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HomeMy WebLinkAboutApplicationCounty Community Development Department À- ^ 108 8th Street, Suite 401RECEIUËfiwood springs, co 81601 .. (970) e4s-8212 ,lt¡Å¿*.e"rfi"Id-."t5'Ëf) 2 $ GARF ¡ELD c0ñ4À1 ÜOUN 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: Mailing Gç LQ s ñ,t\f i: TL{ RNt ri l+qoU*Vt+zProperty Owner:Phone: Emait Addresr, Êt Cl++fàÙ . DOoU3Y Q GW FllL ' Cotryl Email Address: Architect: \A/ü t:È LÉy 7 Phone: 1 GtÇ¡ LZq ^ Ug Z1 CO Aßc\+lÎÉcT{,rfìÞL phone:3ü -- ¿8 3-L ufrB ?f){¿\< Drt, lu tTEø Lr TTLË:r¿lhl contractor:*D0oLr: \l t+-drn Éç Mailing Address: Mailing Address:L RtYt3rz- t34.,..¡L¡.,1, GlÉruu:oc¡U SPraNGS C CI I}T,Lø gt60t é'lgZ Qtyt=tt lltsnrD WÉ)Y Gl-f=¡l Wû0D €?t"t^/C-s co owner,sValuationofWork:s-PropertySize(Sq.Ft.orAcres): g,¡f,o1 sub. /r¿üNlßò?r Dó-E Height ô 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 4%-"- t4 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 lVA N4 AlA t{A t/ Ntr N+ lVÅ a{us/e/ ln,ilø1 S-p nc/udæ, /nkr¡br þ^*e/útt1n,sA on//) na eXfuibr 5//t toorL gþaoün ë 6t 7b?,/z