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Home My WebLink AboutApplicationGarfield County 1 'jTnrnunity Development Department QV ❑vN'� 1)8 8thStreet, Suite 401 RF1EL0 �c�D, wood Springs, CO 81601 G 49.:11\11 (970) 545-8212 CD www.garfteid-cguntv.com TYPE OF C ❑ Commercial/Multi-Family ❑ Manufactured Home (Single or Multilevel) al Residential (SF. Duplex or Townhome) BUILDING PERMIT APPLICATION INVOLVED PARTIES Property Owner: Mailing Address: Email Address: Contractor: oli Reroof crF,‘ ke L .0 Yit hi Phone: 30 - Sc.,c.142.-c ctr DoT 2 2u 4 Mailing Address: Wc�l Slis.C. Phone: (`rl IL Email Address: 6.ihc1'CL qkj 71-‘4, avvvii- '4c, Architect: Phone: R Mailing Address: Email Address: Engineer: i S Phone: '01 C j 6 2_ 5 2- Ll)\ v C Mailing Address: Email Address: Manufactured Home Installer: Phone: ( } Mailing Address: Email Address: PROJECT DETAILS Describe Work: e' ab`s Job Address: (0 LE a. 0�7.] Yee } Y" ,[ l Cr+\t,...-\J A (o. Assessor's Parcei-Number: 2 Yo b 53 0.3 0) 5 Sub. t i (-ed'4-3f Sit hot Block 9. Owner's Valuation of Work: $ i rr � 10L.7t� Property Size (Sq. Ft. or Acres): Z 1 3 4 . y Sq. Ft. of Building: T Height: !-8 9- 2, # of Floors: Gass of Work: tgNew D Alteration 0 Addition Repair Move/Relocation Garages jAttached 71 Detached q th4 1 PROJECT DETAILS CONTINUED Septic: Type of Heat: Driveway Permit: OWTS clNatural.] Gas-- • El Propane sen -pt • , 5C OM tilunily , - Electric errnit Other NOTICE Authonty, Th4, zioollcation for a Budding Permit must be signed b t, e Owner of the property, described above, or an authorized agent. f t:he 'signature below is not that of the Owner, a separate letter of authority, signed by the Owne, must be provided with this Application. LeR1 Actets. 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. Muitipie separate permits May be required: (1) State Electrical Permit, 1,2) County OM'S Perm. t.3) 'another Permit 'required for use on the :property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Perrnit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced 'within 180 days of the dote of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION hereby certify that I have read this Application and that the information contained above is true and correct. i ,inderstand that the Building Division accepts the Application, along with the plans and specifications and other data:submitted by nne or on my behalf (submittals), based upon my certificatiomas to accuracy. Assuming, compititeness of the submittals and approval of this Application, a Building Perrnit will be issued granting permis.sion to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed ev the Building Di -vision_ In consideration of the issuance of the Building Permit, I agree thot I and my .agerqs wiii 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 Buiidint-,, 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 Regulationi,$) or any other applicabie 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 Regulations) or any other applicable iaw, Review of this Application, including submittals, and inspections of the work by the Buorij Division do not constitute an acceptance of responsibility o.r liability by the County of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federai, state and local -vvs and County Regulations rest with me and my authorized agents, including without limitation ray architect designer, engineer and/ or builder. , • . . I hereby 4c owledge that I have read and understand the Notice and Certification above, as well as, have l< provided he equi red information which is correct and accurate to the best of my knowledge. Property Owner Fint and Sign A Date OFFICIAL USE ONLY pecial Con it s: Adjusted Valuation: Plan Check Fee: 1Si_144a 00 I 12tal Fees: Fees Paid: 112i 661/0 Setbacks: r 26i g.-70) 510 Feiy trit ee aalance Due: OCC Grou Manu home Fee: BP No: iso F cZY ecB I) i(8, 55422,Dm.MIMA Const Type: 112. Zoning: pukb BUILDING / PLANNING DIVISION : 441 12N24,i6 L._ Signed Approval Date rt).* goo.*) cc- , Itlit 1 i;;; ld CoiTri25 -] B ldingl Zoi lv Plan Review Checklist Permit Number: L -(1-16-Fj 42 Building Engineered Foundation Driveway Permit Surveyed Site Plan N/A Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Pian Review List Subdivision Plat Notes N/A Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application N/A Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes Soils Report IA4 I4 k tC goiscoct Gamey w v4.,J-- ppSi'apcci- 2) 24O (O 2240 Af Planning/ Zoning Property Line Setbacks NYA 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% / Planning Issues Subdivision Plat General Comments: netd epi -Cif 1%L = 4 I ) 154 co ('c41 ti 9(1r G4" VAIN fico x �71.6= '1(97)16. X 32. �l, 2-210e0. x 1e.07 9 .416132a. x ' 12.00 - 9 5)40 Tt TA L 0235i 1. . Gb