The URL can be used to link to this page

Home My WebLink AboutApplicationGørfield County R E c É1tEb1läy8ii;:i'#tD e p a rt m e n t r u¡, i- , , .,'$þnwood Springs, CO 81601ì;i i : ¡.r! pTOlg S-gZLz GARFIELDco@ COMMUNITY DEVELOPMENT BUILD¡NG PERMIT APPLICATION TYPE OF CONSTRUCTION Comme ulti-Fam Demolit¡on Manufactured Home or Multi-Level) Residential (SF, Duplex or Townhome)Reroof t Dwelli Unit D - MAXIMUM SIZE OF 1,OOO SQUARE FEET INVOTVED PARTIES Property Ownen Mailing Address: Email Address: ¿rc óh¿rer Core Phone:q1 3"'t e Cg(^\Ð vJcoå Phoner tBO\ I tocts - eS-1t{Contractor:r\S Mailing Address:L\\\ LQ ztel s.ll t¡ . B\Lofï2 Email Address: Architect:Phone: I I Mailing Address: Email Address: É*u LLå pnone,81o) 3\^p - 8Lø<1t>Engineer:¡ Mailing Address Øt Email Address:e^ Manufactured Home Installer:Phone: I ) Mailing Address Email Address: PROJECT DETAITS Describe Work:A,\r\ ¡.\¿.- åd tr tt-i ..j..U'. f,rt R^lL +r> Job Address:rlh :g Assessor's Parcel Number: Sub.Lot Block Owner's Valuation of Work:Property Size (Sq. Ft. or Acres): Sq, Ft. of Building:Stlo Height:tß'f of Floors: f Class of Work:New Remodel/Alteration Addition Garage:Attached Detached ECT DETAITS CONTINUED Septic: Exempt Permit #: NOTICE Author¡W. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. LeFal 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 Perm¡ts. 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 Buìlding 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, ìncluding 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 d er neer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certificat¡on above, as well as,have provided the required information which is correct and accurate to the best of my knowledge. ¿A Y€,, Date tx Community)WTS E lectric OtherNatural Gas PropaneType of Heat: Driveway Permit: Owner Print 3¿)a Special Conditions OFFICIAT USE Home Fee:IAManu. \\ Misc. Fees:'ïM11,ç_ä;""blxtïion BP No: ¡¡Jp-.5qq< OWTS NorFffi-sqqq35Fees Paid:s.4sQ Balance Due:ñtl reæ' Io1J.14 Const. Tvoe: T{¿¿_.- Zoning:Setbacks:OCC Group:Tf20 , BUITDING / PTANNING DIVISION : Date $714.39 $486.00 North District Garfield County BUILDING DEPARTMENT 708 Eighth Street, Su¡te 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHE CKLIST D'qf 5iffi3Permit No: Building lssues Planning/Zoning lssues N,4" N. A. Il,t H,l s4Ù rÊ S+Ð s ,gþ7 17 2ù Engineered Foundation Permit Site Plan Permit and Setbacks G Topography 30% Attach Residential Plan Review List Subdivision Plat Notes re Department Review Valuation Determination/ Fees Line Plans/ Stamps/ Sticker ch Conditions Signed PI ewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Q, |,1. Property Line setbacks ,1' j 3o ft. Stream setbacks -&6rood Plain il 4 Road rmpact Fees (?oO s F 4r/ D Height ign-Off Grade/ Topography 40% t/ fr- Ptannin g ls3ues 4/#- Subdivision Plat Description & Summary 9,o47 v