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Home My WebLink AboutApplicationGarfteld County Community Development Department 108 8th street, Suite 401 Glenwood Springs, CO 81601 le7ol94s-8212 www.garf ie ld-cou ntv.com BUILDING PERMIT APPLICATION TVPE OF CONSTRUCÍION ReroofResidentialDu le or Multi-Level) or Townh Manufactured Home E com ulti-Fam I Demolition INVOLVED PARTIES Property Owner: Mailing Address: Phone: Û7O19't5- 7gáÈ Email Address: Manufactured Home lnstaller: Phone: (-)- Mailing Address: - Email Address: PROJECÍ DETAIIS Describe Work: Job Address: Assessol's Parcel N Sub.Lot /ù Block Owne/s Valuation of Work: 5 i Property Size (Sq' Ft. or Acres): Sq. Ft. of Building: Height:# of Floors:- Class of Work:New Repair Mailing Address: Email Address: l< t P<¡/ s'ç(-l L Phone: ü6al ¿t8'/ -â7Õ7Contractor: Arch¡tect:( Mailing Address: Email Address: Engineen Mailing Address: - Email Address: Garage:Attached Alteration Addition Detached Move/Relocation pnorrcr orrells coNTlNuED Septic:OWTS Type of Heat:Natural Gas Driveway Permit:Exempt flCommunity pane Electric flot¡rer must be signed by the Owner of the property, described above, not that of the Owner, a separate letter of authority, signed by rmitPe NOTICE Author¡tv. This application for a Building Permit or an authorized agent. lf the signature below is 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 perm¡ts. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (Ð another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Perm¡t. 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 data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approvai 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, 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 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 d fr€neer and/ or builder I hereby acknowledge that I have read and understa nd the Notice and Certification above, as well as, have provided the req uired information which ¡s correct and accurate to the best of my knowledge, I hereby certify that I have read this Application understand that the Building Division accepts th Property Owner Print and Sign and that the information contained above is true and correct' I e Application, along with the plans and specifications and other '7 .7 - Date $5ù OFFICIAT USE ONIY Special Conditions: fua¡ilrt¡ t¿rr_ lv/+l øtlÅoør. tøt-PtA-onta FP T+ûrrLUtç D ^rr1 Adiusted Valuation: 4qg 2 Tî':rnf'"u Permit Fee:'tll.t1 Manu home l-ee:MIsc Fêês: rátaf r'eés:l*z 5b Fees Paid:. 6Ll, I l Bálance Duei -'121 jlô TTtpe-s3n\ OWTS No: Setb-aeks con'*rvpIFk - ,on,nrfl)¡r) î 7'7otiBUTTDTNG / PIANNING DlVlSlON D Date (?WYU BuÍldÍns.l T,onins Plan Review Checklist þrßL 5AþPerrnitumber: Buildine Engineered Foundation N,flDrivewaypermit Site Plan N. (septic Permit and Setbacks Planni 7on rcperty Line setbacks Zoning Sign-Off Road lmpact Fees Grade/ Topography 4A% Planníng lssues Subdivisíon Plat ---ftnsr5eçm serbacks ,V"æ¡ 4rr( g, ft ,,*o rì"{lL'iff &f;å# N.A Buitding Heighr -ßtt Gradg/ r opogr aphy 3o% -- ---;Ãrh ResidentíalPIan Review List tn ,ß *1.ß ation Determinatíon/ Fees -_ Red Plans/ Stamps/ Sticker Atta Conditions ion Signed - Pla to Sign Applicatíon Parcellschedule No. Subdivísíon Plat Notes Department Review 40# Snowload Letter - Manu. Homes Soils Report General Comments: 4'1t"s.F," /Zì #qW, N,l . +,4