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HomeMy WebLinkAboutApplicationGarfield County _$ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com `TYPE.OF RUCTION 0�y� 'rnercial/Multi-Family M Gg'• anufactured Home (Single or Multi -Level) CPtt+ Residential (SF, Duplex or Townhome) BUILDING PERMIT APPLICATION 0 Demolition 0 Reroof INVOLVED PARTIES 1---D 7 C� Property Owner: �v �[� lL - - Phone: .(-)7(/) 5 +13a Mailing Address:: I kL_LCv. Co (o Email Address: T'iVAVEF1-614-i`Z Contractor: C V51 m L (.i 1-47 l.SC7 . Phone: (r' 7)) 741 10% Mailing Address: 7(7,6- sN..1 "% �� \ �� 1��— Email Address: CON.' -G f' ��� ,1 - Husv Architect: MLJ5 �� j' Phone: (g7o )ctF} �tb Mailing Address: E.861 So -M 1 S AV F 0 4,01i -t- 6)R 616:--1 Email Address: U V C SC}�%(S • N Engineer: {y / Phone: ( ) Mailing Address: Email Address: Manufactured Home Installer: N Phone: ( Mailing Address: Email Address: PROJECT DETAILS Describe Work: Job Address: '' ,11/ \iAc' .),pn. r Assessor's Parcel Number: 3 9 3 - 34, 3 ( 1 ` 037 Sub. K. l f, Block Owner's Valuation of Work: $ 1$0,00 Property Size (Sq. Ft. or Acres):' `-' `� Sq. Ft. of Building: 2'a 0 6 -5/N- Height: 2-71 # of Floors: Class of Work: p New 0 Alteration ❑ Addition Garage: IAA DAttached El Repair D Move/Relocation J Detached 4.6 PROJECT DETAILS CONTINUED • Septic: OWES LI Community Type of Heat: ;12j Natural Gas fl Propane D Electric El Other Driveway Pe ❑ Exempt ❑ Permit #: NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If 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. 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, 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 (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. 1 hereby acknowledge that I have read and understand the Notice and Certification above, as well as, provided the required information Ich is correct and accurate to the best of my knowledge. Property Owner Print and Sign Dat have OFFICIAL USE ONLY Special Conditions: Ad•u}ted Valuation: ODD Total Fee - cp Setbacks: Plan Check Fee: /51.2) Fees Paid: 13.61 OCC grip: BUILDING / PLANNING DIVISION : Permit Fee: 237, 2L Balance �v Manu home Fee: BP No:gj Mi OWTS No: �5 3�'3 Zoning: Date -et rfr ld eww,6. ui1din l _ onin lP Rev kw Checklist qa�v-eY - T Permit Number: ©? - /g - Building d - Building Engineered Foundation Planning/ Zoning Property Line Setbacks Driveway Permit 30 ft. Stream Setbacks urveyed Site Plan Flood Plain Septic Permit and Setbacks Grade/ Topography 30% �—� Attach Residential Pian Review List BuilBuilgiing Height Zoning Sign -Off r , Road Impact Fees t --------Subdivision Plat Notes �Gr e/ Topography 40% Fire Department Review F ?,t- 3or Plannin_g.Issues t� Va dation Determination/ Fees Subdivision Plat -Red a Plans/ Stamps/ Sticker Att. • Conditions Applicatn Signed Plan Revi wer to Sign Application Parcel/ Schedule No. 40# Snowload Letter— Manu. Homes Soils Report General Comments: 4op