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Home My WebLink AboutApplicationGarfield County BUILDING PERMIT APPLICATIONCommunity Development Department RECENED 108 8'h street, suite 401 ( Architect: Engineer: Phone: f ì Mailing Address: Email Address: Phone: { I Mailing Address: Email Address: Manufactured Home lnstaller:Phone: I ì Mailing Address: Email Address: PROJECT DETAII.S Describework: ßr,\å 17*17 e"i\¿.r'r'or À"rk Job Address:t Assessorrs Parcel Number:2t'L3 ,' sr-+q - oq -co 'R't" tb.."cL 2-4. rct 3 Btock 2Sub. Owne/s Valuation of Work: S 6,e¡a,ct)size(sq. Ft. orAcres): 2b972 .lFl-Propefi 4 f of Floors: New n Commercial/Multi-Family n Demolition E Manufactured Home {single or Multi-Level) [Íl Residential (SF, Duplex or Townhome)Reroof INVOLVED PARTIES Propefi Owner: Mailing Address: Email Address: Phone:(q"A )qOq -tt-+q?à .(- 1¿.n^¿Phone: ( )Contractor: Mailing Address: Email Address: RepairClass of Work:Alteration Addition Garage: Move/Relocation Detached Sq. Ft. of Building: Attached Height:ßu'+^or- PROJECT DETAILS CONTINUED OWTS Community Type of Heat:Natural Gas Propane Driveway Permit:l-l rxempt Permit #: NOTICE Authoriw. This application for a Building PernriL must be signed by the Owner of 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. 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), 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, lagreethat land 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, construct¡on 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 builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have the uired which is correct and accurate to the best of my knowledge. a-6l,a lentg and Sign 'T Date Septic: LlElectr¡c I lo*rer OFFICIAT USE ONIY 'i.ä;iåî*äi¿øt;,p"/" 0. i,lp,we @ l^liqfil% r¿súu*,a,. Manu home Fee:Misc Fees:Adiusted Valuation: þ2,loo. rn Plan Check Fee:î4.n Permit Fee:+61.7" ø- RD. - rLTq BP No:OWTS No:Totaf Fees:ø|v1.tu ?-z 5D Fees Paid:Balance Due: çtta.ø(a ConstType: lR¿Zoning: ø/1,>*þSetåad<s: tslels oCCGroup: lRó olzrlr¿tøBUITDING / PLANNING DIVISION Dater I Signed Approval BuÍl$Ígs/ Zonin&flan Review Chqckliqt pqrrnir Number: W?fr 0Ç' l6'b274 Kaier,tl Þ/¿2 aàá;h'ou Buil Plannine/ Zonine X Engineered Foundation , '/ Property Line Setbacks Driveway Permit N/A N/aX surveyed Site Plan N/A 30 ft. Stream Setbacks Flood Plain Buîlding HeightSeptic Permit and Setbacks Grade/ Topography 3O% '/ - Attach ResidentialPlan Review List ,/ Subdívísíon Plat Notes ttVA Fire Department Review '/ Valuation Determinatíon/ Fees "/ Red Line Plans/ Stamps/ Sticker Attach Condítions '/ Application Signed '/ Plan Reviewer to Sign Applícatíon Parcel/schedule No. N/,A .40# Snowload Letter - Manu. Homes Soils Report /Zoning Sign-Off N/A Road lmpact Fees / Grade/Topography40% a Planníng lssues Subdivisíon Plat x General Comments: P¿út. QZ,,t: txv tz - r4b ) tza qr ØYt(t? 7Ö' ¡J4,ha4'¿¡¡: 11b x 4tZ.0A' e2,lOO.Ô0 Foà ln¡orcÅ P¿t- * */a (p, Wiþ^bt¿ w^j