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Home My WebLink AboutApplicationGarfield County BUILDING PERMIT APPLICATION RECAÏ munity Development Department ¡¡Eg Z I ?0ll 108 8th Street, Suite ¿101 Glenwood Springs, CO 81601 GARFIËLD C0UNTY lsTole4s-ç2L2 lfulfiluNlÏY DEVËLCIPMËNT www.sarf ield-countv.com E DemolitionE Commercial/Multi-FamilytlManufactured Home (Single or Multi-Level) ReroofE Residential (SF, Duplex or Townhome) l;."1"i fri l,(lJ\rl.r't jï.i,1[ li';)rt çffi", 0zÒ r3oo - 9o tJ M utooEmail Address:1oh Property owner: TZßßl Al u KR fW r{Vlailing Address:Jfia- &usl,ltlf Email Address: GEL( Phone:Contractor:¿TÍa¡{ Mailing Address û70 t â.so - oYe yS C êon<îR u oú A¡t-f ?t> tÞ/ /23l0(Ò ,^t *cr¿- ô( eAfrß Phone:Architect: Mailing Address: Email Address: Phone: (176 t ?Y3'- lS oi Mailing Address:ù .¿)Y F<s Engineer:ku þT? + hS3 o¿1^l f i Email Address:ku B1> f dCrrr e-e R , '4ttq@ YA,çoo Phone: (_) Describe Work: þ *tl Height: üt sub.2,,¡ fsr /JtcY of Work:8oæ,'n Manufactured Home lnstaller: PropertySize (Sq. Ft. orAcres): fi of Floors: Assessol's Parcel Number: Job Address: Lot Block Owne/s Valuation Sq. Ft. of Building: Mailing Address: Email Address: ll Rd¿¡tion JX Reoair I I Move/RelocationClass of Work:! t'tew l_lAlteration ! DetachedGarager!attached 'liîr,i rl ¡1 1:,rrrl^.\ilrr i fl, ì1"1i{i);jllrl¡,1 lirJ rlìl\'llrl;, PROJECT DETAILS CONTINU ED Septic:OWTS Community Author¡tv. This application for a Building Permit must be signed by the Owner of the property, described a bove, 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: (L) 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. CERTIF¡CATION lherebycertifythat lhave read thisApplication and thatthe information contained above istrue 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 facilìty(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 r, engineer an or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the uired information which is correct and accurate to the best of my knowledge. *Øt/ Property Print and S¡gn Date \ss8 a s) N s N -('ù a .æ> Propane Electric Other Permit #: Natural Gas Exempt Type of Heat: NOTICE Driveway Perm¡t: OFFICIAT USE ONLY "WffiÅ2h¿ ti+t of úoh)ÅiÕt,.g Adiusted Valuation:+ø,Òoo.b Plan Check Feel+44.bt Permit Fee:+tØ.2b Manu home Fee Nl lÊ Misc Fees:L)/A Total Fees:azw.øb Fees Paid: sQq. tÁ Balance Due:4t>zz>BP No: iRZtr-SNoLl OWTS ÏTIo: L\/4- F"lsJ-inrr Setbacks:OCC Grouo:J-P( Const Tvoe:T12( . Çzo¿ins: tleløø BUTTDTNG / P|-ANNTNG DIVISION : Signed Approval Date tsuildÍns/ Zonins Plan Review ChecklisÉ Perrnit Number:þLre-n-n-w4 Vwr^V ØMa;tiovt Wùw Buildine / Engineered Foundation N/A N/A X soils Report Driveway Permit Attach Residentíal PIan Review List Subdivísíon Plat Notes 40# Snowload Letter- Manu. Homes Planni 7on Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planníng lssues Subdivision Plat P/e Fire Department Review Valuation Determinatíon/ Fees '/ Red Line Plans/Stamps/ sticker '/ Attach conditions Applicatíon Signed Plan Reviewer to Sign Application Parcellschedule No. -VA- X surveyed Síte Plan N/A Septic Permit and setbacks Ñ/A Grade/ropo sraphy 3o% General Comments: Yd4ahon =' 4 Øt ooo. (ao qØb,n.|'ze) Pþ^à lnpacl- F"eL = N/A