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Home My WebLink AboutApplicationGarfield County REC GARFIEL COMMUNITY Communlty Development Department l(n 8ü'street, Sulte 401 EIVHÛ Glenwood Sprlngs, CO 81601 (e7o) e4s-8212 www.garfield-counW.com D COUNTY m Manufactured Home or Resldential Du or Townhome)Reroof -o_Wgllile Unit -tvtÐ(lMuM srzE oF FÊET BUILDING PERMIT APPLICATION Property Owncr: Malling Address: Phone:ral?n L lt' R? R3 Emall Address: Contractor:Phone: lq10l h1L5,OqÃ8 Malllng Address: Emall Address: ArchltecÍ rl Mailing Addres¡: ,-. - - Emall Addrest: - Englneer:Phone¡r É00 t g?.(l-inqD Malling Address: ËmallAddress: Manufactured Home lnstaller: - Phone: MallingAddress: - Emall Addrsss! PROIECT DETAIIS Describe Work:x Job Address: Asses¡ol's Parcel Number: sub. lls*fnüSi^r Frum|lt¡rt Lot 2. Bbck- (hrn¿/s Veluatlon of Work:e0 Property Ske lSq. Ft. or Acresl¡3 ftms Sq. Ft. of Bulldlnt¡2L4W t?z Heltht: -, lL - #ofFloorc:- [lRemodel/Alteration$ruew Detached Class of Work: Garage: PRO¡E€Í DEÍAI IS.GOilN NU ED Septlc: rvpe oi xÀit,Natural Gas Electr¡c Permit il: Other Drlveway Pcrmlt:Þrt tr Authorlw. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorlzed agent. lf the s¡gnature below ls not that of the Owner, a separete letter of authority, signed by the Owner, must be provided with this Application. lesal Access. A Building Permit cannot be issued without proof of legal and adequate eccess to the property for purposes of inspections by the Building Divlsion. Other permlts. Multiple separate permits may be required: (1) State Electr¡cal 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 Díscharge Permit. Vold 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. CERTIFICAIIOT{ 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 Appl¡cation, 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(sl 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 Regulatlon(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 Euilding 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 submíttals, if any, discovered after issuance; or (21 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, lncluding submittals, and inspections of the work by the Building Division do not constitute an ecceptance 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 w¡th me and my authorized agents, including w¡thout limitation my arch¡tect ¡ deslg4gr,¡ngineer and/or builder I hereby acknowledge that I heve read and understand the Notlce and Ce¡tificatlon above, as well as, have provided the required informatlon which l¡ correct and accurate to the best of my knowledge. 8lç/at Prop€rty Prlnt and Slgn Date é¡usE olrrY ?a A43.ac {l L6 )tttv u,s,-7 v þ1tt*vÆ44.Speclal Condltlon¡:4L '*Efrtt Manu. Home Fee: N/Â Misc. Fees:Plan Chcck Fee¡A41 . ß1 Adiusted Valuation: <7. ¿"oô BP No: þvÉ;e -163C OWTS No: sE?î -1o37Total fees: t ts4 41 Fees Paid: # 6143 ,"6 Due:ç3Balance{tl Const. Type: ff¿e Zonlng; Atlølt-OCC Group: t n-Z- Setbacks: î-){-tÐ?4BUILDI]{G / PTANNINC DIVISION : Date Gørfteld County BUILDING DEPAßTMENT 708 E¡ghth Street, suite 407, Glenwood Springs, CO 87607 Tel: (970) 945-8212 PLAN R EVIEW CH KLI T Permit No: nf -o8- 2l -7o Building lssues Pl a n n i ng lToning lssues ineered Foundation il 4', Driveway Permit Surveyed Site Plan /*bdrutrion Plat Notes ,l il ,ß. D,/(. Buitdi ng Heightic Permit and Setbacks rade/ TopograPhY 3O% Attac h Residential Plan Review List ì/,1, o,)L ,r/-/ ^/,/. _--=7- A/{. Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision PlatValu Department Review ation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Iication Signed n Reviewer to Sign APPlication Parcel/Schedule No Snowload Letter- Manu. Homes Soils Report Descript ion & Summarv: 2 4 AA s'F' Ã 24 : 57' 6YÒ .Çæo QotY- SttnP-%rsrr*-,r*- cJt ¡