No preview available
HomeMy WebLinkAboutApplicationGarfield County RECaynynity Development Department 108 8th Street, Suite 401 OCT i 7 Glenwood Springs, CO 81601 (970) 945-8212 GARFIELD CO ,�y,garfietd-county.com nMM11N,TY nF«ELUI'M ..� TYPE OF CONSTRUCTION _ ❑ Commercial/Multi-Family ❑ Demolition BUILDING PERMIT APPLICATION El Manufactured Home (Single or Multi -Level) ,Residential (SF, Duplex or Townhome) rim Reroof INVOLVED PARTIES Property Owner: 4 LLC Phone: ( ) Mailing Address: )(n75 W. 7nth /hr AraiC,Ct, C;D C6 7 Email Address: (tone C f r'lm _ QDv1') Contractor: \5j(»\ 5 OWW1a 5S O V1 Phone: (q7O )749 1 2,24 Mailing Address:? 0.6ny 37 A3 , Ccs ct)1/(n/D- Email Address: erl7--5 (1,01. LOVV1 Architect: f - \ @ l f y Phone: ( Gia) 9,27-3A,7 Mailing Address: 130X I z -O (e C UUD� I 1X914 Email Address: Engineer: .1-01\ \ Gi I l y Mailing Address: 13o c j & 4O 76i -cx,! f" (l [rJ P) Lo ! Email Address: -l--14 c '+r.3 Phone: (g7Q)c1 73)is7 Manufactured Home Installer: Mailing Address: Email Address: Phone: PROJECT DETAILS Describe Work: J_ 1/ l Yl. / L -")GG 171 — Qf YYnDVe. C riILIVY1Y1,►1';'3i-cJl S1"{'E1 ben /11 K � heir re 3— I I/A-il++�L L.1 undry- r�iL bei. Ioor ho 1C 1fC Mil Ie ) Job Address: I t !< 1 �►€ r Lr (Aver) ACj iver) e rr LG4 ) 'If 1`1t+Ct k. 80 BJ, , 3 Assessor's Parcel Number::i3-113.9.0301 l`- 9 3..O3C7104(0 Sub. • t v P.() Lot E-4(0 Block Owner's Valuation of Work: $ p Sq. Ft. of Building: 1' PM 31 41�. Height: Class of Work: 0 New Alteration ❑ Addition Garage: ZAttached Property Size (Sq. Ft. or Acres): # of Floors: PROJECT DETAILS CONTINUED Septic: Type of Heat: OWTS ZNatural Gas ElPropane Community El Electric 0 Other Driveway Permit: Exempt U Permit #: NOTIC 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. 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 la . eview of this Application, including submittals, and inspections of the work by the Building Division d no • t ute an acceptance of responsibility or liability by the County of errors, omissions or discreparj ie . ie 4 er, I acknowledge that responsibility for compliance with federal, state and local laws and Countyio - ••t with me and my authorized agents, including without limitation my architect designer e gi . an + uilder. I hereby . • u i ge . I have read and understand the Notice and Certification above, as well as, have provided t t • _ • ation which is correct and accurate to the best of my knowledge. g L L. Property Own, :rl an TV: OFFICIAL USE ONLY''��'"{ ���[j ] NO f + t� F5 Special Conditions: 1 d 1 — 2 c_ 1 4r Date 4caltlistl,Valuation: Total ees! Setbacks: Plan Check e: 117. 11 es Paid:\ 1Qr OCC cS._. Permit Fee: q��q Baan Du • Manu hr me Fee: BP No: Const Type: Misc Fees: OWTS No: *V'1 J A BUILDING / PLANNING DIVISION: Sig ed • = oval d1 -1,3-w Date