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Home My WebLink AboutApplicationGørfield County RECEIvEDm munity Development Department d{ric ?8 ?{r1IJ Graos ::rïiir:,"¿ï 3Îår, ';*RFIELD COUNTY ß7ols4s-82t2 , núr'iu¡¡rrv DEvELoPMfu BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION DemolitionCommercial/M ulti-Fami Manufactured Home (Single or Multi-Level) Reroof{esidential (SF, Duplex or Townhome) Dwelli Unit - MAXTMUM S|ZE OF 1,000 SQUARE FEET Property Owner: Mailing Address: Email Address: {î ¡, ia¿L C' ¿ n T e,4 phone: INVOTVED PARTIES tTZ,-t 3 O¿( -Ìà:c/s ô Contractor: It Phone: I I Mailing Address: Email Addressl Phone:LArch¡tect: Mailing Address: Email Address: Phone: ,pe c'aAtn. t t\ ^\.rt -q15 r (l, r,.trL tÃS Engineer: Mailing Address: Email Address: Mailine Address: Phone: ( ) Email Address Manufactured Home lnstaller: PROJECT DETAITS workt RÞnLfur.? Fr,ni lt,osF wrlt -fl¡pfln P"¿of t owner's Valuation of Work: 5 1,), o o O Property Size (sq. Ft. or Acres): ?,t\t Height: a8 rorFloors: / r I î)o sl Describe ù .9Yee L Sub. Assessor's Parcel Number: Job Address: Sq. Ft. of Building: lot _ Block /Remodel/Alteration AdditionClass of Work:New DetachedGarage:Attached PROJE T DETAILS CONTINUED Septic:Community Other Permit # NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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 andvoidiftheworkauthorizedisnotcommencedwithinlS0days 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 pêrmission 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 en neer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have ded th red and accurate to the best of my knowledge pt t /a¿r¡q Date { I VT ElectricPropaneType of Heat: FlNaturalGas Driveway Permit: OFFICIAL USE ONtY Special Conditions:I Manu.. Home Fee: N,N Misc. Fees: ttll{Plan Check Fee+7Zl.Ot P4rmit Fee:ry?44.2bAdiusted Valuation+'a Ò00,00 Balance Due:ï*la.ø BP Nd: ß)52F<9Ð OWTS No: trlT-n Total Fees:fr>zb.zt,Fees Paid:S¡27 ot zprlnd: #F: Const.:rFlïi*äa'Ç'ttt OCC Group: TÞO- qlrc/zpt< BUITDING / PLANNING DIVISION : Signed Approval Date Gørfield County BUILDING DEPARTMENT 108 Eighth Street, Su¡te 407, Glenwood Springs, CO 81607 Tel: (970) 945-8272 PLAN REVI EW C HECKLIST Permit No: ÞVRe' Ø-14- m72 Building lssues Planning/Zoning lssues N/A N/¡ Fire De partment Review Va luation Determination/ Fees / Red Line Plans/ Stamps/ Sticker Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Attach Conditions Application Signed Plan Reviewer to S¡gn 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 N/A ,/ N/^ N,A x Description & Summarv Yalq¡7h , q2t2OO.00 (os swvvwft&)