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Home My WebLink AboutApplicationGa{reld CounQr BUILDING PERMIT APPLICATION Development Department 108 8th Street, Suite 401 SEP î 'l dÊfifuoo¿ springs, co 81601 G ARF IE,LD COU NFFÍO) 945-8212 :e u ¡i¡ ^¡ ir" n F vfvw¡l¡Elm el d-co u ntv.com TYPE OF CONSTRUCNON Com mercial/M ulti-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accesso Dwelling Unit - MAXTMUM S|ZE OF 1,000 FEET PARTIES 1oPhone ( ^J S7 6Cc) ù,c Lo 3o1 - 3ioV Email Address:fs Property Owner: Mailing Address: EmailAddress' \\ f' L' T\t. Phone: ct\ L-"L 'l¡t Phone: (_)Öv"'\er N.- Ut- ^n¿ti Co Qu (" Contractor: Mailing Address 3ol - 3loArchitect: Mailing Address Email Address: 'l6z 6t3IE i Phone:4lo l"l5 - C Engineer: Mailing Address: Email Address Phone:(Manufactured Home lnstaller: Mailing Address: Email Addressr PROJECT DETAI[S Describe Work;a.þ.^ Assessor's Parcel Number: Job Addressl Owner's Valuation of Work: Sq. Ft. of Building: Sub. sL 45^ 2q6Z oS.1 øo o.16 Y Remodel/Alteration nClass of Work:New [oetachedAttachedGarage: l,Community PROJECT DETAITS CONTINUED Septicr Type of Heatr Electric Permit #: ural Gas Propane Driveway Permit: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by 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 inspect¡ons 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 Perm¡t. 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. CERTIFICATION 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 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 perm¡ssion 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 construct¡on 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 gner, e ineer a or builder that I have read and understand the Notice and Certification above, as well as, have ¡s and accurate to the best of my knowledge. 4-11^ L\ rty Owner Print Sign Date p OFFICIAL USE ONLY "äilfü'iÏ"ä qv-a"qe ba"n /*n-I anl Adiusted Valuation: 4'+z.zøø ø 4lan ChecÏ Fee:ö32,'lø PermifFee:6sq'q.O6 Manu. Home Fee:kì1n Misc. FeÚs: ñ //+I Total lees: f qaç.6a Fees Paid:t''1+) " L\8 Balance Due:- -ô573.o'BP No: BtÆ-1tql OWTS No: Setbacks;ôlL OCC Group tQt"' CONST' TVRI RL t"n'R, rA ú (Wot.,^t0,4,Wl Date BUILDING / PLANNING DIVISION : Signed Approval Gørfield County BUILDING DEPARTMENT L08 Eighth Strcet, Su¡te 401, Glenwood Spr¡ngs, CO 8160L Tel: (970) 945-8272 PLA NRE VIEW CHECKLIST permit No: 6tRE -q-2F7144 Pl a n n i ng lZoning lssues 8vrBuilding lssues Mry- t/ nr A< n0 Aê Grade/ Topography 3o% Engineered Foundation Driveway Permit *imÄ-#:w"rut'^ø Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off ll ¡t ll Road lmpact Fees ' U Grade/ Topography 40% Planning lssues Subdivision Plat t/ ,/ / t/ |/ '/ ñ* ,/ Attach Residential Plan Review List Subdivision Plat Notes 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 Descript ion & Summarv: no hab,:fable living ôpæJ lhown". ?,ø". rl' con#aín g oryhde r"idWPE rlPKr¡rnar Ig4-2O7 bp{- 2 3araye. by, v (n on- h ^bi tahl .e) e+o ^S*onlT abottø'tL, t782x24Å 1zr7b7,"o valua*ian^UuuFJ b'^,ilàí^1