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Home My WebLink AboutApplicationGarfield County RECEIV munity Development DePartment 108 8th Street, Suite 401 Glenwood SPrings, CO 81601 GARFIELD COUNTY (e70le4s-82t2 û 0 M M U N ITY D EVE L0 P M Ë ìiI**.*. rf i " I d-.o u ntv. com OF CONSTRUCTION E Commercial/Multi-Family Manufactured Home (Single or Multi- Residential ,DU or Townhome)ReroofI INVOTVED PARTIES tl (\u*u.J Property Owner: Mailing Address: Email Addressl ö erv'o.^-l @* f Phone Phoner D ú Contractor: Mailing Address: Email Address: L t il.Architect: Mailing Address: Email Address Engineer:,{/\ Mailing Address Email Address: Manufactured Home lnstaller:,^j Mailing Address Email Address: PROJECT DETAILS Describe Work: Job Address:cl,f ii <¡ Assessor's Parcel Number s-la'1 tcl t Phone:üô, LLL phone: tÕ lot /ö slock 5- Property Size (Sq. Ft. or Acres):,i6q3 # of Floors:--/ - ,þ lt¿ Sub. Owner's Valuation of Work: $ sq. Ft. of Building: / ffi¡ Height:l,{ ' 'ø6' i!Alteration : fl R¿d¡tion ! nepair Move/Relocation l* Work:'l'!Attached N k Detached ^) PROJECT DETAITS CONTINUED 'n I hereby cert¡fy that I have read this Application and that the information conta understand that the Building Division accepts the Application, along with the pl Septic:OWTS mmunity Type of Heat:Natural Gas Propane E lect ric Other Driveway Permit:Exempt /\/rl Permit #: NOTICE nuitrãi¡tv. rñis àpptìcàiion ioi ã sùildìàà Èàrrli rutt be signed by the owner of the property, described 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' 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. Void permit. A Building Permit 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. CERTIFICATION ined above is true and correct. I ans 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 Build¡ng Division. ln consideration of the issuance of the Building Permit, I agree that land 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. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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 designer,ineer and/ or builder I hereby acknowledge that I have read and understand the Notice an d Certification above, as well as, have provided the required information which correct and accurate to the best of my knowledge. l-J -¡t) I0 ,)-:i: Prope Owner Print and Sign Date sñ -ñ r.l 7-//204 OFFICIAL USE ONtY Special Conditionsl .øManu home r6¡tPermit Fee:Plan Check Fee:usted Va hlOWTS No:-6tttnrBP No - bltees Paid: 00 Zoning:Type:nstto'o' z e/s1 {t BUILDING / PLANNING DIVISION : <¡ñ-Flâ+Â Garfield County BUILDING DEPARTMENT L08 Eighth Street, Suite 401, Glenwood Spr¡ngs, CO 87607 Tel: (970) 945-8212 PLAN RE VIEW CHECKLIST þtco' 6 ) 3bPermit No: Building lssues Planning/Zoning lssues 4I Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks ø/ Éiop.r.y Line setbacks l/,ß,30 ft. Stream Setbacks ,(,a Flood Plain (Ù'/L, Buirding Height ng Sign-Offrade/ Topography 30% {,4.Attach Residential Plan Review List .-Áivision Plat Notes /, //' 4 Road lmpact Fees < / Þø Å 'F' lod e/ Topography 4O% 4t^nninDepartment Review g lssues Valuation Determination/ Fees ivision Plat 4^Line Pt ans/ Stamps/ Sticker h Conditions n Signed Description & Summarv: Plan Reviewer to Sign APPlication q4S s.F.)f Schedule No 40# Snowload Letter - Manu. Homes Soils Report p