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Home My WebLink AboutApplicationGørfield County >uFTrl F¡ 5ER 8ge<) oHr,\ J>lubci ¡¡- ÉcÞ ü= ıã Community Development DeBartment 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) e4s-8212 www. ga rfield-countY.com @ BUILDING PERMIT APPLICATION CommerciaUMulti-Family Demolition Manufactured Home (Single or Multi-Level) ><Residential f(Sfr, Duplex or Townhome)Reroof Accessory Dwelling Unit - MAXIMUM SIZE OF 1,OOO SQUARE FEET INI/OIVEDPAR]flEÍ Phone: ( þ? $07-0Zz{ Lo 8)à Email Address:44b*rbpn4aø-c¿ k1 Mailing Address. l7g LO Propefi Owner:furl)otflr l,bo I Phone:('l?ô | ï-IX 11"þ t (6 L çcâ lvÌ tP LpsvbMailing Address: Email Address: contractor: UEOt¿l-¡E Eex 1Ç1 Þ,æFrr, GÐ Ølba ?L.E-r¡wIÌ#Veca ØñftA{ç - CÐf,A phone: t 47ot qz1 q ++L\M+?6t rÃülwArchitect: Mailing Address: Email Address: @,vlhÉ Phone: 8,1ot1+Ç È6oçEngineer: Mailing Address: Email Address: Phone; Email Address: Manufactured Home lnstaller: Mailing Address: PRO¡ËCTDETAITS l"q æ. *flí+GeøD â*?-Þ'Ø3- ' Assessor's Parcet Numb "r, 23Ç3/?/O3OO? elDescribe Work: ,wN Avlbæ Height: 7V FÍ . l¡l? * of rbors:-fl\L¡f fso Sq. Ft. of Building: Owne/s Valuation of Work $La[n -Property Size (Sq. Ft. or Acres): r{bft trWVl-Y Job Address: Sub.,orW 1 e'ct,?lùll,tþ 7 -!--- -¡ r¡t--t--WW n--^l-¡ /^ l.---¿:-- ^ ll:r:-- DETAIIS CONTINUED , Septic: I rype ot neat: I Driveway Permit: Community atu¡al Gas Propane Electric Other pt Permit f: NOITCE _ _ Authority. 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. 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 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 submittals and approval of th¡s 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 Bu¡¡ding 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 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 r and/ or builder ffixem I hereby acknowledge that I have read provid ed the required information which þr+ØàftLn 4'ú?ågL- Property Owner and Sign and understand the Notice and Certification above, as well as, have is correct and accurate to the best of my knowledge. n/aþ,u Date f ,1o CKt' tl å5t tofL?fZotéþnL)OFFICIAT USE ONIY I t Special Cond¡t¡ons: Permit Fee:Manu. Home Fee: N/A Misc. Fees:kr gø> þz,vüAdjusted Valuation:Plan Check Fee: Balance Due: ßueE- 12711 BP No:OWTS No: ' Conr{ur rrY Total Fees: l¿1.?o PaidFees $t, Zonine:e u.D.OCC Group: I , ra.¿ Const. Type: l. n.ß. Setbacks:cnN> ô%HÁ'/ /-/g-zôz/ $433,212.24 $1,861.70 $2,864.15 $4,725.85 $2,864.15 Gørfteld County BUILDING DEPARTMENT L08 Eighth Streel Suite 407, Glenwood Springs' CO 8760L Tel: (970) 945-8212 PLAN REV IEWC HECK rsT ØLKs-t0-2t-772+Permít No: Building lssues Pl a n n i ng I Zoning lssues 7uÞ ev.empl ê2ÍÞ N4 UNÞ t/ Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ TopograPhY 30% ttrM,'Ð r\/A N nttach Residential Plan Review List Yæ /- NA Subdivision Plat Notes Fire Department Review t.<bæ5+ =dL Valuation Determinationl Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed N 4o# Snowload Letter - Manu' Homes rt +A ræPhb,, lzauL t/ /Description & Summarv: (/ ptan Reviewerto sign Application Kf €.8,Þ, = ê17O3.* Parcel/schedule No' 4575 tr¿í r 74.ø= i aAl l¿il z4 ZTbSuzat/x /g :>{ /?, VA, "o ddleâ/ Nov Z/4zo (z*of 2/"øP',f) 7!8 c, ?arx 7Z =É 26 g7¿,.o '1/!.1/¿ x /s + iin r. o. ffiT(,i,i4 í;x:: a{irsÞl éa, //rnj =â4 33¿ z/Z ra/aa-ha-=r- NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf determined by the Building Official that additional information is necêssary to review the application and/or plans for compliance, the application may be placed on hold untilthe required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Road lmpact fees will be collected when the permit is issued. The permit application must be signed by the owner or by person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand and will abide by the requirements of this checklist. bnr$na w¿$€î-lolal"oubû$d'c Property Owner and Sign Date