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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Sfieet, Suite 401 Glenwood Springs, CO 81601 (e7o) e4s-82r2 www.garfi eld-countv.com BUILDING PERMIT APPLICATION wpE oF coNsTRucfloN Com mercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PAFTIES Property Owner: Mailing Address: Email Address: Phone:9 6':3 Sð r-Ls - Contractor: 4 É.LF Phone: Mailing Address: 6AM É- Email Address: Architect¡ 6e-LF Phone: { I Mailing Address: Email Address: sA A^É- Engineer:SÈLtr Phone: f I Mailing Address: Email Address: Manufactured Home lnstaller:Phone: Mailing Address: Email Address: PROJECTDETAITS Describe Workr Job Address:ul (*(*)z3 Assessol's Parcel Number: sub. K(N\65 RÕU) 239 t¿r3 jtoos lot 5 Bbck ourner's Valuation of Work: S ZÞAÒ - C) Ô Property Size {5q. Ft. or Acres): 41' f 5q. Ft. of Building;Height:# of Floors:_ Class of Work:New Remodel/Alteration Addition Garage:Attached Detached Sept¡c f' I I I I l I I i PROJECT DETAILS CONTINUED Community Type of Heatr atural Gas Propane Electric Other Driveway Permit: NOTICE mpt Author¡tv. This application for a Building Permit must be signed by the Owner of the property, described âbove, 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. Mult¡ple separate permits may be required: {1) State Electrical Permit (2} County OWTS Permit, (3) another permit required for use on the property ident¡fied 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 wlthin 180 days of the date of issuance and íf work ís suspended or abandoned for a period of 180 days after commencement^ CERTIFICATION lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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, 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. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. I further acknowledge that the issuance of the Building Permit does not prevent the Building Offícial 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 facillty(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 w¡th me and my authorízed agents, including without limitation my architect des 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 correct and accurate to the best of my knowledge. c t n¡re.e¿ Å LoZ Property Owner Print and Sign Date Permit #: OFFICIAI USE ONIY Special Conditions: Adiusted Valuatio¡r:'L,mn 00 Plan Check Fee: uK.ôt "'t'llv6 Manu. Home Fee:N/Æ ''.¡ü"A Total Ëees: ,ú.Lb Fees Paid: rü,tl Due:Balance ho ,16 ffi-7aæ OWTS No: -ñASetbacks 4 OCC Group:lRc Const. Type: í?L '"Kb ra-l 3-21-ZBUILDING / PLANNING DIVISION : Signed Approval r{,f^ Date Garftcld County BUILDING DEPARTMENT 108 Eighth Streel Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PI.^AN REVI EW CHECKLIST Permit No: glRE- 0347-72æ Planning/Zoning lssues RV M ?4n,ê 3-l-2ZQrvra^.0 0 neered Foundatio Driveway Permit 7w#,1- Surveyed Site Plan elev, Septic Permit and Setbacks Grade/ Topography 30% -/ Attach Residential Plan Review List t/ subdivision Plat Notes Building lssues -/ ,/ / ,/ ' ØPsP'rtü-Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat NA ]L Ntl ,/ n/¿ -/ ./ Fire Department Review 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 Descript ion & Summarv: valwahozt f=,ôæ,oo (l r=N/h Scopø : ?^r+i^i, R""+ n1 Ner¿Krbtl lt, ,l vt3couØri q1