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Home My WebLink AboutApplicationGarjield Coanty BUILDING PERMIT APPLICATIONCommunity Development Department RECEIVED 1oB 8'h street, suite 401 ptAR 2 $ 2t1E u'""*i3loT"Ïï'r:? 81601 G ARF IELD 6 g g ¡yywww.garfield-countv.com NOMMUNITY DEVELOPMENT ú TVPE OF CONSTRUCTION E Commercial/Multi-Fam Demolition E Manufactured Home or Multi- Residential Du or Townh INVOTVED PARTIES propertyowner: rr*"¡,¿f¿rhr'n$ntçn Phone: 6'to ¡ Stn - gb44 Slt Ùcl ?:Mailing Address: Email Address: contractor: 5o"t'3 C^,¡Êrtc¡q.'cJaal...¡o¡l¿Phone: lbt ¡ V'lf ¿Sl.{ Mailing Address:,-llt U2 Ztzt Sltl C.>. øil'?5L Email Address: Architect: b Phone: Mailing Address: Email Address Reroof Phone: Phone: (_) PROJECÍ DETAII.S Describe Work:I{",r" uLl1fro5 Block Engineer: Manufactured Home lnstaller: Sq. Ft. of Building:Height: Property Size (Sq. Ft. or Acres): # of Floors:_ Assessor's Parcel Number: Job Address: Mailing Address Email Address: Mailing Address Email Address: s,u. Sun Wo.ÀoW ØSta*e5 Lot owner'sValuation of Work: $ 35¿¡P'"' EF.*! Alteration ! Rdd¡t¡on ! Repair l_J Move/RelocationClass of Work: !RttachedGarage:Detached Natural Gas PROJECT DETAITS CONTINUED Septic:OWTS Community Type of Heat:Propane Electric Other Driveway Permit:Exempt Permit #: NOTICE 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. 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 andvoidiftheworkauthorizedisnotcommencedwithinlS0days 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 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 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 designer, engineer 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. 5-22- /l Property r Print and Sign Date OFFICIAT USE ONLY Special Conditions: Permit Fee;Qr:5 Manu home Fee Misc Fees:'å"fliI'*'Ad¡usted Valuation: 3<aÒ OWTSNo: . ¡-NllBalance Due:qt 25 BP No: 6-tAl,-=61ô?- Total Fees: r , I["n t+b Fees Paid: lob.1-l Zoningl ßOCC Group:l]r¡6- ^ \ setbáðks: -/:-/gBUITDING / PLANNING DIVISION Signed Date PD to7.At 'Ut6L,3 7b tg ,Æ¿æa¡.";A1 Buítdins.l Z,snins^Flan Review Checklist perrnit Number: Ib.ßL 5l5L Bu Plannine/ Zoníne a,,f" il, ,(, fl ,¡L,l K,ß É.ft Engineered Foundation Driveway Permit Süryt7Êd Site Plan Septic Permit and Setbacks Grade/Topography3A% Attach Residentíal PIan Review List Subdivision Plat Notes Fire Department ReYiew Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planníng lssues Subdivisíon PlatValuation Deterrninatíon/ Fees Red e Plans/ Stamps/ Sticker Signed - Plan to Sign Application rcel/ Schedule No. A 40# Snowload Letter- Manu. Homes Soils Report General Comments: