The URL can be used to link to this page

Home My WebLink AboutApplication[rl rllREGËMHA '. r i.,'. ,tLComihunity Development Department ,,,: 1,,. r' j ti i.ii l: ii r 10g g,h Street, Suite 401 Glenwood Springs, CO 91601 scA leTsrs4s-s2L2 ? Gadùeúd County Csmmercla u Demolltlon red Ho or Mu dential Du or Reroof - MAxtfrltuM stzE oFUnitDwel FEET tì¡ ) BUILÐING PERMIT APPLICATION Phone: t Property MallingAddressr Email Address: Phone: I -¡lÁ¡s¡DÈ__ . r L Archltect: Emall Address: Malllng Mailing Addrese: Ëmall Addre¡s¡ Fhone: tQål: {4 o' 1,/5 oEnglneert MaillngAddress: Emall Address¡ I Work: J Helghtr Phonel I Sq. Ft. of Buildíng:/9 q7- Sof Manufactured Home ¡nrtallÊr: Property Size {Sq. Ft. orÖwner's Valuatíon of Work: lob Address; Addition Detached Class of Work:New 6arage: Lot_--- Block_ Mailing Address: Email Address¡ Assessor's Parcel Number: Sub. Septicr Type of Hoat:Naturäl Gas Propane unity Electric Other Drlveway Permit: Exempt Permit #: Vgld Pqrmlt. A Building permit becomes null and void ìf the workof the date of lssuance and Íf work ls suspended or abandoned for authorlzed is not commenced withln f.BO days a períod of 180 days after commencement. Owner,Owner, ¡n rsAuthgrltv.forapplication mPermitEulldlng beust signed Ownerthe ofby the p roperty,bove,o an authorized Itftheagent.signature isbelow thnot ofat the ó letterseparate of authorit¡bylhemustberovidedpwíththisApplication, BuilA dlegal Access.cannPermitlng beot issued without ofproof dlegal açcessadequate thto e forpropertyofpurposesnstheinspectioBubyDivision.ilding MuOther Pe¡mits.leItip ¡tsseparateperfn bemay required State{1)Electrical rnPer {2)It,OWTS PermCounty ir,another{3)¡tperm usefor onrequired the identifiedpfoperty Stateê.8,above,or Highway/County AccessRoadaorStateWastewaterDischaPermit.rge Owner, th at avehherebycertlfu thisread Appllcation thãind the information contalned above ls tru ande correct,thatunderstand the Bul Dlvisio nlding theaccepts wlthAppllcatlon,long the andplans nsspecificatio and otherdatasubmittedmeorbyonbehalfbrny(su míttals),ubased pon ncertificatiomy toas AssuaccuracY.m¡ngofcompfetenessthesubmittalsdnarovalofppthisBuilcatlon,Appl Permitldlng bewlll lssued grântlngpermlssimtoastoe,ctconstru the ndstructure{s}Itlesfacil etaiCJ onled the submlttals reviewed bythefnDivlsion.Buildlng conslderatlon of lhe lssuance of the Permit,Building thatagreê and my willagentswlthcomplyofnsprovlslofederal,any ostate local law theregulating work theand Garfleld tdBulCounty lngOWTSCode,regulations and lcable andappl use regulations {County Regulation (s)).thätacknowledge theBuildPermittnÊbemayorsuspendedrevoked,n oticeupon from the the¡fCounty,ocation,0rconstruction usetheofandfacilstructure(s)descrlbedity{les),a are lnnotbove,ncecomplia Cowith latio nntyRegu or{s}ânv-¡L--u¿t tct awpplicable Owner, buÍlder. hereby grant ionpermiss to Buifdthe Divfslo ning to ente the describedproperty,toabove,theinspect work.further ackn that theowledge lssuan ofce the Build Permitlng notdoes theprevent Bulld claloffring from {uthecorrectionreguirlngerrorsolthetntfnqsubmittals,dlscoveredY,after oissuance;l2l stoppingofconstructionuseofthefaorstructure(s)JI lssuchcility(ies)n vlolation of orCountyRegulation(s)oth enylaw.appllcable ofReview this Applicatíon,submittals,including and s of theinspection wo rk theby BuildingdoÐivisionnotconst¡tute ân ofacceptance orresponsibility thellabllityby ofCounty omlsslo nserforS,orAsdiscrepancies.the ack thatnowledge forresponsibilily cen wíthcomplla stâtefederal,ä d local lawsCoandUntyrestRegulationsrnewithnduthorizedamyincaBenttwlthludinelimítatouttonarchmyitectdor I hereby provlded acknowledge that I have read the required information which ls correct and accutate to the best of my knowledge, and snderstand the Notlce and Certlflcatfon above, a¡ well as, have Property Owner Print and Date t/UÞ/77o4/€$pecial Condltiorrs: Fee: 1ee aba¿M 00 Fêes t ¿\r BUILDING / pt AfìtNtNG D|MSION : Sþned Approvat &Å Date Gørfield County BUILDING DEPARTMENT 708 E¡ghth Street, Suite 407, Glenwood Springs, CO 81æ1 Tel: (970) 5-8212 PLAN REVIEW CHE CKLIST Permit No: 6/Rtr-O/-23-7/73 Building lssues fl r;) trl4 L/DL6ngìneüÊ Engineered Foundatíon ottergae TeqAtT9 Driveway Permit t Plann ning lssues t/,Line Setbacks 36ft. stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Surveyed Site Plan Septic Permit and Setbacks Gradel Topography 30% Attach Residential Plan Review List Subdívisíon Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stampsl Sticker Attach Condítions Application Signed Plan Revíewer to Sign Applicatíon Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Description & Summarv: Sabn i//e/ l/a/aahøn f 0f/, oo frtn/aþm