HomeMy WebLinkAboutApplicationCounty
Community Development Department
À- ^ 108 8th Street, Suite 401RECEIUËfiwood springs, co 81601
.. (970) e4s-8212
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GARF ¡ELD
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Engineer:Phone:
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone:
Mailing Address:
Email Address:
Claes sf Work:
BU]LDING PERMIT
APPLICATION
ICommercial/M u lti-Fam i Demolition
Manufactured Home (Single or Multi-Level)
'/<Residential (SF, Duplex or Townhome)Reroof
Accesso Dwell Unit U - MAXIMUM SIZE OF FEET
Address: q,çL Rtytcr( l3rÉnru tn/r+Y, 6lÉ¡.lr¡oaÞ Spr¿,ñ
ÉtboiEmail Address:
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s ñ,t\f i: TL{ RNt ri l+qoU*Vt+zProperty Owner:Phone:
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Email Address:
Architect: \A/ü t:È LÉy
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Mailing Address:
Mailing Address:L RtYt3rz- t34.,..¡L¡.,1, GlÉruu:oc¡U SPraNGS C CI
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owner,sValuationofWork:s-PropertySize(Sq.Ft.orAcres):
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sub. /r¿üNlßò?r Dó-E
Height
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Describe Work:
Job Address:
f of Floors
28
Fl t,t t Et.+ 13 nsç rn E¡..r f
Assessor's Parcel Number: Z
Sq. Ft. of Building:t 73b
Block _w 24t
Jxew Þ(¡emodeftkeration lf
Garage:ched Detached
Type of Heat:Natural Gas Propane Electric Other
Author¡tv. This application for a Building Permit must be signed by the Owner of the property, described above,
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 inspections by the Building Division.
qthel PgûUE 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.
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 subrnittals 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 submíttals, 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 const¡tute 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
des neer and/ or builderre
I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
the requ information rs and accurate to the best of my knowledge.
X 0ty
Property Owner Print and Sign Date
Special Conditions:
Adiusted Valuation:
ú'1o 1.7/oQ tL Plan Check Fee:
.f tm. oo
Permit Fee:özn.z5 Manu. Home Fee:
N/A
Misc. Fees: t tRtrA MidinZ
total ¡ães:4 î27,75
Fees Paid:
$loo.oa
Balance Due:þ72r,76 BP No:
BugÉ-1t ol
OWTS No:'-- ¡r7r
Setbacks:
/1//+
OCC Group:
t le4--
Const. Type:
\ f¿"c""
Zoning:
PUÞ
t0.8.202BUTTDTNG / PLANNING DTVISTON :
Signed Approval Date
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Gørfteld County
BUILDING DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 87601
Tel: (97o) 94s-8272
PLAN RE VI EW CHECK L rsT
ótAE-oq-zl-7 lbtPermit No:
Building lssues Planning/Zoning lssues /)
tlþ
++ Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No
40# Snowload Letter- Manu. Homes
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Soils Report
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road rmpact Fees RtrTA P4 tana ' 6ail4
Grade/ Topography 40oX
Planning lssues
Subdivision Plat
Descri & Summa
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