HomeMy WebLinkAboutApplicationGurfuld Coanty
Community Development Department
ÞE¡ e.. .-10S 8th Street, Suite 4O1ÑtruHllffiftwood
springs, co 81601
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GARFIE
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' www.garfield-countv.com
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BUILD¡NG PERMIT
APPLICATION
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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:
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EmailAddress:lh rþe-Ê, Lo¿.oì¿..+Do s
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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
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