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Home My WebLink AboutApplicationGarfield County REGÉ'IVÉDcom ,i¿ {\\ . i '¡'tr\l munity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (s70194s-82t2 (;o\J BUITDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/M ulti-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: Phone: él/ I lr t - //zç Mailing Address: Email Address: Manufactured Home lnstaller: PROJECÍ DETAILS Describe Job Address: Assessor's Parcel Numbe r, A Sub. Owner's Valuation of Work: Phoner (_) Lot Block Property Size (Sq. Ft. or Acres)rçk P e: I Contractor: Mailing Address: Email Address: Phone: I IArchitect: Mailing Address: Email Address: Phone:Engineer: Mailing Address: Email Address: New Remodel/Alteration ¡tx AdditionClass of Work: DetachedGarage: Sq. Ft. of Building:l4 tÇ 2 Height:#of l Electric OtherPropaneType of Heat:Natural Gas Permit #:Driveway Permit: PROJECT DETAILS CONTINUED Septic:Community l_lExempt 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 ¡dentified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Vo¡dpermit. 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 regulat¡ons (County Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the locat¡on, 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, 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 r, engineer an or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have the which is correct and accurate to the best of î).^ ,^*-- 7 - f my knowledge. ¿;r/sy /rq f Property Owner Print and flP Ir3l J OFFICIAL USE ONLY Special Conditions: Misc.t""rñ,APermit Fee:4?11.2.F>Manu. Hqme Fee:l.l/.Adiusted Valuation Q'2r",0Ø.ÒD P,lan Check Fee:qz64.qt ffwø-quß &owrs ruo: þ f Eees Paid; 1 lf,,.l ,'Ò I Balance Duerþy¡t.?-bTotal Fees: 4 ø4+.w Const. Type:IR¿Zoning:KSetbacks: FIR-=2rt,9'lo OCCGroup: R¿ lÐlrñþoqBUrLD¡NG / PLANNING DIVISION : Signed Approva I t Date CE lo I7 Garfield Coanty BUILDING DEPARTMENT 708 E¡ghth Street, Suite 401, Glenwood Spr¡ngs, CO 87607 Tel: (970) 945-8272 PLAN REVI EW CHEC KLIST Permit No: A.RÊ- lÞ't4'm4b Building lssues Planning/Zoning lssues x Vl, N/^ x '/ Grade/Topography3o% Attach Residential Plan Review List / subdivision Plat Notes Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks 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 Soils Report ñ Description & Summarv: NA 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 xtøb;e(;oh : 42n 0ó0 .00 Q', t^bü,ltà) W lunpuf Fl,r,^ñA