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Home My WebLink AboutApplicationGørfield County BUILDING PERM¡T APPLICATIONCommunity Development Department RECEIvED ","t"i:"f:"",:J'r:,"¿ï liil, },tAR 2 3 2018 GARFIE LD GOUNTY COMIilUNITY l970l 94s-8212 www.garfield-cou ntv.com Demolitionulti-Famtl Manufactured Home or Rerooflex or TownhomeResidential l'lr ,'|l lt ir Jiii,jtil illif ' . ifirl¡ a. sh t< l¡sp.t>¿{ ge*r.t f Þr¡onn r ptrone:('Jlq I T¡0.- I O I I ¿ Å^e-PoÎ.\Þ Av < ¿3 8t 62 3\44 A-v p-A.\Gtr Email Address: Property Owner: Mailing Address: E k- ¿tPðV€ Phone: I ìSevf. t.rrî/1Contractor: Mailing Address Email Address: Phone: ( )Architect: Mailing Address Email Address: Phone: 370 t ?B 4 -o ?&o otC4 F+¡t â,Email Address: Mailing Address Engineer:Ltsr s,u. frrnçasr&{?nrpÉzå ,o, LIQ Brock- Describe Work: 5 acw>oô l0 l n 5 Height: Phone:I E Property Size (Sq. Ft, or Acres): Manufactured Home lnstaller: 'D6L-k" 2b1 1t110I CI ¿, q +a< Assessol's Parcel Number: Job Address: Owne/s Valuation of Work: Sq. Ft. of Building:# of Floors: Å Mailing Address: Email Address: còNSrr¿¡¡ ()ffìoNl o'tr lst{ 0f ñÉr/\\ Ðs<-lz- ! Repair Move/Relocationl_lrrtew [_lllteration ll RdditionClass of Work: ! oetached!AttachedGarage: ilJfUü1;\{:l}, rrl',lilirilii j,r Natural Gas PROJECT DETAII.s CONTINUED Septic:OWTS Community Type of Heat:x Propane Electric Other Driveway Permit:ExentpL Permit # NOTICE Author¡tv. This application fora Building Permit must besigned bythe Ownerof 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 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days 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 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 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 desi and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. alzulrctALa',(. Property Owner Print and Date oFFlcrArusEoNLy {lat\ 6/úila v1\â_ 6ltv.&l Special Conditions: Adiusted Valuation: 4io,óob.oo Plan Check Fee:+lt-l.êt Fermit Fee:ø tØl.zb Manu home Fee:ñlA Misc Fees: Total Fees:9zqq'ôc,*iiä*s Balance Due:etøt.zÒ BP Noiñpst49 OWTS No 1,.\A Setbacks: PlK,zà9=to OCC Group:lr?c-Const Type:Îçc-Zoniñg:a ¿fdøø Date BUILDING / PLANNING DIVISION : Signed App B Buildine '/ Engineered Foundation '/ Driveway Permit 4. Planni Tonins '/ Property Line Setbacks N/A ï é¿;;*are;;;ç) dín Zonin Review Ch t Perrnit NgEb_e.ri þt¡;çg- 0?- t6- Þt44 øanfaor1h| Þ¿cþ- '/ Attach ResidentíalPlan Review List "/ subdivísíon Plat Notes N/A Fire Department Revíew Valuatíon Determination/ Fees ,/ Red Line Plans/ stamps/ sticker '/ Attach conditions Application Signed ''/ Plan Revíewer to Sign Applícation Parcel/schedule No. ru/a . 40#snowload Letter-Manu. Homes X soils Report 30 ft. Stream Setbacks Flood Plain Building Height ZonîngSign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivísíon PIat General Comments: W¿b Ara - 4Øo 9.f. Vnhulbtn = 4lÒtû0. (aq sblor,t6lt4 Roaà twpøol F-(L-N/A (¡1, h¡þtfah¿ Nt&) N/^ Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 3O%