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Home My WebLink AboutApplicationGørfield County , RgÇElVf,f,pqmmunitv Development Department 108 8th Street, Suite 401 t.i[iT,å ¡: ¿T ?t]ltl Glenwood springs, co 81601 **fl'-VlS'tY'tN'"':J,T1"'; "'l'*ofcoNsTnucnoN Com Manufactured Home or Multi-Level) PARNES Demolition Reroof Propefi Owner: Mailing Address: f "ut,(tt Phone: t4l8l t løtol-bLqç ü t5t Email Address:ßi..t Av Ímot P- hú- , fa¡4 Manufactured Home lnstaller;L Mailing Address:0 Òte Phone:tZnl t K5\- *t-bb 8ûç --gt a Email Address:ea.Êr w-Å,e p- uritl 'l " ¿orn5t.0 Email Address: Phone:(Contractor: Mailing Address Phone: Phone: I )Engineer: Mailing Address: Email Address: Architect: Mailing Address: Email Address: FRO¡ECTDETAIIS Ðescribe Work:Pun-t lillvqu'r ØÑ9rÈucnup î',(Lf+trÉI¿ fuL-ute M æ fiD LfttJÐ U5V rtt:oe ?6nnv t n- Job Address:(A Assessor's Parcel Number: Sub-Lot Block 5q. Ft. of Building:)7..{Height:nt qü *of Class of Work:New Repair ¡ I L owne/s vatuation of work: StlUal no f{'lJf tl t Property size (5q. Ft. or Acres): \5rZOt M*ø Garage:inÀ I ttached Alteration Addition fl o*[.ched Move/Relocation PRO¡ECT OETÆls CO¡¡TINU ED septic: flowrs : f] community Type of Heat:Natural Gas Propane Electric Other Driveway Permit:Exempt Permit #: Authoritv. This application for a Building Perm¡t must be or an authorized agent. lf the signature below is not that the Owner, must be provided with this Applicatìon' signed by the Owner of the property, described above, of the Owner, a separate letter of authority, signed by Lesal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Divisíon' Other perm¡ts. Multiple separâte permits may be required: (U 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' Void permit. A Euilding Permit becomes null and void if the work authorized Ís 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. i 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 certífication 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 Build¡ng 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; ar 12) 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 th¡s Applicatìon, includìng 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 díscrepancies. 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 and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provitieci the requireci information which is correct anri accurate to the best oi my knowiecige. f¿-U- tq Property Owner Print sien (þg ¡¡Date BUILDING / PLANNING DIVISION :lzllz^'< Signed Approval *I OFFICIAT USE ONIY Special Conditions: Ç* a/ttr,¿4ù livl o( Permit Fee:q ut.2b Manu home Fee: 4oo.oo uisc rees:¡[rA,Plan Check Fee:412.çtAdiusted Valuat¡on: +4pH.00 owrs[rrp: Íl,fj$hrylF ¡l,*zzvBalance Due;+tø,øt¿BP No: 6fco- 5877 Fees Paid 4oo .oo Total Fees:qw?.bb ConstType: V.Þ Zoning:ROCC Groun: ,Setbacks: F/R* 2b,9"lo PD.æ)D?,n Date Gørfteld County BUILDING DEPARIMENT 108 Eighth Street, Su¡te 40L, Glenwood Springs, CO 87607 Tel: (970) 945-8272 PLAN RE V IEW CHECKLIST permit No: WØ- 0b-14-%Zg Building lssues Planning/Zoning lssues VE '/ Attach conditions x Application Signed Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ TopograPhY 3Q%o ^ , I ,'-Øfutttt*taatt Attach Rcsidelráa} Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determ¡nation/ Fees Red Line Plans/ Stamps/ Sticker NIA Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees '/ Grade/ Topography 40% Planning lssues N/A NAx N Subdivision Plat General mments: Àffir. Arr,û-: 6x?4= 27Ô *- FOÐ ltnpr,rÅ F.(Lt N/A, (< t¡ooo 9F - *àp vynniwt4gt\ Ye* o( ctuqtw"vt6on' v-b O"^,¡^a.¿ /øs'a^ È (vurìr*ù xlalvwltou ailþl %^&' 22bx QlØ. ^ q4¡tu.oo NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf determined by the Building Official that additional information is necessary to review the application and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The Permit Fee, as well as any Road lmpact fees will be collected when the permit is issued. The permit application must be signed by the owner or by a person having written authority from the owner to act as their representative. I hereby acknowledge I have read, understand, and will abide with the requirements of this checklist. lo'at-t4 Property Owner Print Sign (at ,1\Date