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HomeMy WebLinkAboutApplicationGørfuId County >El- rüz=': -fLJ^ , ì 8${?) Oä,''t J>-.. rJJ b .-'1. lL=.ì É, ¿,<=OB Ëul à L¡l(J TU É. q c - L,Acr Sl+D l-{ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t,2 www.ga rfiel d-cou ntv.com TVPE OF CONSTRUCTION Commercia ulti-Fami Demolition Manufactured Home or Multi- Residential F, Duplex or Townhome Reroof Accessory Dwelli Unit - MAXTMUM SIZE OF 1,000 FEET INVOTVED PARIIES Property Owner:CRec¿rs P F, LLC Phone: l1-7O ¡Z aS-Z¿S-t Mailing Address:143 DInetròFt u Avr Pnene4r¿re co Q,ll"3f Email Address: Contractor:C rr a.¡s Pr tr. LLC Phone:5-A Mailing Address:l{3 ÞrA,^ oÀ{> ,ilvC Email Address:CÐ.¡^( BUILDING PERMIT APPLICATION Architect Phone: Mailing Address: Email Address: Engineer:Ge ñrrr Pr*r FÄrRr.ftîEort phone: (7o-1 )?-zq-ítLS Mailing Address:ZZa I Èas*q Arl r: Email Address: {v\r¡l i¡c-6. *h¿l fe.¡, t¿Pqot l4qfo,¿p. Co,rr\ Manufactured Home lnstaller: Phone: Mailing Address Email Address: PROJECT DETAITS Describe Work:LACI 'K c Job Address;ãE.6uJ'/.1 o* 5."23 T.{S. Rq6t¡ (*¿: qqo CDP\ Assessor's Parcel Number:rqt-? - 7:7ul -tÐD - ôtL Sub.[ot Block Owne/sValuationof Worl<:5ZSD,OOÙ.oo PropertySize(Sq. Ft.orAcres):3.13L "o,eS Sq. Ft. of Building:Height:{D'5"# of Floors Class of Work:dition b,-' Garage:Attached Remodel/Alteration Detached Septic:nity Type of Heat;Natural Gas Propane Electric Other r 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 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 Permlts. Multiple separate perm¡ts 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 1g0 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. Permit #:pt Authoritv. This application fo Drlveway Permlt: I hereby certify I have read this Application an.d 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 áccuracy. Assuming completeness of the submittals and approval of this Applicat¡on, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detä¡led cjn the submittals reviewed by the Building Division. ln consideiation 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 thd Garfield County Buílding 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 facllity(les) lf such is in violation of County Regulation(s) or any other applicable law. Review of this Application, including subryritta!s, and inspections of the wor,k by thp Building Division do not constitute an acceptance of responsibility or liability by the còunty of errois, omissions or discrepancies. As the Owner, I acknowledge that responsibility for corr{pliance.with federal, state and local laws and County Regulations rest with me and m.y authorized agents, including wjthout limitation my architect ran or builder I hereby acknowledge that I have read and understand the Notice and certification above, as well as, have provided the ired information which is correct and accurete to the best of my knowledge. z Owner Print and Sign Date 9æ T7a/,1ß Special Conditions: ' ^i".vlâ:w"'Plan CheckFee: 41. a.l Misc. Fees: - '- , lA),ht Totál Fees: lo4.Ø Fees Paidt{1.êt Man Fcc:Ø Balance BP No:,-_DueLlo .1 Home OWTS IT6:x/¡ Setbacks¡ç-ç ocC6rouez ¡,Const 'W3v L BUtTDING / PLANNING DtVtStON : Signed Approval - t7? Date NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf determined by the Building Official that additional information is necessary to review the application and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The Permit Fee, as well as any Road lmpact fees will be collected when the permit is issued. The permit application must be signed by the owner or by a person having written authority from the owner to act as their representative. I hereby acknowledge I have read, understand, and will abide with the requirements of this checklist. 5 z3 z-Òz Print and Sign Date