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Home My WebLink AboutApplicationc Gaffield County ß-Lt Community Development Department 108 8th Street, Suite ¿101 RECEHãOrood Springs, co 81601 ls7ole4s-82t2 .JUN [l 3 il&t$v.sarfield-countv.com çARFIELD CQU-NTY Ef Commercial/Multi-Fami ;f:Demolition fl Manufactured Home (Single or Multi-Level) Residential (SF, D or Town INVOTVED PARTIES Property Owner: Mailing Address: Phone: tflo t ?y8* lSEg 0 Email Address:*L"*lerô2cìGg^ (}o l*&ty, 4Eé phone: Û7a | 7f8-57t6 Mailing ¿ö 8/ Emall Address:'trt.u* Þreor- c-îeeK @ 4.cttr,r¿fl4*- ne* Architect:Phone:fivö | Y',lr*5521 EmailAddress: Engineer:Phone: €?tt | ?lf- a¿ 13 æ á8 Malling Address:4; 'o .laprzl. 4sq (aae ' ', Cg 8/ê,23 Mailing Address: EmailAddress: Manufactured Home lnstaller:tvß Phone: (_) Malling Address: EmailAddresrt PROJECT DETAITS Describe Work: êÊ,v Job Address:I ¿ê äi6r z 3 Assessor's Parcel Number:/a BUILDING PERMIT APPLICATION sua'kps¡ G/tg 23?3 øt €/0 Btock_ , PRO¡ECT DETAII.S CONTINUED Sept¡c:flowrs nity Type of Heat:Natural Gas Propane flrlectric Other Driveway Permit: noirce Exempt Authorltv. fn¡s æptieat¡on for a Building Permit must be signed by the Owner of the property, descr¡bed 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 this Application' 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 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. Void Permit. A Building Perm¡t 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. Permit f: I I i. CERIIFICATION 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 Applicat¡on, along with the plans and specifications and other data subm¡tted 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 Bu¡lding 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 perm¡ssion to the Building Division to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Build¡ng Perm¡t does not prevent the Building Offìcial from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (21stopping 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 const¡tute 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 designer, engineer and/or builder I hereby acknowledge that I have read and understand the Notice and Certlfication above, as well as, have provlded the requlred information which is correct and accurate to the best of my knowledge. Print and S¡gn Date tq 6 svoFFtcrAr usE oN b/ PAd) trpot %-- (aa* Þi€tr'i¿#) Soecial Conditions:""äîi"Aäi)nY l\st o( a"¿tlio,''s- Manu home Fee: ì,ù lA Misc Feqs: lzî72h.Ø 'Fee:Permit+14 7.-7b Adiusted Valuatlon:Ø11,æ.ø Plan Check Fee:aøø.4 BP Nö: CÀÏf&S?Rq OWTS No:ñlABalance Due:?4*toliäfi1'"Total Éees: Þ ¡otLa.Zq OCC Group: elfu4BUTTDTNG / PLANNING DlVlSlON : Signed Approval Const Date GørJield County BUILDING DEPARTMENT log E¡ghth StreeL su¡te 407, Glenwood Spr¡ngs, CO 87607 Tel: (970) 945-8272 PLAN REVIEW C H ECKLIST Permit Not ÞLre- 0b-lq- >164 Building lssues Planning/Zoning lssues N/', ,/ N/A N/A N/A '/ Valuation Determination/ Fees Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review 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 General Comments: Fo ^À lup,cÍ ?t t-' erzø. 0^o jru * lwF Pist"cl ) 9t¡* ñìû^, ßLq' ¿/^n cc Aà),¡{iA^ Na,u ar^iill ?^n l.V{o cOvwo& ?at;0 xlÃtrwltott 1æ ,r q14.O4 e, Ð Þbt0l0 7â0 x qrc.00 ashbo1. t00 x qrc.gg =¿L t¡600. 'l\tal *Jl tA0.0o and/or plans for compliance, the application may be placed on hold untilthe 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 ís issued. The permit application must be signed by the owner or by person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building w!!!o_ut a CO wilfbe considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand and will abide by the requirements of this checklist. /).t