HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
RECENEC 108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
Barfield -count .com
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dit4"144100001.0,434WW.,:i"t=e .7.
cD Commercial/Multi-Family
}] Manufactured Home (Single or Multi -Level)
iesidential (SE, Duplex orTownhome)
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Property Owner: Mc-La
Mailing Address: 31-7 LZ
Email Address:
Contractor:—YV1
Mailing Address: "P D y l
Email Address: } u �� r e r S o �n' LL' l s�
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Phone: (I a) CS 63 — 2 S9 7
Architect: ja-� � +"'-`
11 id + C VIA?? Phone: ( 7 ( 4/ - 77%
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Mailing Address: 6 6 X C'.-
Email Address:
Engineer:
Mailing Address:
Email Address:
Phone:(.
Manufactured Home Installer:
Mailing Address:
Email Address:
Phone: (
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Describe Work: F.
Y ��1� �` 'Q e
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Job Address: C. 1�i d -1-1 - 9u ° c` 8 A Y -PC C _0. S S\
Assessor's Parcel Number: o S 7 / v 6 l fl 5
Sub. C'avak 1 pr- (v,9,011,.._ \4. 1 l. t~,.vc:\5 Lot 5 Block
Owner's Valuation of Work: $ fetS 6 t3 Property Size (Sq. Ft. or Acres):
� 5 , 14, G.0 125
Sq. Ft. of Building: .� Z- 0 a 3/ Height: 7, 1 y' 1 # of Floors:
Class of Work: � 13w 0 Alteration 0 Addition j ['Repair
` Garage:
0Attached , ❑ Detached
Move/Relocation
PROJECT DETAILS CONTINUED.
Septic:
Type of Heat:
Driveway Permit:
NOTICE
Authori . This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. If the signature belowis 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.
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.
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), basedupon
on a Build nication as to g Perm t will be issued grant ng
racy. Assuming
completeness of the submittals and approval of this App ca
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Building Division. In 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, above,arearetice from the not n compliance w,if iththe Countytion, Regulationr(s)toir any or use
of the structure(s) and facility(ies), described
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
other applicable law.
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 and accurate toice and Certification above, the best of my knowledge. as well as, have
provided the requrd info atm which is correct
Natural Gas
Exempt
Propane
Community
TFElectric
Permit #-
Other
Property Owner Print and Sign
OFFICIAL USE ONLY •
Special Conditions:
Adus��� ation: Pln Check Fee:
c3gi
Totalfees: Fees Paid.
g�2 � ()-1,9L
Setbacks: OCC Group'
t2 P -T Pznirr,�•k.
5.3
-4' BUILDING / PLANNING DIVISION :.
le
Permit Fee:
Balance Due:
251• qC3 ,
•
Manu home Fee:
BP No:
Misc Fees:
OWTS No:
Ski ,2�`'I
5 pejg�
Zoning:
10--13- ?- /8
Car, fief[;!' Cotr�xl,}*
Building/ Zoning Plan Review Checklist
Permit Number: 'jz R L ,
Building Planning/ Zoning
Engineered Foundation OA Property Line Setbacks
eDrivway Permit 30 ft. Stream Setbacks
.Sopieyed Site Plan M` ft - Flood Plain
Septic Permit and Setbacks [iuifding Height
L�
�f Gra e/ Topography 30% Zoning Sign -Off
//�� Attach Residential Plan Review List I •Road Impact Fees
11•/.. Subdivision Plat Notes Grade/ Topography 40%
if 11 Fire Department Review /V' 1 Planning Issues
Valuation Determination/ Fees ' ` Subdivision Plat
t Re Line Plans/ Stamps/ Sticker
Atttach Conditions
lication Signed
n Reviewer to Sign Application
Parcel/ Schedule No.
—113
40# Snowload Letter – Manu. Homes
Soils Report
General Comments:
16.co x pi, 3,�Oo