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Home My WebLink AboutApplicationGarfield Coanty Com munity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 www.ga rf ield-cou ntv.com WPEOF CONSTRUCTION o INVOLVED PARTIES Manufactured Home lnstaller: Phone: Mailing Address Email Address: PROJECT DETAITS Describe Work: ta23 BUILDING PERM¡T APPLICATION DemolitionCommercial/Multi-Fami Manufactured Home (single or Multi-Level) ReroofResidential (5F, Duplex or Townhome) Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OFffiOÛSQUARE FEET 7ùPhone: + e. Å= L tnñ{* fn 3 .KÕT1< Cd- úcltÕr)Email Address:a 6-tL'C'örr) Property Owner Mailing Address o¿d la7 C o ?1.27 R.do n ú e C .,=û-,. fi Iu t'h cttcontractor: C/l/( (on Ca EtQèr^Mailing Address Email Address: Phone: tfTa ¡ 37t- yt kI PhoneArchitect: Mailing Address Email Address: \.'J¿¿XF x .,\<cnclo\<)> . phone:t1*n âAS- â93â Email Address: Mailing Address Engineer: ¡ --ì Remodel/Alteration AdditionClass of Work:New Job Address:t9o ùr'| Assessor's Parcel Number sub. Lot dâd I û_r Block Property Size (Sq. Ft. or Acres) # of Floors: I ('Ò &lø s 3 Owner's Valuation Sq. Ft. of Building: of Work: t Garage:Attached Height:tL{ Detached Other lXleroRaneNatural GasType of Heat: : PROJECT DETAILS CONTINUED Sept¡c:Community Electric Driveway Permit: Permit #: NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application' Lesal 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 pefmit. 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 Ap plication 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) orany 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 desi neer a or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have r, the info which correct and accurate to the ,s p L¡,J and Sign tN Ð A tr\. l4¿iJ'SêL,L Date e1 *'Lî my l6 G lÒ *t Property OFFICIAL USE ONtY nea a#adtedëNÞl 77ailsSpecial Conditions: M isc. Fees: FEøD PermPlan Check 35Fee:?r Manu. Home Fee:Adiusted Valuation:- -ôiu-q¿2.e OWTS No: ãEçT.8IFr;-t nce Due:Fees Paid:75tas, Ïotal Fles: .â¿ l,q2L.'t t"ffuConst.t'f?oocc Group: Rc rSetbácks:sÐ b-z?ztCD,'r-fÁBUITDING / PLANNING DIVISION : Signed Approval Date Gørfield County BU'LDING DEPARTMENT 708 E¡ghth Street, Suite 407, 6lenwood Springs, CA 81æ1 Tel: (970) .5-8212 PLAN R EVIEW CHECKLIST Permit No: ølRË-06_27^ g|çþ Building lssues ewehhq--------7- ./ ohv^ îr'r Planning/Zoninglssues R Engineered Foundatíon Driveway Permit Surveyed Síte Plan6ê7w-23-8/r7 Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Revíew List Subdívision Plat Notes Fire Department Review Valuation Determínation/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Parcel/schedule No 40# Snowload Letter - Manu. Homes Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height Road lmoact Fees net¿ 4Þu Grade/ Topography 40% Planning lssues Subdivision Plat zaninwÇf, >løy' il¿ -/ Y¿ç ./ ,/ (tr€Fþ = Descriotion & Su mmarv: '/ Plan Revíewer to Sign Applicatíon F¿S tmaxz/,68= 8?, blb 9dr /z?zx-?z = 4/134/ Soils Report Krþ 2aq4î8 36r', o#ítw ^/'"súúu,/þ # Va/¿t ahns ou/nr ar /rre/4òLfICr+."f âry/tànø 6-/o-23 ([uoa þxt "æ-*år7 -ä)ue / tu 4 /7 Baca 4",? / "?/.U,) / 3A2 ?bO.