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HomeMy WebLinkAboutApplicationñq {3¡'\i'{r rLi:i...i.J rl0Mf ,{Ullinc,qm-lylttJiliwÐpvelopmentDepartment 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970ls49-82t2 www.Rarfield-countv.com TYPE OT CONSTRUCTION 3 Garfielú Counly BUILDING PERMIT APPLICATION DemolitionCom mercial/M ulti-Fami ly Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex orTownhome) Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOTVED PARTIES owner: M xr-¿mt N , OrI?t Rl €N phone: (q1D I qæ - 4+31 Email Address:c Property Mailing Address: ?,o. E;oY- (.laz -(ßD T Phone: ( )Contractor: Mailing Address Email Address: Email Address:Br*,xQ-ØvD ø rntNþ3f Mailing Address: f,.o 3 LF:r\ey C nYYlRrñ6S Phone: 1 1lo I l+4 - ç'?fL4 4Fâttp-.t'¡ Architect: âLElt- rt-gZ-¡¿ +.ò Þ'a1 lPe-¿ ¡ Phone:Engineer: Mailing Address Email Address: (Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS owne/s Valuation of Work: 5 ß1oO Property Size (Sq. Ft. or Acres):k Sq. Ft. of Building:,Ì8 4 Height:Lo7. 4 ôOô ç \t Describework: Ckß-?De-l- ap Klt,zz Assessor's Parcel N umber: Job Address:LF Sub.Lot f of Floors: / Block (New Remodel/Alteration AdditionClass of Work: DetachedGarageAttached PROJECT DETAILS CONTINUED Septlc: Type of Heat: OWTS Communlty Electric 0therNatural Gas Propane Driveway Perm¡tl pt Permit #: NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must bc provided with this Applicatiorr. 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 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. CERTIFICATION 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 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 developnrent requiring a permit, except tor 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 not¡ce from the County, if the location, construct¡on or use of the ctrrr¡trrrolcl rnd f¡¡¡li+rrl¡acì ¡lac¡r¡ha¡l .h^.,- .'- nar in ¡amnlìrn¡a r¡¡i+h 1-a,¡n+r¡ Dôd¡,lrri^h/.ì a¡ rnr¡ a+hare!,ueru.!rJ, ,, vçJ!,¡vus ryrlrr les¡rry ¡¡L6srqUerr\r, applicable law. I hereby grant permission to the Building Division to enter the property, described above, to ¡nspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiring the correction oferrors in the submittals, ifany, discovered after issuance; or (2) stopping construction or use ofthe 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 acceptanceof responsibilityorliabilitybytheCountyof errors,omissions,ordiscrepancies. AstheOwner, 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 andf or builder. I hereby acknowledge that I have read and understand the Notlce and Certlflcatlon above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. ,,//* *,n q.lrì,,â0,2 v Property Owner Print and Date OFFICIAT USE ONLY Special Conditions: Adlusted Valuation:^ô'î.7/?,,æ Plan Check Fee:\ôR "?l ,ïU,T'A6 Manu, Home Fee:Misc. Fees: '*27ç. ro to Fees 'fri+t Balance Due: -iloZæ ËÏp-raâ.í OWTS No: Setbacks:occGroup: tß-L ,o"t.rt'l,RL zoff: to-/rëBUTTDTNG / PLANNTNG DTVTSTON Signed Approval I Date Gørfteld Coanty BUILDINo DEPARTMENT 708 E¡ghth Strcet, Su¡te 407, Glenwood Spr¡ngs, co 87607 Tel: (970) 945-8272 PLA REVIE CHECK LIST Permit No:SIRE-4-J3-832r Building lssues Pla nning lZonlng lssueskEngineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Energy Compliance Path/Plan Received Plan Reviewer to Sign APPIícation Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height ToningSign-Off Road lmpact Fees Gradel Topography 40% Planning lssues Subdivision Plat Descri ot¡on & Sum merv /B/ x t8 Å/hø/c/óa///ry lra/¿æh'Ø?; f gr7/Z,oo \ÇcoÆ CaÇor* an/7