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HomeMy WebLinkAboutApplicationGørfield CountyF--¿rll =o-oJ t¡J tua l* z. ¡-zþ() (J o q lÀ É, (, cl UJ l¡Jotrj É, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 le7ol94s-82t2 www.Farfi eld-cou ntv.com û BUILD¡NG PERMIT APPLICATION TVPE OF CONSTRUCÍION DemolitionCom mercial/M ulti-Family Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES 4G Phone Òc) a, cÕ rlt k-q0 ¿{g Email Address: Property Owner: Mailing Address: c thtvMe","contractor:{c,r\ ¿,n t- QOvl cô'}lko¡ . C-Q Õal Wt t-Phone: Mailing Address Email Address: Phone: ( )Architect: Mailing Address Email Address: phone: (@ (u\ã5\1 Ïq 5.-lf:\ UTV(rrn ¿,1 onc( (.5 Engineer: Cin Mailing Address Email Address: Phone: (_)Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS Describe Work: l, o9z- 2l1f - 767 -oo-als |,,o 1 J f of Floors: l. Property Size (Sq. Ft. or Acres): Block Owner's Valuation of Work: Sub. Assessor's Parcel Number Job Address: Lot c9 Sq. Ft. of Building: ltl 16- Height: AdditionClass of Work:New Remodel/Alteration Y DetachedGarage:Attached PROJECT DETAILS CONTINUED Community CERTIFICATION I hereby certify that I have read this Application and that the informatÌon 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 asto 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 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 desi er, engineer a or builder I hereby acknowledge 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. Property Owner Print and Sign Date rlu I{Septic: OtherNatural Gas propane N/A E lectricType of Heat: Permit #:Driveway Permit: Exempt ¡t/a Authoriw. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor 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. NOTICE oFFrcrAL usE oNtY p¿ $rtOg.¡J cC, o4lzzlzazl 'o"""' ;îroi;:å;i¿/.", w cvnàih uu qarqnØ w I qara.qe Jhraqe, o ntr,4 ok iËnë¡ F d-a-Adiusted Valuationis ?,6^q0+ n CheckPla + Fee: É3z26, Fee: 502 tfiaùl¡. Homefee:V¡ Balance Due: ,bqz3,s7 BP No: øva.E- çtl6 OWTS No: ¡,1/e Total Fees:+ 82J,98 t{ot. ? t Fees Paid: OCC Group: t R.c Const. Type: I l¿c- Zonins:-?3Setbacks: ,r-n-z/'BUILDING / PLANNING DIVISION : Signed Approval Date Garfteld County BUILDING DEPARTMENT 7o8 Eighth Street, Suite 407, Glenwood Springs, CO 87607 Tel: (970) 945-8212 PLAN RE VIEW CHEC K LIST BuRg-o'J^Zl- bØtloPermit No: Building lssues Pl a n n i ng I Zoning lssues rUA ,/ N4 Nk Flood Plain N4 Septic Permit and Setbacks t/Building Height Zoning Sign-OffGrade/ TopograPhY 30% Attach Residential Plan Review List N/A Road rmpact Fees no aldd,4' l, S ,t- t / Subdivision Plat Notes t/ Fire De partment Review b' Valuation Determination/ Fees L- ,/Attach Conditions Property Line Setbacks â^ 4 .¡-.--- a^tl^-1.-5U lt. Jtf gdrll JtrLUclLÃ) t/ Grade/ Topography 40% t/Planning lssues Subdivision Plat Descripti on & Surnmarv: Red Line Plans/ StamPs/ Sticker Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No' 40# Snowload Letter - Manu. 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