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Home My WebLink AboutApplicationGørfreld County Community Development Department RÉGÉNED .'"'ffij"ri"",".l,:,ïï lTår' , '¡{l{tt \T i rtrt'nÛ\ l970l94s-8212 www. garfield-cou ntv.comcou BU¡LDING PERMIT APPLICATION TYPE OF CONSTRUCÍION Demol¡t¡onCommercial/M u lti-Fami Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET Property Owner: Mailing Address: Email Address: C fo ?e¡rPaÎrrga Lþtr. phone: 19zo¡ avs - 75Vt INVOLVED PARTIES 2 rlo{C^\Â¡ $rn &,rl " cor-) G¡Er. Co. phone: tAllo I qUS-'lSù'z vrlneùñ4. Þ.H " ÑErrqContractor: " Corn Mailing Address Email Address: 4t7 ¿r.l.JS Co BfkroZ neurh ô o+¡' Þp9rar.¡ 6Po.¡P phone: t lto ¡ 119- zVglArchitectlb.14. ÑElu¡,xt %to 4u¡gMailing Address Email Address:r irh , Co¡^r Phone: ú'îq 1¿lS *t 0c,(ê 4-wS c ô 5t t"o t ¡xl C- þ" ô bÐô € uarJee¿ 'l l3 Coet PE(L Æ\) Engineer: Mailing Address: Email Address: Addition,_-Class of Work:(89'Remodel/Alteration q-oetachÇGarage:Attached Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS ne:l I Describe Work:r¿ si út¿ntr al ra.e,teu$l¿d Aû¡,JraÅ+---- -J Job Address: Z8o8 '.i Assessor's Parcel Number: ZlOt- 9q9 "'ÒO- e21 Sub.Iot Block _ Owner's Valuation of Work:Zoo. ¿rùo "-Property Size (Sq. Ft. or Acres) w9 8t 5q. Ft. of Building:?t2Ð + Height:> .LL.Sof 7 "q8 +/_ t PKOJECT DETAITS CONTINUED 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 andvoidiftheworkauthorizedisnotcommencedwithinl80days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 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 npplication, 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 neer an or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the information which is correct and accurate to the best of my knowledge. lo. ot ,- \q Owner Print and Sign Date CommunitySeptic: Propane Electric OtherType of Heat:ral Gas Permit #:Driveway Perm¡t3 OFFICIAT USE ONtY Special Conditions: Permit Fee:ett44.ab Manu, Home Fee:V¡Misc. Fees: rvaAdiusted Valuation: Þlzutqzo.oo Plan Check FeeQt4.zz owrs No: nlLid:Fees Pa b+g +1) Bal PI ance Due: 3to-47 Wgø-ç49) I Fees: 6øq.tt Tota4'h const. Type: lR¿Zoning: F- occGrouR: ¡¡¿Setbacks¡ FIR'?p,9=lo BUILDING / PLANN¡NG D¡VISION DateSigned lô 74 T))Ct )l t1 Gørficld County BUILDING DEPARTMENT 108 Eighth Strcet, Suite 407, Glenwood Springs, CO 81607 Tel: (970) 945-8272 PLAN REVIEW CHECKLIST Permit No: ÞLRE'Mí'\4 -ry460 Building lssues Planning/Zoning lssues 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 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 Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees v N/¡ Vt N/A / '/ Grade/ Topography 40% ,/ Planning lssues Subdivision Plat Descri ion & Su rul¿ úprc{ ?.u= N/A (tu t+^hhbu- Arq 4rvl,t4 vaMhon x 94z.oo â ç 44too0.Øx q74.0o = nØtVzo.o0 lr?'7â \470 11",t/8- oturîl4L lttnhU,tt& tú,^r//JL IVthlt z 4lhø,?2o.oa