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Home My WebLink AboutApplicationGørfield County ßÉGÉNET r'l'.. Lj(ïs.r'I o 'Jq*$(e7ol94s-82L2 Com munity Dcvclopmcnt Dcpartment 108 8th Street, Suite 401 Glenwood Springs, CO 81601 WPE lNvo[vED BUILDING PERMIT APPLICATION ,r ¡.vtrl I lrlrv I r\ Demolitionulti-FamComme Manufactured Home (Single or Multi-Level) RcroofResidential (51, Duplex or Townhome) Accessory Dwelli Unit - MAXTMUM SIZE OF 1,000 SQUARE FEET S Phone:t'b\tqlø - h>:tz Email Address Property Owner: Mailing Address: contractor: Phone: Mailing Address: Email Address: Phone: btl /t'Jè I t4 v Cowj Architect: Mailing Address: Email Address: feV\)ve _ (Ot4.l wt Phone: ) Engineer: Mailing Address: Email Address Manufactured Home lnstaller:Phone: I ) L,,' v Mailing Address: Email Address: PROJECT DETAILS Kl t, y^¿ ( Lot Property I33Sq. Ft. of Building: Owner's Valuation of Work: Sub. Assessor's Parccl Number: Job Addrcss: Block _ r AdditionNewRemodel/AlterationClass of Work: DetachedGarate: ¡(þ Attached Community PROJECT DETAITS CONTINUED Septic: OtherPropaneElectric-lNaturalGasType of Heat: Authoritv. This application for a Building Permit must be signed by the Owner of the property, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of aut the Owner, must be provided with this Application. LeFal 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 andvoidlftheworkauthorizedisnotco¡ÌrnlencedwithinlS0days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement' Permit #: lXExemnt described above, hority, signed by NOTICE Driveway Permit: CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true an 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 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 facÌlity(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 correct. I designer, gngineer and/ or builder. /OFFICIAI USE ONIY Soecial Conditions:*äî"ä+^¿l,t/e fi* o( ¿oúiiong Manu. Home Fee: N/A Misc. '61Li".2r,Adiusted Valuation:Q7l'1b4.00 Plan Check Fee:q700,27 9WTS No: CU.|çT1l'vl 1+øtr çLìa(,Z' BP No:mÐ- sttilFees Paidl 1:l;/- {T Balance Due;¿bç14."'Total Éees: Qltoz.zz Zoniåg: ?tÄÞ Const, TVRe: ¡B"OCC Group: lR¿Setbac A¿,â. ksr âlt't¿lOtn¿. BUILDING / PLANNING DIVISION : Signed Approval Date zløl I hereby that read and understand the Notice and Certification above, as well as, have ich is correct and accurate to the best of DatePrint a PÞ u?.,Wr Oc- r L LI?tq +ts0 Bu ldín P lan RevÍew Ch PgI[rrit Number:EIF#,- Ò2'14-þb4l t Bui n Engineered Foundation / DrivewaY Permit Surveyed Site Plan Grade/'loPograPhY 3A% ' - Attach Residential Plan Review List / Subdivision Plat Notes VA Fire DePartment Review Va luation Determinat¡on/ Fees Red Line Plans/ StamPs/ Sticker '/ Attach conditions Application Signed Plan Reviewer to Sign APPIícation Parcel/schedule No. 40# Snowload Letter- Manu' Homes / soils Report Plannlnsf Zoninq, -Í-Property Line Setbacks N/A 30 ft. Stream Setbacks Flood Plain '/ Building Height ,/ Road lrnpact Fees Grade/ TopographY 40% Planning lssues Subdivision Plat General Comments: N/A Roà [vrnryt Tzt (< ryoo eF) $nlrvton ñ/e N/¡ Qlil Urr,|^/u/ - ß¿q; ¿r,rl¿c- O,r**l 9?'uÅ- "/tL x q14.þø = $ x 4 lø,00 â 4 x g Iø.Ø 2 s %o % tab 21b41. \41o. I¡ t1ô. 4?l¡1H.oo