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Home My WebLink AboutApplicationGørJield Coanty Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (s7ol94s-82L2 www.earfie com i TYPE OF CONSTRUCTION DemolítionCommercial/Mu lti-Family Manufactured Home (single or Multi-Level) Y,ReroofResidential (SF, Duplex or Townhome) Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED PARTIES Property Owner: Mailing Address: Phone: ûT t 4 -{Lo(ot E-^ t?L.l \J,I Email Address ' f\\ \ Ê-r)á.¿ â) W tLûl-QOrÌÍ " P 2.c Mailing Address: Email Address: f I 1rr.ù rØOUr tr ,r-rî 6 kQ{¡àLÇ phone:Contractor: Mailing Address: p It CrEmail Address: ?Uì r¿r ¡,¡û /> ¡13 Î,- ?t I lrO'aQ. a (3cv '.J'jJ- (lrLp,r ( fY\ t 1'-,lfl t 6 . i n¡t f)t--ú-,lr.,i- - Phone: c+lÛ t4B1-J10'1Architect: Email Address Ê-¡r,nrl,'û¿rrc\ r{o cÞ . r'e n't c)'¿- '*-1 Ì t ('-É -B r\ A,f rilr Mailing Address: Phone: ûli¡ )'i3 Ççi l b (i Email Address: Engineer: -> I L utÇ /,. '-rl9uj rL,' .;-ç ¿a1-v(Lp¿> Mailing Address:trO"-l râ A €7C \rrv \T þ.' Manufactured Home lnstaller:Phone: ( ) PROJECT DETAII.S Describe Work: O núll . tl1 1- Class of Work: Garage: ilY\P,;n () {,,1P (ivn,,,c,.,r$ ( n I t val Assessor's Parcel Number Sub.rot -L Btock -i \¿.L i ,¿t(- -L Owner's Valuation of Work: S l5 nüoPe Property Size (Sq. Ft. or Acres): \Ç oP, sG?Height:# of Floors New dition Sq. Ft. of Building: Attached Remodel/Alteration Detached Septic:Community Type of Heat: I bwrst-t - ff.t",ãre"i- llle'"n.n"Electric Other Driveway Permit: pt Permit f: Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,sígnedby 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 Permít, (3) another permit required for use on the property identified above, e.g. State or County Highwayl 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 ís suspended or abandoned for a period of 180 days after commencement. 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 facilitíes detailed on the submittals reviewed by the Building Division. ln consíderation of the issuance of the Building Permit, I agree that I and my agents will comply with provisions of any federal, stâte 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 permít, 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 víolation of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the work by the Buildíng Division do not constitute an acceptance of responsibility or liabilÍty by the County of errors, omissÍons, or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County RegulatÍons 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. Property Owner Print and Sign Dete ?r,,sa,l't¿"r}. Ên\Bh . Special Conditions: Adiusted Valuationl 6o-2ffi.¿/4 Misc. Fees:1tff:utr '"iffi,"75 Manu. Home Fee: t-é'- Tota[ Fees: 75n,75 Setbacks: Fees Paid Balance OCC Group:Const. Type: OWTS No:'c)c) I '6 I t BUTTDTNG / PIANNTNG D|VTSTON : Signed Approval t t0-ll¿.< Date Garfreld County BUILDIßG DEPARTMENT 108 E¡ghth Street, Suite 407, Glenwood Sry¡ngs, CO 81601 Tel: (970) 945-8212 PLAN REVI EW CHECKL lsT Permit No: SLJø 4î-27AA/6 Building lssues Planning/Zoning lssues 7UÞ Loh 7t F92 Engineered Foundation Property Line Setbacks 35 ft. Stream Setbackse" ;f llh qDriveway Permit/¿/ Surveyed Site Ptan A:Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Subdivision Plat Notes re Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Energy Compliance Path/Plan Received Plan Reviewer to Sign Application Parcell Schedule No. 40# Snowload Letter - Manuf. Homes - Road lmpact Fees Ma Planning lssues Subdivision Plat D esc ri pt i oel8lSu m ¡oery: Qdøzøt s'f' ñ)tt$- # 7ã, bêtr ,forzøf, /4 _f / Flood Plain Building Height Zoning Sign-Off 7th,ønu/i4 lletu Grade/ Topography N4 / a{i<erh/ /r-rt//rÞ9 tza/aah>tu Soils Report