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Home My WebLink AboutApplication'Id Countyt ent Department uite 401 co 81601 t2 ElLcom rvt uommercial/Multi-Fami,L o BUILDING PERMIT APPTICATION Demolition Manufactured Home or Multi-Level) or Townhntial Reroof Accesso Dwelli - MAXIMUM SIZE OF SqUARE FEETUnit ¡NVOLVED PARTIES Property Owner: Mailing Address: Email Address: phone: ( q.þ | 3Aø- Otl.< tgg vYaTa! t ìP-lø)Phone: t th ¡)'lq-8qu ('ð rr b;)J" wru 3Ðh,Lu.'|. , Contractor: Mailing Address Email Address: 1qg, wrqnPhone:, c1?0 tArchitect: Mailing Address: Email Address: 3,lur-3sf 'qøtPhone: ( T*n ) "Tòrn {{"ul*.rtEngineer: Mailing Address: Email Address: Phone:Manufactured Home lnstaller: Mailing Address; Email Address: PROJECf DETAITS sub. f{ory.c.t' (ò (o.¡trc¡.ô<o:È- Lot I ( elock Sq. Ft. of Building: 4(90 Height: I Z,' # of Ftoors: I Describe Work: ó\l tkr€5 Å^ (" (of tGa Go /tlp* <r'l Assessor's Parcel Number: ??11 O L3 Owner's Valuation of Work:Property Size (Sq. Ft. or Acres) Job Address:1l (* Class of Work:Remodel/Alteration Addit¡on Garage:Detached PROJECT DETAILS CONTINUED Community I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. zltkz Property Owner Print and Sign Date OWTSSeptic: Type of Heat:Natural Gas Propane Electric Other Authoriw. 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 author¡ty, 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. Mult¡ple 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. Permit #: NOTICE Driveway Permit: 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 regulat¡ons 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, construct¡on 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 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 CERTIFICATION neer and/ or builder oFFlclAt usE oNLY ?AlD { ll1' tl c' c'62lt'tf23z.z Þ*tx) tnla.t ¡¡1c, PlanValuation: n Misc'i'5 oú 3 ñ A areN Manu.Fee: BP No¡ ßLÍZE.1AS' OWTS'Nol Å/* Totál Fees: -,7n,uo Fées Þaid qr+ I l'?.rßt Due:25Balance €onst. Type:l.R,C Zoning: P. t/.D5"tu".trþK OCC Group: t.B.ê, 34-ZLBUILDING / PLANNING DIVISION : Signed Approval Dete Garfield CounQ BUILDINo DEPARTMENT 708 E¡qhth Street, Su¡te 407, Glenwood Spr¡ngs, CO 87601 Tel: (970) 94s-8272 PI.^AN REVIEW CHEC KLIST Permit No:AuRE-ALZ-7A53 Building lssue ernat'lA Snou.l a tO 7 'toþ,E, Engineered Foundation L Property 30 ft. Stream Setbacks Flood Plain î\¡k ,/ N4 / ñ4 N?4 Nry Driveway permit QIJçhry 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 Attach Conditions Application Signed Plan Reviewer to S¡gn Application Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Building Height needlo,r*d Zoning sign-off PÚf> rh ¡vhrþ bi^áu' N"+Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Qæph'ort SSl<11 FPA\-Zqb4+?3 Description & Summarv: #LlØe,+,*2*?,M,* a!'tr/"/bnlúy /a/aah'ætScape: LtWal P",J^j+' " øhed,t ( presv ïd l oalirq @rd'u\)*Lr4{o'- ) owvV P.ílolz w9t Planning/Zoning lssues