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HomeMy WebLinkAboutApplicationGarfield County Development Department j . ,. 108 8th Street, Suite 401iiji ,' lclËinwood springs, co 81601 GARÍ;¡ËLri I ri ,¡,,,(97.9) 945-8212 ç 0 M M u N I r'/ r, r, i)irri^iú,idFh F¡ " I ¿ -.o u ntv..o t 5 BUILDING PERMIT APPLICATION Commercial/Multi-Fa Demol¡tion Manufactured Home (Single or Multi-Level) x"Residential Du or Townh Reroof No ES 1þ1- 6144zst\dtþw Þ/âqM{Phone: cb Iø¡fc o Phone: ( ) Property Mailing Address: Email Address: contrector: li" Mailing Address: Email Address: 3ZPhone:3 z I Architect: Mailing Address: Email Address: çt0- 0113 €¡lo Phone:q1ûruuug $røtEngineer: Mailing Address: Email Address: Phone:Manufactured Home lnstaller: Mailing Address: Email Address: N$l,l plM di,tu(ÆDescribe Work: e fLo LV 2ALAO10Ô,00ô.0\ 7>(cZ hol\ nf cú\J Lot Height:23'-èl.# of Floors: 2Sq. Ft. of Building: Propefi Size (Sq. Ft. or Acres): Block Owne/s Valuation of Work; S Sub. 70a646 Ø\ltlç Assessol's Parcel Number: Job Address: Class of Work: Garage:lIAttachedN/A Detached Addition ¡ I tto"t- PROJECT DETAITS CONTINUED i septic:Commun¡ty of Heat:atural Gas Propane ¡léctr¡J ' Driveway Permit: pt NOTICE AuthôriW. 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 perm¡t 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. CERTIFICANON 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 w¡ll comply w¡th provisions of any federal, state, or local law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulat¡ons (County Regulation(s)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construct¡on 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 co'nstruction 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 which is correct and accurate to the best of my knowledge. 0\"1.8 Propefi Print and Sign Date Other VA Permit #: OFFICIAT USE ONLY I -+- a/t/Þ / Special Conditions: Manu. Home Fee:*,iPAValuation 5q 78Balance Due Permit Fee:75 Total ffir-sâxr ow¡/s ruo: ) Group:Const.Setbacks:zoKc' NG / PTANNING DIVISION : Signed Approval I a ?!tÆ Date Garfteld CounÍy BUILDING DEPARTMENT 708 Eighth Street, Su¡te 407, Glenwood Springs, CO 87607 Tel: (970) 9418272 PLA N REVIEW CH ECKLIST Permit no, 7t KE-)7-ZS_ SZ,é Building lssues Engineered Foundation Permit Surveyed Site Plan Septic Permit and Setbacks ¿'- Grade/ Topography 3o% -/ Attach Residential Plan Review Líst Subdivision Plat Notes Application Signed Planning/Zoning lssues Property Line Setbacks 35 ft. Stream Setbacks Flood Plain -/ -''t- Building Height ^nT)ä-"åtb,nt¿ç X;'Ai;i FL€ GiarCe/ Topography 40%ry Fire Department Review Planning lssues Subdivision Platt Valuation Determination/ Fees ¿/ Red Line Plans/ stamps/ sticker tqît SaÁlth eXeznp hh?^ Attach Conditions Resa/.8/-a8 ron mm -/ -ttt- ¿/ ./ Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication ParcellSchedule No. 40# Snowload Letter - Manuf. Homes Soils Report tabnt'¿¿Ê¿ ua/aahbtu çrrarnde/âtogpo, oa t<+A