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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e7ols4s-82t2 www.garfield:counW.com TYPE OF CONSTRUCflON Iti-Family lition Manufactured Home (Si nsle or Multi-Level Residential (SF Duplex or Accesso Dwell Unit . MAXIMUM SIZE OF I,OOO SQUARE FEET INVOLVED PARTIES Property Owner: Mailing Address: Phone: tþO t |Zq- 899I 3'70 cÒ, Emall Address:D u n,u ê Ç ¡'ç u*+,ff-ô yt E ^ &jt t, ûz nf . C, a t4 ^- È^ contractor: )IÊ.¡li*nt\ Ou $òvy1 ß,;,Cb,n-r Phone:7ô -lltt Mailing Address:Ça Email Addres., Ðunt ¿ @ Sf'Zra.¡ rQ rrzìl-c u sTı vn b oí¿ d¿¡s - &rn Manufactured Home lnstaller:Phone: Mailing Address: EmailAddress: PROJECT DETAITS Desøibe Work:lw Sub. Job Address: Assesso/s Parcel Number: 43 q € ü 3 O 9 oO A ø¡ Z Block- 6¿l Owne/s Valuation of Work: $/Gã oet +Property size (Sq. Ft. or Acres): .'l î Acø.S Sq. Ft. of Building:lçJro Height:?tt ! -l ffi ném1¿et/¡lterat¡onClass of Work:New I l Reroof EmailAddress: Phone: ú?è | þtP' t6? Ö ¡403CbLtÀ) Phone: (_) Architect:8o ¿û*'t An..il,Tc ¿Tut¿'z- Englneer: Mailing Address " aotv\ Mailing Address: EmailAddress: r Ôø. 8t Go Garage:Attached X fof Detached CONNNUED Community Type of Heat:ral Gas Propane Electric Other , Driveway Permit #: Permit: NOTICE 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. Lesal 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 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 facilityties), 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 consguction 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, omíssions 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 d eer and/ or builder. I hereby provided at I have read and understand the Notice and Certification above, as well as, have is correct and accurate to the best of my knowledge. Property Owner Print and Sign Date OFFICIAT USE ONLY Pd.t tt'1.Ît c.ç. ê'¿/o?'/ÙoLz ,Jæ Special Condltions: Manu. Home Fee: N/A Misc. Fees:N/APlan Check Fee 11, ôl Permit Fee: I ß1.26Ad¡usted Valuation å fo, w.oo BP No: t rßE'7328 OWTS No: C oâ't¡Ytu^J I Îy Fees$ll Paid: 1 ,71 Balance Due: tqt.z5ïotalFees: zqq.o9 Const. Type: t. R. C. Zoning; P. U. p.OCC Grouo:' t. t¿. c.Setbacks: 2-zl-äzBUttDtNG / PIANNtNG DtVtStON Signed Approval Date :r+/,u Gørfield County SUILDING DEPAR|MENT 708 Eighth Street, Suite 401, Glenwood Springs, CO 81607 Tel: (970) 945-8272 PLAN REVIE WC HECK LIST Permit No: E¿gg=O=- Zl:-7 37e, Building lssues Planning/Zoning lssues D ¡rfn Septic Permit and Setbacks Grade/ TopograPhY 30/o "/ Attach Residential Plan Review List ,,/ Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road tmpact Fees NA Grade/ Topography 40% Planning lssues Subdiviqion Plat M N4 IL ,/-7 Engineered Foundation Driveway Permit Surveyed Site Plan Subdivision Plat Notes ,/ "/-7 (/ ,t/--7 t/ ,n"ol{^fA3ß,"","* NA r/- ,/ / NA N\4 6rop.. Qeo+Allerah* ovey Falrb (&" weo&,'úr pabr'o 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 Feceph'ca î88n Description & Summarv S,t}¿'nílled uú,Lahut^ ef ptwY U.ncon