII.S
Describe Work:\.þ* a €uì\\.. G ?"*i\.^\.*\
Job Address:r3e;,Co-\o^ð^e co tt6¿ f
Assessoy's Parcel Number:À3cì\tÌ [Õ LOo .1
Sub.C\v\Lot C Block-
c-2 S
Property Size (Sq. Ft. orAcres):Owner's Valuation of Work: S
Sq.Ft.ofBuilding: I'l o o ï " Height:23' #of Fl
OV\()\¡C"^ w\C^
Class of Work:[fwew ll Alteration I Rdd¡t¡on ! Repair Move/Relocation
Garage:ffiRttached ! oetached
PROJECT DETAITS CONTINUED
I hereby a that
provided the
and understand the Notice and Certification above, as well as, have
ch is correct and accurate to the best of my knowledge.
Õr{\7,Izo t?I(r
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Property Owner Pr¡nt and Date
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I CommunitySept¡c:flowrs
ll eropane ll tlectric OtherType of Heat:lXltrtatural Gas
llPermit#:
NOT¡CE
Author¡tv. 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. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
purposes of inspections by the Building Division.
ple 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 issuance and if work is suspended or abandoned for a period of 180 days after commencement.
Other Permits. Multi
and/ or bu
s rest
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 constructthe 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
owledge that responsibility for compliance with federal, state and local laws
me and my authorized agents, including without limitation my architect
d ner,
CERTIFICATION
discrepancies. As the
and County Regul
n
OFFICIAL USE ONTY
Special Conditions:'\ä'äiiî)tna ligf ¿f conàittong.
Manu home Fee:Misc Fees:
fiz,a69.soAdiusted Valuation:
'þ74q1qb.æ
Plan Check Fee:þlJlo.to Permit Fee:bltfu.tô
.,EfÆ-ryn-k
OWTS No:
sf,Tr -qDgFees Paid:
l?D I " lL[
ance
w'ltb(4.t|
Due:Total Fees:
*2,ctlo.z+
ConstType: IRC Zoninþ:
R"
occGroup: lßCSetbacks;
A¿a.futv<lopt-
AAP BUIIDING / PTANNING DIVISION :
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BuildÍns.l Zonine PIan Review Checklist
Permit Number:þLFE-m'lt - Aqzz
4e?T-Ø-t1-4q7,8
flin,ytat /4 DdkiÀzs
Bui Planni Zoni
/ Engineered Foundation
/ Driveway Permit
/ Surveyed Site Plan
'/ Septic Permit and Setbacks
Grade/Topography 3O%
,/-- Attach ResidentíalPIan Review List
,/ subdivision PIat Notes
Fire Department RevÍew
Valuation Determination/ Fees
tt^
'/ Zoning Sign-Off
'/ Road lmpact Fees
./ Grade/ Topography 40%
,/ planning lssues
'/ subdivísion plat
General Comments:
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N/A
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Red Line Plans/ Stamps/ Sticker
Attach Condítíons
Application Signed
Plan Revíewer to Sign ApplÍcatíon
ParceV Schedule No.
40# Snowload Letter- Manu. Homesl.t
'
'/ soils Report
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