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Home My WebLink AboutApplicationßr" W3 Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-8212 www.garfield-countv.com Garfteld County BUILDING PERMIT APPLICATION E Commercial/Multi-Familv Demolition E Manufactured Home (Sinele or Multi-Level) ! Residential (SF, Duplex orTownhome)Reroof }NVOLI/EO PARTIEI Property Owner: Mailing Address: Email Address: Phone: É-7Ò \4?l- (J)\ 5- contractor: 04"'.\o^ Boi\Àì^q s, Itùc,Phone:r1?ol2{?- 2153o+t IMailing Address: Email Address: +t ñ€(. \t r3o1 IArch¡tect P Mailíng Address: Email Address: Engineer:S ô,rô!Q dá Alx..r.Phone Mailing Address Email Address: Manufactured Home lnstaller:Phone: ( ) Mailing Address Email Address: IPROJECT'DEtrAIIS Describe Work: Job Address c Asðessor's Parcel Nu *Sto^ 3a mber, â,t7s 33 4oo I ra-Ta.,s*ãn¡f e__xluas. q4 Owner's Valuation of Work: S rty Size (Sq. Ft. or Acres):{Ò Sq. Ft. of Building:Height e,ıt Class of Work:New Repair Garage:Attached Alteration Addition #of Detached Move/Relocation ÞETAItS CONTINUEO i Septic: ÈoÉ llowrs Natural Gas Driveway Permit: l Exempt Propane Community Electric Permit #: Other NOTICE Authority. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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. Void Permit. A Building Perm¡t 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, lagree that 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, 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 (2l,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 d engineer and or builder rh that I have read and understand the Notice and Certification above, as well as, have required n which is correct and accurate to the best of my knowledge erty Owner Sign Date Q')u' ( þr OFFICIAT USE ONLY Special Conditions: tttanuhome.p--Misc Fees:Adiusted Valuation3s ulo Plan Check Fee:z4z t0 Perrnit Fee:,+51 g I BP No: K u? ( 53q5 OWTS No'*\ffï,55 .)cr 3 ,- lT) Fees Par-d:Balonce Due: -15t,86 Const Type: --EF{ Zoning RI Setbacks:occ Y-¡^( BUILDING / PLANNING DIVISION : ed Approval 7ø¿sß Date 2q3"t c BuítdÍns.l Zonins,PIan Review Checklist P-ermit Number: b¿Bz-^e7-/g- il45 Driveway Permit / l,/, il - Septic Permit and Setbacks -/''/ Grale /'l opography 3o% -/v Aftach ResidentialPlan Review List 1/'l subdivísion Ptat Notes /1. (Department RevÍew Engineered Foundation u at¡on Deterrninatíon/ Fees Líne Plans/ Stamps/ Sticker Conditions 40# Snowload Letter- Manu. Homes a Soils Report Planni Zon Øt(Property Line Setbacks {,' 4 3oft. stream setbacks ,(, 4 Ftood plain (ô. A,Building Height tl, Å prann --¿zoning Sign-off ^/*l no,a I'pact r"u, ,/\-/ Grade/ Topography 40% Bui ing lssues Subdivision PIat General Comments: Application lÀt o"2q= 3o, z4o Gørfield CounrY Community Development Department 108 8th Street, Suite 401 Glenwood SPrings, CO 81601 (9701945-82t2 www.ea rfield-couIltY.com BUILDING PERMIT FEE ESTIMATE WORI(SHEET qtnR, (ttu se.li "rLCQSl(rSb fown$d,p onePh 5cant:0 00Lf¡pl ( tsAdC,Project q\ezq BH€'tet:onbdivsi S74.68 S41.oo .e. insulati sheetrock Pati ara HomManforfauredctu Crawl S ce aceFinished Unfinished Basement Conditioned nconditloned eck Misc: red Uncove s24.oo 18. t2Ire.øei Æl?Lo*l.l -' Misc: TotalValuation 50.00 so.ooSinsle Level 5o.ooMulti-Level Total Set-Up Fee $o.oo So.ooNew lnstallation so.oo so.ooPerculationL5 Total Septic Fee $o.oo 5o.ooPlan Review Fee 50.00Building Permit Fee Man ufactured Home Set-U Fee Fee ( so.0o so.ooOther (Ex: Road lmPact This Section Determined by Garfield County so.ooTotal Fees Due **{'All fees are estimates until fina I plan review is comPleted*** \ uffiÈ /4 Z1b,]Q