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Home My WebLink AboutApplicationGørfrcld County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e7o) 94s-8212 www.Fa rfi eld-counW. com BUILDING PERMIT APPLICATION Com mercial/M ulti-Family Demolition Manufactured Home (Single or MultÈLevel) ReroofResidential {SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MÆ(IMUM SIZE OF 1,000 SQUARE FEET Email Address; Phone:tzat I bbq -- løza Dl un cn8 zv /llftC,t@ &^*,t-, (¿tv1 ffiL.Ê Propefi Owner: Mailing Address: AAknFcontractor: Ftr'lU ?YLAÑ Phone:'26l] Mailing Àddress: Email Address D'.l t-ztwtv AAre,€@ øtut*tL,cuvl PhoneArchitect:Rnstñ "P- Mailing Address Email Address: phone: (q ?o | 57 D*O V77 L Engineer: Mailing Address Email Address Manufactured Home lnstaller: Phone:( Mailing Address: Email Address: I û)ÍE *Á,r1 2 [ot Height:Sq. Ft. of Building:3Lo ß,,A?L I l\lr.-¡ <fV.zl I C-cnkfu.f lnsrtw f frr\ Owner's Valuation of Work: suh. 00n R?'PnN 1W NçrrÊ Job Address: Describe Work: r^r îJ-h Assessor's Parcel Number: L X AdditionClass of Work:New RemodellAlteration Attached DetachedGarage; PROJECT DETAITS CONTINUED i Septic Community Type of Heat:ral Gas pane E lectric pàrmìi s: Other Driveway Permit: NOTICE empt Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorízedagent, lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthoríty,signedby the Owner, must be provided with this Application. Lesal 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 Permít, (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 perÍod of 180 days after commencement. i 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 submítted 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 revíewed 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 Garfíeld 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 permíssion to the Building Division to enter the property, described above, to ínspect 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) stoppíng construction or use of the structure(s) or facility{ies) if such is in violation of County Regulatíon(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 responsíbility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including wÍthout limitation my architect nd/ or builder I hereby aeknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. Þ^v il- D. Wc¿- f)fu- /l¿L--''l^2-r2 Property Owner Print and Sign Date OFFICIAI USE ONI.Y Special Conditions Ð ¡ l^.o Adjusted)q6 Valuation: 5R Plan Check Fee:) L7.t4 *TLTits Manu. Home Fee W ilr "o Total Fees 7zA. :lì F)I Fees Paid:i zqs.tl Bal¡nce Due: 493. bR BP No:we-ullþ o\ÂrÏs No: sew -þLlw Setbacks:occGrouSÅc '5#ÆL Zonins: ßlt¡ BUITDING / PLANNING DIVISION :fù )5'Þ2a Date wr Gørfield CountY BUILDING DEPARTMENT L08 E¡ghth Street, Su¡te 407, Glenwood Spr¡ngs, CO 81607 Tel: (970) 945-8272 Building lssues Permit and Setbacks h Conditions pplication Signed an Reviewer to S¡gn APPlication Parcel/ Schedule No N,Snowload Letter- Manu' Homes Soils RePort P LAN RE VIE WC HE c KLIST PermitNo: þ<-ßf, Ç+23 Planning/Zoning lssues o,Property Line Setbacks ltl -ft30 ft. Stream Setbacks Surveyed Site fr /t Plan/,t/. ß. 9/L -/ Grade/ ToPograPhY 30% Attach Residential Plan Review List Road lmpact Fees '/,-/sub¿iuisio n Plat Notes ,--z{rade/ Topogra PhY +,o% Flood Plain Building Height Zoning Sign-Off ^1. A Fire Department Rev¡ew uat¡on Determination/ Fees ./ '/ Red Line Plans/ stamps/ sticker Al 'ß Ptanni ng lssues ^/ ,A Subdivision Plat Descri & 3?P 57o 74 tb umon 9F ¡. = 2r g?g 57t" o 2? 658. oò ?( R" å,nv Þosr Driveway Permit #Tzç Ðo