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Home My WebLink AboutApplicationCoanty Comm unity Danelopment Department 108 8th Street, Suite ¿l{t1 Glenwood Spríngs, CO 81601 (970194s-82L2 wì.t w. garfi eld-counw.com BUILDING PERMIT APPLICATION Commercia l/Multi-Family Demolition Manufactured Home {Single or Multi-Level} Residential (SF, Duplex or Townhomel Reroof Unit . MAXIMUM SIZE OF I,OOO SQUARE FEET Property (lrner: Mailing Address: a,Phone: 6/enu*,"/ EmailAddress:k;¡s Ð ¿¡l¿/¿qresìrL¿e ' ¿.ër71 L¿ o I (:ı Phone: @l a¡Ìy."8 /ot> l/t¿¿21 ¿/ç C.ontractor: Mailing Address: EmailAddress: Mailing Address: Email Address: Phone: ()Architect: in fr: ^Qea"/ro,s y'ru¿.f - ¿o,r71 /c2 *Ò zóa.¡ Phone:?ro rì4e 8uz Engineer: Mailing Address: EmailAddress: s'/; Mailing Address: Email Address: Phone: ()Manufactu red Home lnstaller: l¿,t¿)e Describe Work: Job Address: Assessor's Parcel Number: Sub. trne/s Valuation of Work: e Lú é3 Bbck- PropertySize (Sq. Ft. orAcres): " 731 A"*t Sq.Ft.of Buildins: \,4,3ß Height:# of Floors:_ Garage:Detached Type of Heat:Gas Propane Electric Other 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. Le¡al Access. A Building Permit cannot be issued without proof of legal and adequate âccess to the propefi 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 Permít. 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 íf work is suspended or abandoned for a period of 18O days after commencement. I hereby certifo 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 submíttals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities deta¡led 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 anç discovered after issuance; or (2) stopp¡ng 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 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 accurateto the best of my knowledge. 3=23-23 Print and Sign Date Special C.onditions: Adiusted Valuation: iz.t+90,ø Manu. Flome Fee:Misc. Fees: TotalÉees: '3 bø.ato Check Fee: 5.f , Balance Due: 205, 05Fees PaÍd: Fee:7snPla Ll BP No:WE-6oa8 OWTS No: 'ðþfüÞ o"*îþr--C.onst.ip"L 'Ptlu AD,"*7^ Signed Appronl BUITDING / PLANN¡NG DIVISION :,t-t3-B Date Gørfield County EUILDING DEPARTMENl 7Q8 Eighth Strcet, Su¡te 401, 6lenwood Spr¡ngs, CO 81607 fel: {970) 94s-8272 PLAN REVIEW CHECK LIST Permit No: â¿RE -O3-ZA-ga7g Building lssues exsling_ Planning/Zoning lssues Engíneered Foundation Driveway vermitgJØilpbI Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determ inationl Fees Red Line Plans/ Stamps/ Sticker Attach Condítions Or, fnnb Application Signed Plan Reviewer to Sign Application Parcellschedule No. 40# Snowload Letter - Manu. Homes ils Report hole 2, Zoning Sign-Off H"ì*f5" ",(RrrA p^;l à,'rinq orÌat bvil{¡ Grade/ ToíoerapÑ 4a% "/ lo{- as Line 35 ft. Stream Setbacks Flood Plain Buildíng Height Í.LC l,l, 0R OL Ir/*ÑA r\l^ Planning lssues Subdivision Plat 7azfu Description & Summarv *{e t)otloxlZ=t3+øa* a{'vsteÀ bu,i I A int v ^l uah'enNA Rørnoúe I R"p lace f Ren o¿e) foNI- 2r1d slerl dee4