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HomeMy WebLinkAboutApplicationGørfuld County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 le7ol94s-82t2 www.Fa rfi eld-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercia Iti-Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof hccessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES Property Owner: Mailing Address: Email Address: 6?e; öPhoneContractor: Mailing Address: Email Address: ¿-//vÐV 7 Phone:(91ût3.27 Z<:p3l,/pArch¡tect: /.¿,l-Mailing Address: Email Address: phoner ffi-ø 1740 2?s t3Engineer, Òf) r,ç ft U Ò EoMailing Address: Email Addressr Mailine Address: Email Address: Phone: ( ) v Manufactured Home Installer: PROJEST DETAITS owner,sVa|uationofWork:s-PropertySize(Sq.Ft.orAcres): Describe Work: Height: f/, e Lot o3/ Sub. Assessor's Parcel Number: Job Address: Sq. Ft. of Building:Zþ/ , { #or Block v Remodel/Alteration AdditionClass of Work:ñew \/î-etachedGaragelAttached PROJECT DETAITS CONTINUED Sept¡c:)WTS Community Type of Heat:Natural Gas Piopane tlectric Other Driveway Permit: Exempt Permit #: NOTICE Authoriw, ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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. 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days 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 Permit, I agree that I and my agents will conrply 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 fr.rrther 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 er, e 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.fær 2ê Owner Print and Sign Date OFFtctAtUsEoNty ?/\lD. * ç116.r"c.c oq /Lq /zozz âø?- z+-h?ô/E/ Ø/V Þ / n2A/SSpecial Conditions: Mlsc. Fees:N/AAdiusted V¿lu¿finn: , /bg,7o/, t-A l5Fee:Plan Check Fee:70 Manu. Home Fee: ¡Jle 'iilî\z,ru lance ô 'tgid: 9,1 oFees Pa$L1 BP No: BLT¿Ë.-? 932^ owls Noa sÉPT -1A 73 Zonine:-- 'Ë'¿Ð-,QoBAtSetbacks:ît/,OCC Group: l. ¡e-. c Const. Type:t,&.e t}-u-zzBUILDTNG / PTANNING DIVISION :úrilb*A Signed Approval Date Gurficld County BUILDING DEPARTMENT 708 Eighth Street, Suite 4O7, álenwood Springs, CO 87607 Tel: {97a) %s-8212 PLAN REVIEW C HECKLIST Permit No: tt(A-g?-k ZAZZ_ Building lssues 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 Conditions Application Signed Pla n ning/Zoning lssues Property Line Setbacks 30 ft. Stream Setbacks --/ l,VA Flood Plain Buildíng Height Zoning Sign-Off Road rmpact Fees llAAmùi'ZU S Grade/ropography oox @o /Z/ C) Planning lssues Subdivision Plat 5V76î ?77/b5 geann€/ Descri & Summa FL g 494 x 74 69-- 36r/tgí, tz- 3 Çr/4.od a) 2,/.ôa 2?rqîó.oo f rugrza/ /2- t^1nÍ(,3,',:K€/"P/g ot ol'9 Driveway permit Surveyed Site Plan QfuND,*,,, -/ -/ Plan Reviewer to Sign Applicatíon Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report ._1* /227 r ı2 = .f/4 z/9 v /3 = cìyue/ /zZ? Y zy' = a/tuçtþ/ á,ør7 la/aøhr:z: