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HomeMy WebLinkAboutApplicationGørfuld County BU¡LDING PERMIT APPLICATION Community Development Department 1OB 8th Street, Suite 401 Glenwood Springs, CO 81601 (97Ols4s-8212 www.ga rfi el d-cou ntv.com @ Demolition TYPE OF Commercial/M ulti-Fami Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET Propertyowner: I,ar.t Yaunt Phone: (q1ô ) 3Ôq - îSt{tl MailingAddress: ?ôßa¡ 3SSS G\ect,,¡ocl} gPer.nto, {" - 8f ¿O2. INVOTVED PARTIES Email Address: f,a¡r Y.,tttg Phone:(q1Ô ) 3Og'tS{{Contractor: Mailing Address: Email Address: ]E,an Yaoog Phone: ((-tô ) 3ô1'îS{tlArch¡tectr Mailing Address: Email Address: Phone: (1?Ô ) 3ô¿-q¿oqoEngineer: Mailing Address: Email Address: Manufactured Home lnstaller: '' - Phone Mailing Address Email Address: x AdditionNewRemodel/AlterationClass of Work: )DetachedGarage:Attached PROJECT DETAITS Describe Work: Job Address: Assessor's Parcel Number:29q58 t3061 s,t. ôa-K fî rr\4 . rot 53 Block - Owner's Valuation of Work:s tl4ô.6û Property Size (Sq. Ft. or Acres):qZOq i¿ Sq. Ft. of Building:2hto Height:#olFloors; Z o.{¿ IXfl Propane Electric OtherType of Heatr Natural Gas Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or an author¡zed 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. 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 w¡thin 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. pt Permit #: NOTICE Driveway Permit: PROJECT DETAI[S CONTINUED Septic:Community CERTIFICAT¡ON 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 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 an 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 correct and accurate to the best of my knowledge. -l-a.fì z 4 Property Owner Print and Sign Date oFFrcrArusEoNLY P¿rp f t,l0l.zz cK* lo!+o2/n/L6¿z $â Special Conditions:6æM ØN ô Adiusted Valuation¡./zb,ll0.ao Plan Check Fee: l,lÒø.77 'i'Hffi.qÉ Manu. Home Fee:rr/a NfË""\qsz.sz Total Fóes: .a 2-,glVt'I Fdes Paid: {f,rog,?2 "i:ïi"öiùl:a6 BP No: ßLKÉ--ß11 OWTS No: Co{^,t\rN tt'Y*ZfuD OCC Grouo: t.'R,c. Const. Type: l.R..c. Zoning: P, U.Þ. l,t),3-10-z Date BUILDING / PLANNING DIVISION : Signed Approval GørfuId County BUILDINo DEPARTMENT 108 Eighth Street, Suite 407, Glenwood Springs, CO 81601 Tel: (970) 945-8272 PLAN REV IEW CHECKLIST Permit No:tLRE-r?/-z-7â(f Building lssues NA ./ Planning/Zoning lssues Engineered Foundation Property Line Setbacks Driveway Permit m\il 7'?'% -/ _/Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision"Plat Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List eru¡tf W177f þ-cooiàSubdivisionPlatNotes - - I ./ Fire Department Review Ptah nOfe@ Valuation Determination/ Fees Flood Plain yæ d Line Plans/ Stamps/ Sticker Attach Conditions (zøof,rJ"h/, t74?J2,o8 2,qôt0,Ø 23ltnb,Ø 27b5b t Descri on&mApplication Signed Plan Reviewer to Sign Application Parcel/ Schedule No 40# Snowload Letter - Manu. 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