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Home My WebLink AboutApplicationGørfield County Manufactured Home le or Multi-Level Reroofor Townhome)Residential (SF, Du BUILDING PERMIT APPTICATION E ulti-Demolition INVOTVED PARTIES Property Owner:Ar.sr,u*lilr¿]ìò¿¿t bnc,-ss Phone:rtlÒ l.4fL-iltLl Mailing Address:z{ I4ALYßÈ-wt-ul rr (-D gL3-f Email Address:À-) Manufactured Home lnstaller: - Phone: (-)- Mailing Address: Email Address: PROJECT DËTAILS Describe Work:¡J E¡ar\ AÙD st'þ Job Address:LO Assessol's Parcel Number: sub. (\oru .' *-*Lot Block Owne/s Valuation of Work:Çloo Property Size (Sq. Ft. or Acres): Sq. Ft. of Building:lsoo Height:f of Floors: 4 Class of Work:i!new Repair I Phone: (_)Contractor:5*lç Mailing Address Email Address: Phone: ( )Architect: Mailing Address: Email Address: Engineer:Phone: I ) Mailing Address: Email Address: Garage:Attached Alteration Addition Detached Move/Relocation : PROJECT DETAIIS COI{TINUED Septic:owï5 Community Type of Heat:Natural Gas Electric Driveway Permit:Exempt Permit #: NOTICE Author¡ty. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with thís 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 Ìdentified 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. CERT¡FICATION OtherPropane 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 oí 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. tn 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) stopp¡ng 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 êf,neer and/ or builder I hereby acknowledge that I have read and und erstand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge q\ro lzp n Property Owner Print and Sign o[."' OFTICIAT USE ONLY Special Conditions: Manu home Fee: N/A. Misc Fees: NAPermit Fee:4t4.2bryEïnäl'""'.Adiusted Valuation4'h9oaØ BP No:g-tßE-5T16 Mn^'h./t u tú tlV OWTS No:Balance Due:gt7.2tFee¡ Paid: 1a ot Total Fees;*zzqt¿ ConstType: lR¿zonins: p t/tD 'OCC Group: IR¿,Setbadrs: ,Yzalqø/9b BUILD¡NG / PTANNING DIVISION : Signed Approval 7 T afnløn Date t I Gørfield County BUILD'NG DEPARTMENT 108 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 81607 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: A.Rli' ù4- n-ry1\> Building lssues Planning/Zoning Issues nn t't/t N/. V NÁ Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes tVA Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat 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 N/A soirs Report tløwon.sh^Ø.00 (ø, qrbn;"ft,0) Faø¿ l,^føt fz,, VA General Comments: pa¡ttinivwtg < b00 *