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HomeMy WebLinkAboutApplicationGurfuld Coanty Community Development Department ÞE¡ e.. .-10S 8th Street, Suite 4O1ÑtruHllffiftwood springs, co 81601 .. {i{; GARFIE ;'{T LD .;r,.,., l970l 945-82L2 ' www.garfield-countv.com COUF,¡TY l.Q BUILD¡NG PERMIT APPLICATION rYÞËöËËöl|f$hucnon DemolitionCommerciaUM ulti-Fami ly Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) ÕtHër1- MA)flMUM SIZEOF SQUARE FEETUnit $¡I'OTVEDPARRES t?Za t 3c¡9- '75/bç4þ €7?z- Email Address: L.&Property Owner: Mailing Address: Mailing Address: Email Address: ôulPæ Phone:Contractor: Architect:Phone: { } Mailing Address: Email Address: fl'tt Pr zaaa.* *f phone: (/7o | 3{g ' ç? ?-L 2Z EmailAddress:lh rþe-Ê, Lo¿.oì¿..+Do s ak /'Ì) /Y1 Engineer: Mailing Address:@ DN#Phone: { )Manufactured Home lnstaller: Mailing Address: EmailAddress: PROJECTDETAII.S owne/s Valuation of Wor lr, $ J &., A.få Slo /?,4 6 € Åt;t ¿O/¡'tl ¿"-Describe Work: Height:lstg" Sub.f,+/tS scttg ÐN Sq. Ft. of Building:L 3¿/¿¿ Assesso/s Parcel Number: 7l Y Z3 ZZOùo PZ 23 x qg Lttr¿tN'suL+Të-l> /\l v tsì Job Address:3/Z Property Size (Sq. Ft. or Acres):, loG # of Floors: A Lot .L Block Class of Work:Remodel/Alteration DetachedGarage:Attached PROJECT DETAIIS CONNNUED NONCE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by 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 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. CERT¡FICATION I hereby certifu 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)). 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, 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. 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 accurate to the best of my knowledge. Åá^tÞ*9 x-e [+\J, 'R Éñ'D ffroperty Owner Print and Date )WTSSeptic ÞNr+Community Type of Heat:atural Gas Propane Electric oth Driveway Permit:ffiExemnt Permit #: t COFFICIAT USE ONLY îee a¿*aúdt/\/¿>/VCNSSpecial Conditions: ^iz.tåyt:b Plan Check Fee:8t'7'ÕÅ ^ " "#ïä,',as Manu. Home Fee:viYreesvlf Total fees: 778,8g FeesPaid: rt ô !*J,,, ó3 Balance Due: -172,ob w øt=gnffi BP No:OWTS No: Setbacks:OCC Group:tRc Const. rrr.Tþt '"{i¿'. BUITDING / PTANNING DIVISION : Signed Approval q-2622 Date LU),"M Gurfield County BUILDING DEPARTMENT 708 E¡ghth Street, suite 407, Glenwood Spilng, co 81607 Tel: (970) 945-8272 PLAN REVIEW CHECKL rsT Permit No: 6RE-Oî-23-9271 Building lssues Engineered Foundation Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Planning/Zoning lssues // Property Line Setbacks 35 ft. Stream Setbacks ¿ Flood Plain t -/ - /r4 Building Height Zoning Sign-Off Road lmpact Fees /1b FLS ^rySubdivision Plat Notes u¿ìlrt)^er/arÇab Fire Deþartmént Review Grade/ Topography 40% Planning lssues Subdivision Plat-tt'' _/ Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Energy Compliance Path/Plan Received Parcell Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Ø'\' ø4(x z/ = ëvzlzú¿'oo a r)/ç/e/ /",dy /a/zâ*¿?L /v* êV-%¿m?9øtrhfi/e /7¿t /¿"oedr4 Sl'Ò/"'/''2< ¿ . x, {,{:yz / o /,( sþ) -s bwa (, Vrzp*#thrz P+H