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Home My WebLink AboutApplicationGørfield County Ê-\ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (97Ols4s-82t.2 www.ga rf iel d-cou nty.com Demolition >EFr!z= Fì 8$tr) oB(,\! J >-,\ UltsU ¿-tl-! ¡¡- 5cJ) É,=<=OE ftt¡l ]U() ulu BUILDING PERMIT APPL¡CATION l Commercial/Multi-Family Manufactured Home (Single or Multi-Level) -iResidential (SF, Duplex or Townhome) _lReroof I Accesso Dwell Unit (ADU)- MAXIMUM SlzE OF SQUARE FEET INVOTVEÐ PARNES Engineer: Mailing Address: Email Address: Manufactured Home lnstaller: Mailing Address: Email Address: Phone: ( q70t b -,5qæ 'f(#-l I Describe Work:res Phone:z Phone:7 lh ti, tgLL¿-C Mailing Address: Email Address: Property Owner: Mailing Address: Email Address: Contrector: a 70Phone z-Architect: Mailing Address: Email Address: Remodel/Alteration Detached ition Job Address:mìdland tðrl0 tn* 2O Assessor's Parcel Number: Sub.øt L'7-D Block- owner's Valuation of Work: S 35,**9?S . 1r. Property Size (Sq. Ft. or Acres) Sq. Ft. of Building:o Class of Work:New 2t:.1" Garage t{ Attached Height:# of Floors 2 iô 7q5 PROJECT DETAILS CONTINUED I, Septic: Type of Heat: Driveway atural Gas Propane Commu.nity Electric Fermit #: I I ì ! t. Other i I I J Permit: , t¡oirce Authoritv, This application for a Building Permit must be signed by the Owner of the property, described above, 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. CERTIFICATION I hereby certifythat I have 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 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(s) and facilities detailed on the submittals reviewed by the Bu¡lding 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 noticefrom 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 designer, engineer 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 which is corect the best of my knowledge -J 4-zt z/ Print and Sign Date d¡70OFFICIAL USE ONtY (\ Special Conditions: Misc. Fees:'å'i\iJu,t5 Manu. Home Fee:b\lÊAdiusted Valuation: , ê'qçq.a'lø.¿ll Plan Check Fee: 'Ët5 ßß.-10 OWTS No: / I ^*n,,n,ì,1t, Balance Due: . - ö ztl44.'o BP No: ßr?p- ?+.fl",iÏï;ár.*Fees Paid: .*g ¡57qp. {- ^Pw fConst. Tvpe:r?r.'"8äiiiÞ.OCC Group:ìrT¿f- BUtLDING / PTANNING DIVISION : Signed Approval fu*'- Date o0 Gørfield County BUILDING DEPARTMENT L08 E¡ghth Street, Su¡te 407, Glenwood Spr¡ngs, CO 87607 Tel: (970) 945-8212 PLAN R EVIE W CHECKLIST permit No: ByRE-Ø-Zt-1 l5+ Building lssues Planning fToning lssues | fi ?.WÈ N4 NA t/ Property Line Setbacks 30 ft.Stream Setbacks Flood Plain Building Height Zoning Sign-Off L/Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ TopograPhY 30% Attach Residential Plan Review List Subdivision Plat Notes Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No. Fire Deoartment Review - \( <62rrr,{. +wo{-RrRíter) Vìuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Yl9 Road rmpact Fees 42172330 t/Grade/ Topography 40% Planning lssues Subdivision Plat Descript ion & Summarv: Rl r- 8.6.Þ. = #a702 t/ ^l A ð lr/ L/ ,./ t/ WMpsl,o LlorgØ,oo 3ltttoï.Ø 5,88b.o0 2J5Ø.oo soirs ReportflLlhompn pPhúle,ralÅ craül2Z70x 16 = t gú q74 x 32= . Ptà 32-7 x tg = l^c d 2oq y tL= t)sled buildi Valualiôn,, t0'7'Zl - nto t5-/ I oor v rn/al | Çraning rniæing ehnùt)ûL."? ^àJ nq þ 35ïtQ7g,4o