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Home My WebLink AboutApplicationGarfield County BUILDING PERMIT APPLICATIONffii i"'"rt il t,r r ,., ,i Department Suite ¿101 Springs, CO 81601 (e7ole4s-8212 www.ga rfield-cou nty.com OFCONSTRUCTION Commercial/Multi-Fam Manufactured Home or Multi-Level) ential Du or Accesso ry Dwelling unít tAD!-) ¡ MAxtMlfM sJzE of rtqqq sqtuARE ryEr Demolition Reroof i INVOIVED PARTIES Property Owner: Mailing Address: H¿rtt¡rz BRÕ ÐÅi Phon.(TÖ lffi-ffi4 <ü.t EmailAddress:Afv^cØlf=r e €a,a¡z-¡5. Nq- Contrâctor:Eu.nn Mailing Address:lryz- îWlL ,4rlFÁrvë Phone:lVo 7 /t9 cd-e 8lAzl aTaN EmailAddress:z. l,/ Mo^ffir?q cTîoN, cqv) Architect:eb t7Æ&z'9 Mailing Address:P,a,r^rx- lØ Emait Addressz ,ffi.Þr'Jw e Pff, AE:f Engineer:ùerr ftrqsøl 9,16rt@t@ Phone: fîP , q4frÍø Malllng Address:ox cËLt) I A)"2 EmailAddress:,I w8't go\ Mou ñr..At N Ft|6, Cr2N1. Manufactured Home lnstaller:fírh Phone: I ì Mailing Address: EmailAddress: PROJECT DETAIIS Describe Work: ln -4lSfioe þ<J/{o/n6 robAddress: )zZ ÐAÍEþt ffiT ) 6uq,luw_5fr1^E* cctt>, Assessol's Parcel Number:'218? zz/- Òþ-oav> Sub.ffiizrv-ILot C Block I Owne/s Valuatlon of Work:(Ã)Property Size (Sq. Ft. or Acresf: Sq. Ft. of Building:Height:.æ*æT fior Floorsz-{ Class of Work:lffinemooel/Alteration lf lnouit¡on {r ElectrÍc OtherGas ffiNaturar Propane i- I PRO.IECT DETAITS CONTINUED Sept¡c:æqr¡ç Communíty Type of Heat: Drlveway P9¡mi!: NOTTCE Authority. This application for a Building Permít 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. [esal Access, A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Buildíng Dívisíon. Other Perm¡ts. Multiple separate permits may be required: (L)State Electrical Permit, (2) County OWTS Permit, (3) another permít required for use on the property ídentified 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 períod of 180 days after commencement. CERTIFICATION I hereby certify that I have read thís Application and that the informatíon contained above is true and correct. I understand that the Building Division accepts the Applícation, along wíth 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 Applícation, a Buildíng Permit will be íssued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the subm¡ttals reviewed by the Building Division. ln consideration of the issuance of the Buildíng 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 Buílding Code, OWTS regulations and applícable land use regulations (County Regulation(s)). I acknowledge that the Building Permít 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 Divisíon 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 Offícial from: (1) requiring the correction of errors ín the submittals, if any, discovered after issuance; or (2) stopping construct¡on or use of the structure(s) or facílity(ies) íf such is ín 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 w¡thout limitation my architect dg¡igner, engineer and/ or buílder Property Owner Print and Sign Dete Permit #; I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have provlded the requlred lnformatlon whlch ls correct and accurate to the best of my knowledge, l/ærtr B*-n áé*- rrfz't fz-o k:-* Õt\)b îù - ¿ñ =\!\) N+ /een¡p oFFtctAt usE oNw Special Conditions:* -"-ö wn - Ð;4 [\ralzo*r\ Fges:k.*t Ften¿-.r Mlsc, ^l^ Adjusted Valuation: lOD ffsO Plan Check Fee:a 45,q4 'gg5äs Manu. Home Fee: OWTS No: tr(lçllNCz Total Fees: 1631 , b1 þes Paid:çßn.14 Due: 75'â^if ," BP No: TW-loloû Zoning: LrCq Setbacks: A .-J-T occ BUITDING / PTANNING /7^23-zs zc> fn'to fr.* Gørfield CountY BUILDING DEPARTMENT 108 Eighth Street, 'u¡te 407, Glenwood Sprìngs, CO 87607 Tel: (970) 945-8212 PLAN RE VIEW CHE CKLIST bccÞ - {,bo7Permit No: Building lssues Planning/Zoning lssues f4)üJ "V D riveway Pe rm it /' surveyed Site Plan f4t\MsePtic Permit and setbacks fu¿T*Fuilding Height Zoning sign-orr Ç fr14 37 3l ^/ ,4 30 ft. Stream Setbacks /{1 .n"Flood Plain ,l/,"1 Road lmpact Fees -€rad e/ Topography 4O% áPl^nn ing lssues ,(/Subdivision Plat Descri otion & Su marv: Fire Department Review flpoørÇ rade/ TopograPhY 3O% M ,fl Attach Residential Plan Review List Subdivision Plat Notes uation Determination/ Fees Red Line Pla ns/ Stamps/ St¡cker Appli h Conditions cation Signed Plan Reviewer to Sign APPlication ? rq fu,?,rcA,,*nEngineered Foundation Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report N .A K,¡1-uI 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 untilthe 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 person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegaloccupancy and may be grounds for vacating the premises. (Final/GO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand and will abide by the requirements of this checklist. t- l{oata- 6ro,^'n zz'zß / / / ?-41.u Êroperty Owner Print and Siþn l-7-Date