HomeMy WebLinkAboutApplicationGørfield County
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DemolitionManufactured Home or Mu
Residential lex or Town Reroof
- MAXIMUM SIZE OFUnit SQUARE FEETDwell
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Phone: €_Llî<8 -1q'rXProperty Owner:
Mailing Address:
EmailAddress:
Phone:.. Ò3t1
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Contractor:
Mailing Address
EmailAddress:
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Architect:
Malling Address:
EmailAddress:
Engineer:Phone:(
Malling Address:
EmailAddress:
Manufactured Home lnstaller:Phone:t
Mailing Address
EmailAddress:
Describe Work:¡rÀ.I A ñã.i)?lrtu þ'r Þlf)
Job Address:
Assessor's Parcel Number:iq 3t qL
suø. \tW.EtE G ?eT*þyt1¡ÞSlot _ Btock
Owne/s Valuation of Work: $
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Propefi Size (Sq. Ft. or Acres): a(" .4rÌ ¡c.
Sq. Ft. of Building:Height: # of Floors: /
Class of Work:Remodel/Alteration Addition
Garage KAttached Detached
Sept¡c:
Natural Gas PropaneType of Heat:
Electric Other
Dríveway
Permit:
pt Permit #:
Veid Permit. A Building permít becomes null and void if thof the date of issuance and íf work is suspended or abando
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Owner,
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ThisAuthority.forpplication B duíl Permit ming ust be edsign theby Owner theof p rope describedoran above,edauthoriz rf theagent.aturesign below notls ofthat the a atesepa ofetter edtheuthorítysrgnOwn bymustbewithprovidedlsthlicationApp
BuA diLegal Access.Perm irng ca nnot be ed¡s5u without ofproof aega nd uateadeq ccess thto e fopropertypuofposesnspectionsBtheutbytdDívisiontng
Mu leOther Permits.rateItipsepa ¡tsperm bemay required Stater.)EI ectrica Co(2)Permit,unty OWTS Permit,nother(3 permit forired userequ on the de ntifíedproperty e Stateabove,oo'è.County High Boadorway AccessStateWastewaterDiscPermit.harge
e work authorized is not commenced within 1g0 daysned for a period of 1g0 days after commencement.
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hereby th atcertify have read this licatiApp on dan dLth the information contai ned ¡sabove true and correct.erstaund thatnd Bthe ut ld D ontvtstlng the oacceptsApplícati lon,withng the ns ndap onspecificati s otnd hersdataubmittedormebyonbehalfubmym(s Ubasedittals),pon certificamy tio asn to accura Assucy minge5ScompletentheofqubmittaanIsdaofrhAtspprovalÍcappBuildtion,irPerm wílltng be issued rigrantopermission ngmase,Own coto thenstruct st a dnructure(s)it¡esfacil d etai led o then bsu m ittals reviewedBtheUI byDivision.nding consid era ntio of rh lssuane ofce the uild ermPlng ír that aagree nd my willagentswithcomplynsoprovisiofanystatefederal,localor law regulati the WOng rk nda the Garfi Coueld B ld¡UInty ngOWTSCode,ati son ndaregul licab lanle dapp u se nslatioregu Co lationReguunty a ckn{s)).thatowledge thetdBuiPeitrmtngbendmayoredsusperevoked,fronoticeupon thm Co u if thenty locatíon,nconstruct¡o OTof usethestructurefaciland(s)d nesc bedity{íes are not inabove,com ce W¡thplian Cou latinty on orRegu(saotherlicabl anyppeaw
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h grantereby rmissíonpe theto ut nDivisio toding enter eth pro dperty aescribed tobove,wothefunspect rk.rther acknowl that thedge e tSsua nce rhof e BuÍld Perm iting does otn theprevent B uild Official frotng m:erh (1)reg uiring ofcorrection e rro inrs 5Uthe if abmittals,dny,iscovered issuafter a once;(2)stoppingnconstructiooruseofthestructuorfacire(s)tes suchiflity{tnts VI o ati on of County Regulation roa herot(s nypplicablelawewRevithisofApplincludication,us mbng ân dittafs,thofinspections worke eh u itbyronDivisod dingnotconst¡tute an ofnceaccepta responsibil liaority Couthebybility ofnty omissionserrors,d oriscrepancies.thAs Owne ckn owle th re5atdge nsi bipo cofor mlity ceranpl with fede stateral,and local lawsCoandolatiReguuntyrestn5mwithaendauthorizedmytnagents,udcl witho uting Iimitation arch itectmydesígneeeranod/buil der
I hereby
provided
acknowledge that I have read and understand the Noti ce and Certification as well as, haveabove,required information which is correct and accurate to the best of my knowledge
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Date
Print and
See athdted æ/VbSpecial Conditions:lvo/fs,4 Manu. Home Fee:Misc.
Paid:
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Feesq Due:zzI
OWTS No:.
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BUtLDtNG / PLANNTNG DtVtstoN :
Signed Approval
8-?2s
Date
o,ú,
Garfield County
BUILDING DEPARTMENT
708 Eighth Strcet, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN REV IEW CHECKLIST
Permit No: BtßF -O7-2V-8/ ?O
Building lssues
Septic Permit and Setbacks
Grade/ Topography 30%
'/ subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Appl
Planning/Zoning lssues
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Engineered Foundation PE
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Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
N/+Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Description & Summarv:
Energy Compliancg
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Path/Plan Received
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Plan Reviewer to S¡gn Application
Parcel/schedule No.
40# Snowload Letter - Manuf. Homes
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