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Home My WebLink AboutApplicationGørfield County BUILDING PERMIT APPLICAT¡ON Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 lsTols4s-82r-2 www.ga rf ield-cou ntv.com þq; WPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Dwelli Unit - MAXTMUM SIZE OF 1,000 SQUARE FEET INVOIVED PARTIES ì Phone: éTCt Jlf TlzøProperty Owner: Mailing Address: Email Address: 5 t ûM t )02-01ffContractor:Pho ne:I Mailing Address Email Address: a Phone Engineer:Phone: g7o | )q1- 51Zz Mailing Address ,/ EmailAddress Manufactured Home lnstaller:Phone () Mailing Address EmailAddress PROJECT DETAILS f Describe Work: Job Address:2 Assessor's Parcel 2 oz ol Sub.Lot Block Owner's Valuation Sq. Ft. of Building: Size (Sq Ft. orAcres): 2, lorfcra. # of Floors of L Class of Work:Remodel/Alteration Addition Garage:Attached Detached Propane E lectric OtherType of Heat:Natural Gas ''i Septic:Community Driveway Permit: NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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: (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. CERT¡FICATION 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 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 e neer and/ 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. 7- 7î - Owner Print and Sign Date lXlrxemnt Permit #: oFFrcrAr usE oNry Pô t | ,3 32 . t 6 c/ CC" Gt/ ó* /?"o at a$tí Special Conditions: Manu. Home Fee: N/r Misc. Fees: , q QtF= lqa3.bLAdiusted Valuationl ¿24a=za.5b Plan Check Fee: þ t^.q62 ^lo Permit Fee: þz-ôø0,15 OWTS No: Coi/\rvtvl¡try Feós Paíd:t r,3sz .ro Balãnce Due: öz,oØ'tg BP No: ßLRq -7020Total Feés: þ2,+32,25 Zoning:PvÞOCC Group:r(t (. Const. Type; ( t"c.Setbacks: ' -OK A,-F 2lBUILDING / PLANNING DIVISION : Signed Approval Date M**L Gørfield Cownty BUILDING DEPARTMENT L08 Eighth Street, Suite 407, Glenwood Sprinqs, CO 87607 Tel: (970) 945-8272 P NRE V IEW CH KLIST Permit No: 8 tRF+g -2 ¡-70 zÔ Planning lZoning,lssues 4UbBuilding lssues ¡/Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks 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 Soils RePort Property Line Setbacks N+ 3û ft. stream setbacks Nft Flood Plain Building Height Zoning Sign-Off Road rmpac rrcÍ lfif , b7 Grade/ Topography 40% Planning lssues ubdivision Plat reàrma? invthtL' bthd.uÐry ü../A t JÈ Grade/ ToPograPhY 3o% Attach Residential Plan Review List tr/ subdivision Plat Notes t/ Yre 1/^tA Descri & Sum a (+A %4q7Z tz.L.zozo Q"tF (stullA"e-a?) = þ'f Ez,6'l .,3* 70(s.l.x. 32-= 221628 FL.S , 31l7s,l.X 74,bØ =2%2âWb cYwJ Zzbb çf X Ig = tlO,708 .?/d *Q-IPY lg = O IZ:lrz o?Øhole r"p*@ z6cÐp*, sbu bo:s? ueilà ,f7l" aP x 2q4737,9,0