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HomeMy WebLinkAboutApplicationGørfield CounQt Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (97Ols4s-82L2 www.garfiel ntv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Comm u Demolition Manufactured Home (Sinele or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accesso Dwell Unit ADU - MAX¡MUM S|ZE OF 1,000 SQUARE FEET INVOTVED PARTIES Property Owner: Email Address r Mailing 711 - tïg z S,f c eo 8t6 s2- O r¿n ô Phone: t 1?OlTu tr o 1.4 Address: ltos cR.33¡ contractor: ôW* eP- Mailing Address: Email Address: Phone: I ) Phone: (_)Arch¡tect: Mailing Address: Email Address: Phone: ( q1o) 5l O - O.rt 3 . .Fì RILZ\ n.l.'-^ (Ð e,walv¿<*n,¡c-f . T â iô lrr¡ltr M¡r.- Cß O^rL¡,*t ô vlrEmail Address: -ñ¡la¡r Colvc¿i Mailing Address: Engineer: (PhoneManufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS Assessor's ParcelNumber: 211q 34l, Ot OOs sua.Ch'pfc:{tc-lá, &l¿J<-s tot 3 Btock- owner's valuation of work r s t è'3 Ç8 , oo Property size (sq. Ft. or Acres) Describe Work: hur'lÅtr.o cc:'ntìl r Bt..R..e-tO¿ø) , t l.qoqx57 t .'stt¡ # of Floors: ISq. Ft. of Building:Height: lt New Remodel/Alteration AdditionClass of Work: DetachedGarage:Attached PROJECT DETAITS CONTINUED Septic:]WTS rt (x Community Type of Heat:aturalGas g/^Propane Electric Other Driveway Permit: ,t/+Permit #: NOTICE Authoriw. This application for a Building Permit must be signed by the Owner of the property, descri bed above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor 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 within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. 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 designer, engineer and/ or builder I he¡eby acknowledge that I have read proü¡¿"d the required informatifn which-iJ- L A/1,,,,,, and understand the Notice and Certification above, as well as, have is correct and accurate to the best of my knowledge. r //3/ Ò> oFFfcrAt usE oNtY Pr4 t Þ * 1f,.6 .ql eK .# Z?ßÍ oz /tg/tê2,c,|li|qrll\,||lþ ref BLIE-n-l Special Conditions: ^ii.:à'åiH',w Plan Check Fee: t? 1".11 'i'u'*"25 Manu. Home Fee: ¡.1/* Totallees: v22^Ib Fees Paid:I tz¿,ql Balance Due: -lq5,z5 BP No: 91*,e.1b1r Setbacks:OCC Group: I . È'C- Const, Type: l¡ R.c- Zonine:RvR,^l- ttlÌr*{-7-A-2 Date BUITDING / PLANNING DIVISION : Signed Approval Property Owner Pr¡nt and S¡gn Date nrtl -LO LL &ørfuId Cownty' BUILDING DEPARÍMENT 108 Eighth Street, Su¡te 407, Glenwood Springs, CO 87601 Tel: (9701 945-8212 PLAN REVIEW c HECKLIST Permit No: ø l-RE-07.2-7675 Building lssues Pla n n ing / Zoning lss¡"¡es üØ ulc-Engineered Foundation Driveway Permit 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 Sign APP|ication Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Descri n & Surnma .17b x I 8:ê los = ê8, uo - "Ùu"+.d b u i t d,nj vat u(ú'ut oovued, Pùìo v rþoþ (c,ono,túe píer nç buílb dvrrinh'oría. Ltow& conçúr, rhtø-) #^fuAl-p#o v^oo+ ,ñf reûà4 a*,C,0,