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Home My WebLink AboutApplicationGarfield Counry Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82t2 www.earf¡eld-cou nW.com BUILDING PËRMIT APPLICATION TYpE'OF,coilgr8ueflOil Demolit¡on Home or ReroofResidential (SF, Duplex or Townhome) Unit - MAXIMUM SIZE OF FEËT biã ITN'OLVED FATNE!¡ ( Phone: {g7o | (Ð2 €4qA2- EmailAddress: PropertyOwner: MailingAddress: \ Contractor:z\'nÀ(?r l R \flClt Phone: ( q1þ) B [q "--L?7€ MailingAddress: Email Address: Architect Phone: tlailing Address: Email Address: Enaineer: Phone: Mailing Address: EmailAddress: ., ,, - . , - Phone:{ìManufastured Home lnstaller; Mailing Address: Email Address: flescribe Work: sbck l\¡{g-ô qÃ \AJ t I 2S ØNul Sq. Ft. of Building: L Oc>Þ otffi"nlffiù-*s \(> fof Property Size (Sq. Ft. or Acres): Job Address: Assesso/s Parcel Number: srrbØ.'ot7 7p PRO¡ECT DETAll,s COTìITIHUED Septlc:Community Type of Heat:atural Gas {elecÍic Other Driveway Permit:l-lExemnt Permit #: IugflcE AuthoriW. This application for a Building Permit must 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. 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. OtherJermils. 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 Wâstewater Discharge Permit. Void Permit. A Building Perm¡t 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. CERNFrcAÏOI{ I hereby certiñ/ that I have read this Application and that the information contained above is true and correct. I understand that the Building Division accepts the Applicat¡on, along with the plans and specifications and other data subm¡tted 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 Bu¡lding 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 location, construct¡on 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 permiss¡on to the Building Division to enter the property, described abovq to inspect the work. I further acknowledge that the issuance of the Bu¡lding Permit does not prevent the Bu¡lding 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 subm¡ttals, 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 desisner. eneineer and/ or builder. I hereby acknowledge that I have read and understand the Not¡,ce and €ertification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. Property Owner Print and Sign Date oFFrcrA[ usE oilLY Special Conditions: Manu. Home Fee:Misc. Fees:Adiusted Valuation:. 1z/,72 Plan Check Fee: /oo. oo Permit Fee:223.2s BP No: BIøJE.IíTÐ ffirWWTotal Fees:3za 2{Fees Paid:flp. oo Balance Due: 223.2ç consr.Ëpt: q Zoning: (¡Bxl-,Setbacks: À otf-\'z=?Ò -LaZl ßlEl Garfield CountY B'JILDING DEPARTMENT 708 E¡ghth Street, Suîte 407, Glenwood Springs, CO 87607 Tel: (970) 945-8272 PLAN REVIE WCH ECKLIST þrî1 n blo>Permit No: Planning/Zoning lssuesBuilding lssues N,K Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks rade/ TopograPhY 30% ttach Residential Plan Review List 4rro*,rsion Plat Notes N, k Fire Dep artment Review n Determination/ Fees Red Line Plans/ StamPs/ Sticker h Conditions App on Signed P ewer to Sign APPlication - Parce l/ Schedule No /J' A 40# snowload Letter - Manu. Homes Descri otion & Sum marv: At"Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ TopograPhY 40% Planning lssues Subdivision Plat A frñ Soils RePort Gu úL47 5î¡ 0^, r 74.oo b/* :#=rur/r, =î)2,ô7L