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Home My WebLink AboutApplicationGarfield County>bl- urzå, süoäJ¡- TIJ t t¡- 3ú,=<=o3 Ê tr.lå luü UJ ú" Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701945-82t2 www.qa rfield-cou ntv.com TYPE OF CONSTRUCTION Com mercia l/Multi-Family Manufactured Home (Single or Multi-Level) ex or Townhome) Accesso Dwelling Uni t (4qu_)- MAXTMUM SIZE Ot 1,000 SQUARE FEET Demolition Reroof il : NVOIVED PARTIES Property Owner: Mailing Address: Email Address:a"\ Phone:tQìol3 -8eÞl \a fi^ Contractor: Mailing Address Email Address: Phone t1 \ot 9t 15 -à\59 o ù Architect: Phone Mailing Address Email Address: Engineer: Phone Mailing Address Email Address: : Email Address: PROJECT DETAITS Mailing Address: Manufactured Home lnstaller: Phone: Describe Work: Job Address: Assessor's Parcel Number: Su t. l)p ef\a,ñK tot 7O eloct Owner's Valuation of Work: 5 l5,oøo Sq. Ft. of Building:1?oo Property Size (5q. Ft. or Acres): #ofFl Addition Height: Class of Work: Attached Remodel/Alteration Detached l.þ PROJECT DETAIIS CONTINUED Septic:Community Type of Heat: Driveway Permit: NOTICE Author¡tv. 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. 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: (L) 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 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 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 thestructure(s) and facility(ies), described above, are not in compliancewith County Regulation(s) orany 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 and/ or builder I hereby acknowledge thet 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. Print and Sign Date Perm¡t # ( Electric OtherNatural Gas Propane OFFICIAT USE ONLY pc i 12.4 .. oal,uul2s4 Special Conditions: Adiusted Valuation #t-,tvdz.oo Plan Check Fee: *lz.çt Permit Fee: Ç til.25 Manu. Home Fee: rt/A Misc. Fees:NlA fotal Fees: #tg3,5lo Fees Paid t?¿.3t Balance Due: öllt,z6 BP No: ßLß€ -ç?13 OWTS No:--ñe Setbacks -,OU OCC Group: tLc Const. Type: t 3-. Zoning: PÚD ,l-?h?) Date BUITDING / PLANNING DIVISION : Signed Approval Garfield County BÚILDING DEPARTMENT 108 Eighth Street, Suite 407, Glenwood 'pr¡ngs, CO 87607 Tel: (970) 945-8272 PLAN REVI EW CH ECKLIST Permit No: ØIRE-O+-ZF b7q3 Building lssues Pl a n n i ng I Zoning lssues IRO Engineered Foundation Driveway Permitt{ t/ SurveYed Site Plan NL 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 Descri ion & Sumnna Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat 3qb 'l:l¿. x þtz=þ+752,û ils Report zb'Wdep+L,