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HomeMy WebLinkAboutApplication\À \din Community Development Department R H'L.' E ! l#-{:. i.i1gg gt' Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 e; A ¡ì F- | [: [.. L) {; c''l tlTlntìItf¿earf¡eld-countv.com {to MM t J N ITY n f:vE l,ûp r1"4ËtiT ß-3 GarfuId County BUILDING PERMIT ,APPLICATION TYPE OF CONSTRUCÍION Com mercial/Multi-Family Demolit¡on Manufactured Home (Single or Multi-Level) "r*Residential (SF, Duplex or Townhome)Reroof I Accessory Dwelling Unit (ADU)- MAXTMUM S|ZE OF 1,000 SQUARE FEET INVOIVED PARTIES tt ,l (å leo I Icl r ,r\ SJ ¿-ve'ßu. k l* " o Phone: 1[ <-/Email Address¡ Property Owner: Mailing Address: ALq w on",flJL -¡37q-ßt( eu/ Contractor: Mailing Address Email Address: e-L , 4,r .J2L3Iô h ôß'Phone:Arch¡tect: Mailing Address Email Address: 2ßn€€qâ , LølrLtQ, I a PhEngineer: Mailing Address Email Address: Mailing Address: Email Address: Phone: ( )Manufactured Home lnstaller: PROJECT DETAILS Owner's Valuation of Work: Describe Work:,,l/ël 4 Propertyt Floors: I,6 Size (Sq. Ft. or Acres): 31a,Cf Z( #of Sub.¡s¡;4 ølock Assessor's Parcel Number: Job Address: Sq. Ft. of Building:dt0 Height: Remodel/Alteration AdditionClass of Work:New DetachedAttachedGarage: PROJECT DETAItS CONTINUED CommunitySeptic:f,WTS Propane Electric OtherType of Heat:Natural Gas Exempt Permit #:Driveway Permit: NOTICE Authoriw. 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 Perm¡ts. 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 IOFFICIAL USE ONtY /T/ð/tÆ;Special Conditions:t 5e*e *""'fvY4 OWTS túo:T\-l¡l.TT 55 Paid:Balance Duei¡ bea, æ occo et ome Fee:Va Total æt n Fee:CherLPla340â tili*/-ÁBUILDING / PLANNING DIVISION : Signed Approval Date b Lz- I hereby provided t th I have and Sign and understand the Notice and Certification above, as well as, have is correct and accurate to the best of my knowledge. t/-ts'ed Date Gørfield County BUILDINC DEPARTMENT 7AB Eighth Strcet, Su¡te 401, 6lenwood Springs, CO 81607 Tel: (97o) 94s-8212 PLAN REVI EWC HECKLIST Permit No:BtRe-//-zz-ft/? Building lssues Planning/Z oning lssues PUp.e L t/ exwL t/ NA t/ t/ ,/ t/ /U-r+ D ion & Sumnna /500 x ã2 = Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Buildíng Height Zoníng Sign-Off Road lmpact Fees Gradel Topography 40% Planníng lssues Subdivisíon Plat etS N4 '/ Valuation Determination/ Fees t/ Red Line Plans/ stampsl Sticker F Attach conditíons Þrlle/ Engineered Foundatíon Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Resldential Plan RevÍew Líst Subdivísíon Plat Notes Fire Department Review Application Signed Plan RevÍewer to Sign Application Parcel/schedule No. 40# Snowload Letter - Manu. Homes t!¿ t/ (/ ?7zue- zqêÐrt ?&lr N.+ aQhs,bléuri*y' /a/aa*¿vl^ a aoØ, l,azarl /pPort@