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Home My WebLink AboutApplicationtl ;.o,.,) Jó9 ÊHJ>-ltl 1- t-I.5É=<Er93 Ê llJ IU(J utÉ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 ltg70l945-82t2 www.earfiel -countv.com Gørfuld County BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home (single or Multi-Level) Residential SF, Duplex or Townh Reroof Accesso Dwell Unit U - MAXTMUM S|ZE OF 1,000 SQUARE FEET INVOIVED PARTIES Property Owner: Mailing Address: Email Address: ^) Phone:?to 3 t< I^q¿it (*-,r=41 K o .-Å 4 ?-e> Rr Ê (( Ce, kta çé Contractor:Lu < (/¿phone:ñ2otáltrq73h Mailing Address a-tv(Y lyt \í2 t( co. ol y,*,.,. Qo a-1.Email Address:r L -(ø wt Architect ¿r'¡-S eø-Phone:rn76ré2SoS8ö Mailing Address Email Address: Engineer:l¡vlQ-¡)Phone: (et1øl q /9 47 1L Mailing Address Email Address: Manufactured Home lnstaller:Phone: Mailing Address Email Addressl PROJECT DETAItS Describe Work:¡.,t .Q,.+) C ,o n< J *ra -t t()Þr toqqt (co,-r -l Y P*<c J 77c, k,l, le ( a 8/¿ Job Address:è- Assessor'sParcel Numbert Vl)?'?ê løo., lo Iot Block Owner's Valuation of Work:?o lg¿r Propertysize(sq. Ft.orAcres): + g Z AG sq. Ft. of Building: LQ ffi C f Height:Iq' #ofFtoors: én(- Class of Work:W.*Remodel/Alteration Add¡tion Garage ed Detached {o ) NUED Septic: Permit #: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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 herebycertifythat lhave read thisApplication and thatthe information contained above istrue and correct. I understand that the Building Division accepts the Application, along with the plans and specifications and other data submitted by ¡e 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 reiulations (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 ne r,eer 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 whi /.4- f ch is correct and accurate to the best of my knowledge. a/"t/=t o.po,y-o/n"t Print and Sign Date flc Community Propane Electric OtherType of Heat:Natural Gas Driveway Permit: oFFlclAt usE oNLY Pd ' $ l, o z?. t{cKrb {agr âî l¿gl¿czté,rþ Special Conditions:-"-;;;;l-- )l*t -ç-bu chrres duntbo I Adiusted Ùa1úationi,, 0 gt+ lg5, ör Plan Check Fee: bl ^0?g tLt Permit Fee: -,-bl^6*1. te Manu. Hdme Fee: I ÅlA äiËlå?n) bt^sîØ "ä'äl't oq.øq reés pãid: { l.oe-9.r{ Balance Due: ú t^qgl,?5 BP No: BLß.E- 1è68 OWTíNo: r' , sePî- 1 0ôî Setbac(s:(){OCC Group: l12c- Const. Type:(ßc Zoning:l?urr¡L BUILDING / PLANNING DIVISION : (ß&n*q4 *n ZJ C Signed Approval Date Gørfield County BI'ILDING DEPARWENT 1O8 E¡ghth Street, Suite 407, Glenwood Springs, CO 87601 Tel: (970) 94s-8272 PLAN REVIE CHECKLIST Permit No: ÚLRE-æ-2þ70 bØ Plannin Zoning lssues a UBALBuilding lssues Engineered Foundation 1,/ Driveway Surveyed n vØ Septic Permit and Setbacks Grade/ TopograPhY 30% Attach Residential Plan Review List t/ l./ @nbvnq t/ (/ 9 Road tmpact Fees 9, þÞ, Property Line Setbacks 30 ft. Stream Setbacks Flood Plaín Building Height Zoning Sign-Off Grade/ Topography 40% Planning lssues Subdivision Plat rv 0".J.¿Xi ,'a"rk d ,rh t/ ( Jas t/Subdivision Plat Note Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditio nl reaÀu{,o_fri"Ð Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manu. Homes Soils RePort t/ A Descri nt on & Summa þ15 fr-t, buzJ V.J ztzqîoæi lsoopsS FLg nØyyT4,UAJ rcs .qt$,g+ cvru)l tqiØgu t8 _= + 35r?g(,oo c.30üv'9e' M7 X 32= $ t+rfu+,oo .?/¿ z7[ xß=þ Ll,T4g,oo qcfld bz x rZ:4 r1b,,o ^üus+ed bu,lil;ng value', þ ß5,8+ Rl f¿S,v,Ð=- + I 2;qø"oo