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Home My WebLink AboutApplicationRÉcÉ$'I ÉD hub $ G Community Development Department GI 108 8th Street, Suite 401 enwood Springs, CO 81601 (s70l'94s-8212 $TANNE á-3 Gørfield Coanty BUILDING PERMIT APPLICATION I TYP OT l-l Commercial/Multi-Family DemolitionnManufactured Home (Single or Multi-Level) E4 Residential (SF, Duplex or Townhome)Reroof INVOTVED PARTIES Property Owner: Mailing Address: Phone: ( 1-?Ò l51q -Q-t'l t " Email Address: Contractor:T Af)Phone: Mailing Address: Email Address: _ Architect:ñl /A Phone:() Mailing Address: Email Address: Engineer:Phone: I ) Mailing Address: Email Address: Manufactured Home lnstaller:Phone Mailing Address Email Address: Describe Work: Job Address: Assesso/s Parcel Number:Ê.sB rrúes* oÊ fh¿ ttf^øvl Sub. Owne/s Valuation of Work: $20,ooo Property Size (Sq. Ft. or Acres): L,ll Ac-re< Sq. Ft. of Building:72q.c,Height \zt (o"# of Floors: I Class of Work:New [| Rlteration l! Rouiton ! nepair | | wtove/nelocation Garage:ffiAttached | | oetached PROJECT DETAITS CONTINT'ED Septic:[]owrs Commun¡ty Type of Heat:I'Xl Natural cas ll Propane þl rtectrlc I lotrer Driveway Permit:Exempt l_lPermit # NOTTCË Authoritv. 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. 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 ceftification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Perm¡t 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, 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 enterthe property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the Building Officialfrom: (L) 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 Iiability 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. lm ?hol N Property Print Sign Date OFF¡CIAL USE ONLY Special Conditions: Adjusted Valuation: 4,^\,{ L),DLT<) Plan Check Fee ?eiÉ. A I Permit Fee;-i2t .)i Manu home Fee:Misc Fees: Totai Fees:{ 3D.AÇ Fees Paid: âo*,-z t Balance Due: 37t,¿5 BP No:Møs3**OWTS No:Wç;p"rq Setbacks:OCC Grouo:>fl('/ l-\con" rv:L flt zcinine: l) 1-1,,.¿sl3BUILDING / PLANNING DIVISION Date ¿\ r êCøvaioev l Buildins.l Zonine Plan Review Checklist 'b,¿ø 5s8 8 €wqed Site Plan i/,*Septic Permit and Setbacks v/ Grade/ Topography 30% Attach Residential Plan Review List ar; subdivision Plat Notes {,{. Permit umber: Building Engineered Foundation Driveway Permit Review V on Determination/ Fees Red ne Plans/ Stamps/ Sticker Conditions A n Signed Pla to Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report ,' 30 ft. Stream Setbacks /-/ ft'" Ø,L -/"Zoning Sign-Off /1.4 Roa lmpact Fees Grade/ Topography 40% Pla Toni Property Line Setbacks Flood Plain Building Height General Comments: il,0* Å1 ,¡* lJ, fr lJil '/,4 Planning tssues ./v Subdivision Plat ùn-or,*- 0*roc¿'< E *ry Garfield Counfy gÉ. h\)s rlb ttü"mu Development DePartment 8th Street, Suite 401 Springs, CO 81601 97Ol 94s-82r2 G BUILD¡NG PERMIT FEE ESTIMATE WORKSHEETt Blockbdivsion 7o t^JIto c,¡\e'-çQ ,t{Lot: icant:\fi - ProjectAddress: /. N q -or '_{ .8ôò 574.68Finished Livins Space (N/A for Manufactured Hom es) s41.00¡tAUnfinished Basement S18.ooNr+Nr s32.00Garase (Conditioned) (i.e. insulation,sheetrock)ytT s24.00Garaee (Unconditioned) S18.ootv/àCovered Patio/Deck ^ÀA s12.00Uncovered Patio/Deck so.ooMisc: 5o.ooMisc: TotalValuation $s.oo so.oole Level $o.ooMulti-Level Total Set-Up Fee So.oo so.oo;123)New lnstallation So.ooS7s) So.oorculation Total Septic Fee $o.oo so,o0Plan Review Fee $o.ooBuilding Permit Fee so.ooManufactured Home Set-UP Fee So.ooSeptic Fee (OWTS) so.ooOther (Ex: Road lmpact Fee) This Section Detcrmined by Garfield County Total Fees Due $o.oo ***All fees are estimates until final plan review is completed***