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Home My WebLink AboutApplicationGørfuld CountY Gommunity Development Department 1Og 8th Street, Suite 401 Glenwood SPrings, CO 81601 l97Ûl94s-82L2 www.ga rfield-countv'com ?YPC OF ffi€ wp INVOIVETI PARTIES 97o o PropertY Owner: Mailing Address: Email Address: R Vr^ r¡Ðc)t"trñ c ¿ Mfr Phone w 5.il BUILDING PERMIT APPLICATION DemolitionIti-Fam e or Multi-LevelManufactured Home Reroof I or TownhResidentíal (SF Du Unit FEETDwelli)- MAXIM UM SIZE OF Contractor: Mailing Address: Phone: ( .) Email Address: Architect: Mailing Address: Phone: Email Address: orF o(l¿-¿\c Car os Phone: t7,Ol I 6O-T'518OStc.e-Engineer: Mailing Address Email Address: Manufactured Home lnstaller: Mailing Address: Describe Work: llwY 4tt¿l Lo F.tL5L+4 2_'zl1q ó5 tt, 21'*50' t L3Z 40ôAssessor's Parcel Number: Job Address; 900Owner's Valuation of Work: $ 5q. Ft. of Building:tZoO Email Address: PROJECT Height: tl f of Floors: I Sub.Lot -.--- Block --- Property Size (Sq' Ft. or Acres): 2'12't AdditionRemodel/AlterationewClass of Work: \DetachedAttachedGarage Communitytr{ 2+]WTS PROJECT DETAITS CONTINUED Septic: Electric Othero,"o"nftJ //\Type of Heat:Natural Gas lkl""'o'Driveway Permit: Permit # NOTICE Authoritv. This application for a Building Permit must be signed by the owner ofthe property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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 within L80 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 i understand that the Building Division accepts the Application, nformation contained above is true and correct. I 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 r, engineer a or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as we ll as, have provided the required information which is correct and accurate to the best of my knowledge. q- q - ) e Property Print and Sign Date oFFlclAt UsE oNtY FarO. f 260 .5" c. c .êq(tz/¿oz2=þ**> Special Conditions:see attaúelØNÞ/ Valuation: oa Plan Check Fee:2U,67 Permit Fee:4zt, Þ Manu. Home Fee: N,A Misc. Total#ees: 7ll .zZ Fees Paid: * zgp,r1 Balance Due; 4,4/, be BP No: BLee'17qî OWTS t(o:-r/r Setbacks: I ¿OCC Groupl l'f1.C . Const. Typerl.re.e. Zoning: ßv?.^ L /o-'r'-& Date BUILDING / PLANNING DIVISION Signed Approval Gørfield County BUILÐING DEPARTMENT 7a8 Eíghth Street, Suîte 407, ãlenwood Spríngs. CO 81æ7 Tel: (97o) s-8212 PLAN RE VIEW CHECKLIST øæF-0?k7245Permit No: Building lssues Øxønry NA Plan ning/Zoning lssues Engineered Foundation Driveway Permit Surveyed Síte Plan Septic Permit and Setbacks Gradel Topography 30% Attach Residential Plan Review List Subdívision Plat Notes Fire Department Review Valuation Determinatíonf Fees Application Signed Plan Revíewer to Sign APPlicatíon Parcel/schedule No. 40# Snowload Letter - Manu. Homes Soils Report N /A Road rm pact Fees Property Line Setbacks 30 ft. Stream Setbacks Flood Plaín Builfling Height Zoning Sign-Off Gradel Topography 40% Planning lssues -/ Red Line Plans/ stamps/ sticker U lr^ Attach conditions su bdivision eut P7¡)1!' ?/# / ??7eX*zzpþ>?. Description & Summarv: tzaosf. x éZ¿/4 zg, oqoe uncond 1w9 e-/ *lt "/ 6lo aæo aîswne/ /lØpc? ¿pþ¿/eQaÉr;Ç / 'Q, Þr¿ey' a e /Ø/a/r4 zzz-/¿bt *Á/eg*f .e?rø/o.ak ?/F,a¿¿ee?r 7b /-za¿ô rcê/&&