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HomeMy WebLinkAboutApplication\- !- FurZ=..qo- ss OHJ>- l¡J l'-tr=ü,= ıã fl r:- Il¡l ì:-i UJ t¡È'' () ijt::? UJ ':rÉ, :::i* "-) Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701945-82t2 www. garfield-countv.com Gørfield Coanty BUILD¡NG PERMIT APPLICATION WPE OF CONSTRUCÍION Com mercial/M u lti-Family Demolition Manufactured Home (Single or Multi-Level) Residential F lex or Town Reroof Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED Property Owner: Mailing Address: Email Address: Phone: ,97O¡o 2 ()/ eI. /'tel t/(tContractor:f xu¿-.1 Phone: P>o¡ ¿/oY c9o:Z Mailing Address Email Address: Phone:7þ,36 ?ZV7 Email Address: z_Arch¡tect: Mailing Address:ioo I 6¡and "4v¿- 7Ut lu lo? 6¡.rtuaod 57 Cûå v/"Yt ô Phone:fie>7l (ê 8/t, Engin eer: ... Mailing Address Email Address: Phone: ( )Manufactured Home Installer: Mailing Address Email Address: PROJECT DETAITS Describe Work: 674o Zoo22qo Owner's Valuation of Work: Height:# of Floors ¿ n sub. f))l llo ù Sq. Ft. of Building:?zu .s.3 ê.2 Btock Zc,k ú'lhrr¿ Assessor's Parcel Number: Job Address: p ¡o pqrty s!¡e Þq.f t. o 1 Aç re s) ¡ | ".!r..t 2,.é: Sf ì.i t K Addit¡onClass of Work:New Remodel/Alteration x DetachedGarage:Attached / OtherPropane pt Natural Gas Community Permit #: E lectric Septic: Type of Heat: NOTICE Driveway Permitr PROJECf DETAITS CONTINUEÐ Authoritv. This application for a Building Permit must be signed by the Owncr 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. LeÊal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for pLrrposes 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 Perm¡t, 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, cotlstruction 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 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 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 neer 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. e n6/n7lwzz Property Owner Print and Sign Date oFFfcrArusE oNry p,AtÞ f ¡ otl. lo O(.{r f28¿l oc-/últoLzéþ,ü> éæ a tur,{ ¡e¿,/ UA/b /T/ð N SSpecial Conditions: Adiusted Valuation: ie¿.rtoL.8o Plan check Fee: I " ll/u,lz Permit Feet ^ -h76A,7e Home Fee: /*, Manu.,I H'iëfhp I Fre BP No: BLt¿g-?s1ù OWTS No: (0tq^{ü^r¡fy'"'^iîöoç,s7 FeesårYr¡ Paid: ôt?. ?Þ Balance Due: 1,308,L7 SetbaCf<s: .hND OCC Grouo:ipc Const. Type:l, R.c Zoning: P. t/. Þ. BUILDING / PLANNING DIVISION :/lú,'rf - Signed Approval 74ZZ Date Gørfreld Cowmff, BUILDING DEPARTMENT 708 E¡ghth Street, Suite 407, Glenwood Springs, CO 87607 Tel: (970) 945-8272 PI.AN RE VIEW CHECK L rsT Permit No: E tJ?É - 06-22-7174 Building lssues Pl a n n i n g/Zoning lss ues PUt> LÞt<-Z-l *'1+ Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% / Attach Residential Plan Review List Line Setbacks 3û ft. Stream Setbasks I Flood Plain Building Height ¿' Zoning sign-off yß Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat ) Desc ription & 5u mmarv: ^JA ^/L F¿g tlîlx U9b/¡r7x .Í* 5î3x -P/¿ 5a8 x Subdivision Flat Notesazl ?â7 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. 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