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Home My WebLink AboutApplicationGørfteld County Community Development Department ÐEe f 3 201$ 108 8th street, suite 401 GARFIEL; couNÇltn*ood Sorines' co 81601 ;fiäùÑrriı*-ror*ffi BUILDING PERMIT APPLICATION Commercial/M u lti-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accesso Dwell Unit U - MAXIMUM SIZE OF FEET Property Owner: Mailing Address: Email Address: Phone: t1'lo I \Vl-,8 523 tJ mi lf¿ contractor: J A5 Grn*r'r]:øn lnr,Phone:e70t 37ç-7/qz Mailing Address: Email Address: Architect: Mailing Address Email Address: Phone: ú7r t ê*<- 7774 U r^I?6bc â-z¡n ¿e15Engineer: Mailing Address: Email Address: Describe Work: sub. ?e6oh Valht ,4ut< J Sq. Ft. of Building:^,1i5 Height:-LL, -ôt\-ôLt- ô Iô Phone: ( ) 4¡n"l< &,"ttlr t lJ^rmt, ¿ Property Size (Sq. Ft. or Acres): Z ,1 I Ar e9 Email Address: f of Floors: / Manufactured Home Installer: Mailing Address: Job Address: rct trO Btock - I Owner's Valuation of Work: Assessor's Parcel Number: Tl11 Class of Work:(9 Remodel/Alteration Addition Garage:Detached PROJECT DETAITS CONTINUED Septic:Community Other Driveway Permit: Exempt NOTICE Author¡tv. 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 andvoidiftheworkauthorizedisnotcommencedwithinl80days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICAT¡ON 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. 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, 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 ¡nspect 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 desi e ineer and/ or builder I hereby that I have read and understand the Notice and Certification above, as well as, have information which is correct and accurate to the best of my knowledge. Permit #: tz lrc /,{ Owner Print and Sign oatá ' / rg Kl( Type of Heat: fXNaturalcas Propane Electric OFFICIAL USE ONLY Ra^¿l 1nø¿,1 e¿¿ (Nor'ttn oigüi<*) Special Conditions: Adiusted Valuation: 92+4,5tu.æ Plan Check Fee:qtttw.4 Permit Fee:*tfl-lt.1Þ Manu. Home Fee:Nl\Misc. Fees:#ttV&.M T.otal Fees: 9z,4az.?Á Fees Paid: it bL.4L Balance Due:ltrlt'tt.Ø üïpur551o OWTS No: <?Þr- 5511 Setbacks: F/K=2244=tO OCC Group: ßa Const. Type: f R¿Zoning:K BUILDING / PLANNING DIVISION t/ølzntq DateSigned /lL l7 I l&1,ouo CortïxÍJ,' Bu ildíns/Zonlns Pl nn Revi ew Checklist '/ DrivewaY Permit x Surveyed Site Plan Septic Permít and Setbacks Grade/ ToPograPhY 3O% Attach Residential Plan Review List ,/ Subdívision Plat Notes M Fire DePartment Revíew '/ Valuation Determination/ Fees '/ Red Line Plans/ StamPs/ Sticker I Attach Conditions Application Signed '/ Plan Revíewer to Sign Applícatíon '/ Parcel/ Schedule No' 40# Snowload Letter- Manu' Homes I soils Report fuÀ ttnpo<t Fløs= q \34ø.Ø (f-rd,+rr â"F¡ol, /t,* ??) Perlrrit Number: Íâ'FA'12'lb ' b%Ô ÇÊrr- n- 16 - y?4 I Buil Engineered Foundation ?lannine/ Zoninq, '/ Property Line Setbacks NIA NA ,/ Buílding Height '/ zoningSign-off Road lmpact Fees '/ Grade/ Topography 40% Planning lssues '/ subdivision Plat General Comrnents: 30 ft. Stream Setbacks Flood Plain ât't Ar¿^Yalwt$on ?'qtÀr^Iæ øua4t Ar¿wl 1yct ttlncnt" ?ahog 4270 x Utb x 2¡24 x 240 >4 þ71.æ ? $ 9 zz-oo ? q ç lØ.ct å 4 4lø.Ø =9 lbhrvb" 21¡bØ0. 4o¡ tle - ryt220. TOTAL + 2z<¡>tt,