HomeMy WebLinkAboutApplicationGørfield County
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Development Departmentqt8ú Stree! Suite 4o1
Sprirg.r" CO &1601
(970) 94s-8212
www.qarfield-cguntv.corn
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PNOJFCTDETAITS
tþs{rib€ Work:
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Asse*so/s parcer ilumber, 2/Êt322 0AAô//
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(hmds Valuatir¡n of Work *0, aa¿Froperug SAe €Sq. Ft- or &resl:2 Ç2 ar,
5C. Ft. of Building:/, a4o Height:7,2 fl
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Class of Work:
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Driveway Permit:Exempt Permit #:
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Authoriil. This application for a Buildirg Permit must be signed by the Owner of the propefi, described above,
or an authorized agent. lf the sigrrature below is not ürat of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
tæl ¡¡oæ A Euildirg Permit canncÈ be fusued wûtirout prod of Negal and adequate aæss to üle property for
purpmes tf inspections byfüe Buitding 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 identiñed abovg e.g- State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Ur*l FcrmiL A Egildlng Ferrnit becons n¡¡ll and cmÉ{t ûf tfi.e work autl¡orized is mot mrnrnanaed within 1S} days r
of ttre date of issuance and if work is sr¡spended or abandoned for a period of 180 days after cammencem€T ìt.
CERNFrcATþII
I hereby certify that I have read this Application and that the information contained above is true and correct. I
undershnd ttrat the ßuildirg C*visiom aæpb the Application, alorg wtÚa the plans and speciffications and other
data sgbrnitted bry me or on n¡y belratf {sub{'nittahf, hased upon ryrY certification as to a€cilracy. Assurning
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct tfte structure{s} and facilities detailed on füe submittals reviewed by
the Building Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents will
mnîp¡,V wiür pro¡isions of any federal, stab or loaal law regulatirg the mrk ar¡d the Garñeld County Buildirg
Oode, OUffS regulations and applicable lard use regulations {ûxrnty Regulãtion{s}}- I ac*næledge that tfte
Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use
of ttre structure{s} and facility{ies}, dæcribed above, are not in cornpliance with County Regulation(s} or anY
other applicable law.
I hereùry grant pernrission to the BuiHirg [Xvis¡om to enter the property" descr¡bed abone, to inspect the work I
furtlrer adneowledge ü¡at the isuancB of the 8r¡ildirq Perdllit does not prøent tñe Building Offirial from: {1}
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construction or use of füe structure{s} or facility{ies} if surft is in violation of Ccrnty Regulation{s} or any other
applicabte law. Revíew of thÍs Appfícatíon, incfudíng submÍttals, and ínspections of the work by the Buifdíng
Diuàsiom do nst constitr¡te an acæptanoe of responsibility or liability by the C.cunty of errors, ornissions or
dissepanc*es" As füe Oumer, I ad<nødedge ttrat respor¡sibili$ for cornpliance with federa!, state and local lam
, and County Regulations rest with me and my authorized agents, including without limitation my architect
designer, engineer aadl or builder-
f hereby acknowfedge that I have read and understand the Notíce and Certíficatíon above, as well as, have
p¡orftled ün rcqute¿ lnfonnation shkft lsørrectzrd m¡rsbtothc bcsÌdmy fmorled3Ë-
PropertV0rmer Prht and ftn Date
PROJECT DTTANS CCIN¡TINUED
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Soecial Conditions:-4ä
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Manu home Fee:Misc Fees:b16þ,-(þPlan Check FeesbtA.A Permit Fee:geb1.75Adiusted Valuation:46tt761.ø
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# q1eßBalanse Tlre:sâø.2q BP 1{o:glrr,-qntTotal Fccs:, Ø1,4?1.74
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BuÍldins.l Z¡onins Plan Review Checklist
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Perrnit Number:
Bui
t/ Engineered Foundation
'/ Driveway Permit
X Surveyed Site Plan
'/ Septic Permit and Setbacks
Grade/Topography 3A%
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N/A
N/^
Plannine/ Zoning
, / Property Line Setbacks
IVA 30 ft. Stream Setbacks
Flood Plain
Planning lssues
Subdivision Plat
¡..t/a
,/ Valuation Determinatíon/ Fees
Attach Residential Plan Review List
Subdivísíon Plat Notes
Fire Department Revíew
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
ParceV Schedule No.
40# Snowload Letter- Manu. Homes
'/ Building Height
,r'
'r' Road lmpact Fees
'r' Grade/ Topography 40%
,/
N/A
General Comments:
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