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HomeMy WebLinkAboutApplicationGørfielcl Coanty Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82L2 www. garfield-countv.com 1YPEOF Commercial/Multi-Family Residential D or Townhome)Reroof Dwelli Unit - MAXIMUM SIZE OF FEËT Property Owner: Mailing Address: Email Address: e L Contractor: Mailing Address Email Address: Architect:b otå,f J /tl¿rt,n æuon",tQ1o I Glb u4o Mailing Address A, ß-ot I o It GLg-tutoob SfL'^tGs A. ê((æL Ëmail Address: B r-ÀD Jo Ès,rJn g-cvf t1eq g Ç¡*4. bp- Engineer:5ftu¿ !3bøg7e¡E, s.l),Phone:ilaGt 1 lo 116b c?,ttJ L --ttu * t-u"*(^!( N rcrb,-S Phone: (M | 68?- Z I t3 P5o é 45 C", I (t Tlt/L (¡gbt1? ,' {tLq,n^t*r t..lîphone: úlotgG? 1(el3 ¿,, Mailing Address Email Address:5rt* e-F Vc-vf. 4îLuaî, Lop. Manufactured Home lnstaller:ñ Phone: I ) MailingAddress: Email Address: - Describe Work:N¿r^t { r il It t-t- F * nq ctl [-çç, oe L( ition Manufactured Home or Mu Remodel/Alteration Detached Class of Work: Garage: JobAddress:þll L,\LI <l P*.r[- ÞÈrVË Assessol's Parcel Number:z3?l33zo4o3o Sub.Liøsr 7a ^t Lt+rct 7e "'ock PHr(É L property size (sq. Ft. or Acres): 7=, !".'!,1Owner's Valuation of Work: sq. Ft. of Buitding: 4Z4q Height: ?L'- G" #of rbors:--..1-- Firefox about:blank FROTECÎoE Al¡.s€OmfluED Septic: rype of tteatr Þrfusway Perrñ¡tr NOTICE flws ffiNatural cas FlÊ*"*rt fifcommunitv rilet"tttt'Propane ûther Permit S: Aulhg¡ifi. This áppiicðtion for a Building Permit must be signed by the Õwner of the property, described absve, or ¡n autho¡ired agent. lf the signàture below is nst thal of the Owner, ê sepãrate letter of authgrity, siÊned by fhe Owner, must be provided with this Application. lerat Âqces¡' A Building Permit cannot be issued withoui proof of legal å*d adcquate acçess to the propêrty for I¡urposes of ¡nspecticns by the Building Division, Êlhç:-lçf¡nLtl Multiple sepðrâte permits may be required: {1} Stâte Etectricài Permit, (Z} Counry ÐWTS permit, i3) another permil required for use on thÊ property ídentified above, e.g. 5tate or Co{rntv Highwayl fiöåd Access , or i¡ State Wa5tewater Dischargr Permit. y.S-ld,¡C!¡li! A 8uÌiding perûr¡t beromes null and void if the wcrk authori¿ed is not csmnrenced wìthin 18û days ûf ihÊ date cf iSsuance and if work is suspended o¡ abandoned for ¿ Beriorl of 18û dåys after commencement, CERNFICATIOT{ I hereby certifv thät I have read this Appl¡cation and that the information contð¡ned ¿bove is true ¿nd correct. I understand that th€ Suilding Division accepts th€ ApÞl;cation. rlong with the plðns and specilications and other dâta subm¡tted by me or on my behalf (submittals), based upon my certifi{aliçn as to âceuracy. Assuming completencss of the submittal: and approval of this Applicatlon, a Building Permit wlll be issued Brãntirìg perntission to rne, âs Owner, ts cÕnitruct the structure{s} and faeilities detai}ed on the submilÌãls reviewed by the Building Division. ln consider¿tion of the issuance of the Euilrling Permit. I ägree that I and my agents wil, comply with provisions of any federal, state or locai law regulating the work and the Garfield County Bu¡ld¡ng Code, OWTS regulations and applicable land use regulations {County Regrlation{s)}. I acknowledge that the Building Perrnit may be :u:;penrled or revoked, upon notice frsm the County, if the location, eûnstrr¡ction or use , ûf the structure{si and facllity{ies}, descríbed above, are nol in rÕmpliance with County Regulation{s} or any l other applicable iaw. i hereby grant permission to the Bu¡lding Division to ûnteÍ the property, described above. to inspect the w€rk. I further acknowledge that the ¡ssuånce of the Buiiding Permit does not prêvent the Bu¡ld¡ng Õfficial from: {t) requiring the rarrection of errçrs in the sutlm¡ttais, if any, d¡scovered åfter issuaûco; or {2i stopping eonJtruction or use rf the strueture{s) or facility{íes} if such is in violation ûf Coilnqr ft€gulãt¡Ðn{s} c}r åny Õther applicable l¿w. Revìew of this Application, including subm¡ttals, and ¡nsFect¡onr of the work by the Bu¡lding Div¡s¡orì do not const¡tute an äcc€ptânce of responsibiiiry ûr liðb¡lity by thê Coun¡y of errors, ornislions or discrepancies. As Ìhe Owner. I åcknoì¡rledge that respe¡ns¡b¡lity for compliancÊ with f€derã|, state añd locãl lâs¡s and County Regulðt¡ons rest w¡th .ile and my authorized ðgents, ¡nclud¡ng without lim¡tation my architert designer, engineer and/ or buildtr. I hereby acknowledge that I have read provlded the requirod lnformation whieh CertÍfication above, as well as, have of my knowledge. Pr$perw owoer Frint and Sign flate f5 fu&- ò otrFrcrÂrusËollly P{ SL?L't,o?- cC oE/o6/zo2r ÒgD D¡ =rt* $perial Conditions: Adjusted Valuat¡on:gAL -7)<Plan Checkt'7)7 Fee: o2 Permit tee:2b&- %î Manu. Home Fee: N,/A M¡rc'Ef': 1o-A.t-TotaI Fecs: +3 8 3.77 Fees P¡id: { t,?z?.ÒL ãalance llue:2b66,?;åPis:gÞBE-?ôzt LWTS No: cot^¡*viltlt Setba¿ks: t\. OCC 6roup:tac Côn5t- Typ€: ,r-b,¿.(, lonlng:ßU3AL 2 ot'5 BUILD|STG / PIAñ¡HrNG DtVrSrON :8#tÞ4 716/21,8:46 AM Gørfield County B|.IILDING DEPARTMENT 108 E¡ghth Street, Suite 407, Glenwood Spríngs, CO 81601 Tel: (970) 945-8272 PLAN REVI EWC HECKLIST hJL- 7æþPermit No: Building lssues Pla n n ing / Zoning lssues þr /1/,k Engineered Foundation Driveway Permit Surveyed Site Plan l/, L Se Permit and Setbacks G e/ TopographY 3O% ch Residential Plan Review List ¡/,¡ il,q.. 0,L _/ Zo ing Sign-Off Road lmpact Fees rade/ Topography 40% anning lssues Subdivision Plat Description &Surnmarv: 27ùS lf4o El2 V2.øo = Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Attach Conditions Appli Signed Plan r to Sign Application Parcel/ Schedule No Soils Report '-'ãLne Plans/ stamPs/ sticker /.\ snowroad Letter- Manu. Homes I Z+ 5 ¡ 7 + .68 = Pa twr?, T'nñ z'7 03 DD Gn CÞ ßL l,oo 4so I ,í 6D r , )L å 3 tZ ot1 Z7,9ol 77,1'oo 7þ,9o4C.S/ tbA$ " tB 31Q,72