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Home My WebLink AboutApplicationGarfuld County CommuniÇ Development Department R E c E ry#;:" r':"",", ll":ï lT år, l970l94s-82L2 www.ga rfield-countv.com . , :'-.t"Ll 0ütjNTY BUILDING PERMIT APPLICATION BTËðFðıffiilf¡cnon¡ u Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Dwell Unit - MAXTMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: -]ER{ Lç 0 Phone: t47Ò I q4f -4r€30Lt'ril€.L R Email Address3 qVI,ç U aPhone: ( )Contractor: Mailing Address: fhnlNL {2|LEY Phone:70 *("8.- ao e Mailing Address: ,ØEmail Address: Architect: Mailing Address: Phone: t47q Lg'î- I¡g'7 Aëd Engineer:F,t trÁnEftt E{< Email Address NA Phone: ( ìManufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS sua.lrüoæi:¿t^tÐeer LloA øt lQ Block- owner'svaluationof work: S 55tOOO,ea Propertysize(Sq.Ft.orAcres): 92?'5 5ç<r R¿f Lor ìq # olFloo¡sz 2- CA Height: Describe Work:fñq-oç tr..lø ?CIßcÈt. Sq. Ft. of Building:Ø,bLo se Job Address:2'7 6 VER PRÉVTOUSLY Ô7EN A.tR ?xr/r> M¿-e Ca 8/ø'l-3 Assessor's Parcel Number: Add¡tionClass of Work:New ll f,l nemooet/Alteration DetachedGarage:Attached oJec( PROJECT DETAITS CONTINUED Septic:CWTS Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: pt Permit #: NOTICE Authoritv. This application for a Building Permit 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. 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. 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. 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 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 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. Property Owner Print and Sign Date IOFFICIAT USE ONtY Special Conditions: ^yì:'bÊ'tr'wI Manu. Home Fee:Misc. Fees:N/A Totai Fees: 6 qq/-.zb to ¿1 7,0/ f}teck t9e BP No: Þr-î F,-3ò35 oúrrs No Setbacks:nlL occ Grouo:ffi /- Const. TvDe:fl2,ll -'T¿'' BUITDING / PLANNING DIVISION : u_ ^z DateSigned Approval Gørfield County BUILDING DEPARTMENT 708 Eighth Street, Su¡te 407, Glenwood Springs, CA 81601 Tel: {97a) 5-8212 PLAN REVIEW CH ECKLIST Permit No: Ê¿-<€-A7¿7 8AAá Building lssues Engíneered Foundation Dríveway Permit Surveyed Site Plan Septíc Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determinationf Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Revíewer to Sign Application ParceV Schedule No. 40f Snowload Letter - Manu. Homes Soils Report Planning/Zoning lssues Líne Setbacks 35 ft. Stream Setbacks Flood Plaín Building Heíght NA Zoning Sign-Off n15o31f- Road lmpact Fees ru;"rifr./S Grade/ Topography 40% Planning lssues Subdivision Plat KtF = ,V4 ,tt'// Description & Summarv: Zîo x 4,&= a/>rÞ/ bu//þ tza/aahbn fzt ê52 zo Lín,b/døpa: en¿/ase/ zqo sq,fl ønhaþd 6¿rnrudm ¿,/ / r//fr4/4 /0 e ¿'/üþ/ øøas v /otu i futçþ¿hbncl/râdø;(â Zg dr/es)