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Home My WebLink AboutApplicationGørfield County REC r''lÌ rr GARFIEL GOTIfrIUNITY Community Development Department EIVËD 108 8th Street, Suite 401 Glenwood Springs, CO 81601 s ;lfiTÍi pTots+s-s2tz DcouN@ BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION DemolitionCommercial/M ulti-Family Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhomel 6e^t aat (h-La-.nt) Accessory Dwelling Unit (ADU) - MAXIMUM slzE OÉ 1,000 SQUARE FEET INVOTVED PARTIES Phone: Ú7t | ç7¿ - 7 lq g tzPropertyowner: tlliliz A4¿tlrl g 5tMailing Address: Email Address:\^Jmth¿ r¡¡,Þir't Q- .Jadrô, /1 ê+ ,J35 Co,rslrrl'øn Phone: t770 t 371-7 ) ¿lZInc I Contractor: Mailing Address: Email Address u lt Phone: (_)Arch¡tect: Mailing Address Email Address: ,/ //+ I Phone: I )Engineer Mailing Address Email Address: Phone: (_)/+Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS tln rn nrJiltonclDescribe Work tot lú elock / Ltlq- at7- o I- 0l/') Dr,la-ul,w & (ra rant -- 17 LL tF, a l+ suu. Trechr tJolh,t A c¡t I Assessor's Parcel Number Job Address: 't Owner's Valuation of Work: Sq.Ft.ofBuilding: 1tl SF Height: l4' ' l¡" r of Ftoors: / PropertySize (Sq. Ft. or Acres): 7 5 v Remodel/Alteration AdditionClass of Work:New YAttached DetachedGarage: Propane Electric PROJECT DETAITS CONTINUED atural Gas Other CommunitySeptic: Type of Heat: Permit #:Driveway Permit: NOTICE Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, 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. CERTIFICATION 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 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 r, engineer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided ut which is correct and accurate to the best of my Property r Pr¡nt a g 7tUSE ONLY 10 rtf âkl¡tþ tø,Å wlw¿a @. ræf lvnçr,¿* t -lSpecial Conditions: Adiusted Valuationl 'olø'4ao.oo Plan Check Fee4lqa.t t Permit Fee:Çzot.zÞ Manu. Home Fee:Û,4 wlisc. rees: '. tA Baq lance Due: tu1.2b BP Nol ßlDF-,ry^ñQ OWTS No:\\ lrTotal Fees:4wu.40 *lQq.r Fees Paid: OCC Group:Tpo.Const. Type:'w0 . Zonlng:Setbacks: FIR=2b,, S'lO BUILDING / PLANNING DIVISION : Signed Approval al24lþn Date Garfield Coanty BUILDING DEPARTMENT 708 E¡ghth Street, Su¡te 407, Glenwood Springs, CO 87607 Tel: (970) 945-8272 PLAN REVIEW CHEC KLIST Permit No: Þ,Flç' ø44 -*% Building Issues Planning/Zoning lssues X '/ Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List N/x X ñ/A N,A ñ/a N/A N/A Description & Summarv: Utnwn4¡$ o n.{t}, Þ(W)uug e*vUy 24 x ?2, 11O q?. Xlhb,Vulìon'' 17ovß4.00= 4l6tlao-oO Foøl Inp^4 F<t- N/A (Fì, tlabibbt¿ Ar^)