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HomeMy WebLinkAboutApplication - ORIGINALGørfield County BUILDING PERMIT APPLICATION: ,.' ,','i,'ä l:ì, ..ì\_'+,"4 r..r -' '. ù.rrl i\ìitj mmunity Development Department 108 8th Street, Suite 401 $tJ 1 2I$\'l Glenwood Springs, CO 81601 l970le4s'82t2 ¡,:, iì,.i ''j : www.ga rf¡eld-countv.com -.ii'i'iii 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 :ñ Property Owner Pr¡nt and Date Cf ã l* 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 : -!--^J ¡----------l nfuf24rî 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: l.îwW ß/4i4't^" ¿¿ trQii¿ eøì)q*w, Itt?w FetàLl'"cL 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 tJa"lrV¡tiot4 - tfl'\o x Ù?4.ÇØo4 VoØ x +?2.00 - í l1ta1þx þlØ.Àts=þ Ø70 v ølz.o0 -Q 2% l¡4o0 2bb %'bTotal lflø 11",%(¿. b{2,'t24. 24¡2N. 4t11O. &w4rletora4< Awp¿| ?¿,1ío (^ntov, rc"þ o 4æo hþzb 7-TO fuaà lmpc'( ?zc = s2FØ (ø.x øieø'ol) TorP'L= *2471ao.