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HomeMy WebLinkAboutApplicationGarfield County*:Ì r; Community Development Department ¡:, ;'..1 , i ,', , , ¡ .,lQp ptf Street, Suite 401 Glenwood Springs, CO 81601 lslols4s-82L2 www.Farfi eld-cou ntv.com ( BUILDING PERMIT APPLICATION TVPE OF CONSTRUCÍION Commercial/M ulti-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessorv Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: Øean Lu a'/l¿z¿7a*r.L Phone: ( )n8¿øal Contractor:Phone: (?7o ) 8"76 a5-78 I t6.¡--zMailing Address: Email Address: Bnv flK 3, /l ô, b<-d.'t n ¿,.rt @* ro{' 4 e* Architect:Phone: I ì Mailing Address: Email Address: Engineer:Phone: Mailing Address: Email Address: Manufactured Home Installer:Phone: ( ) Mailins Address: Email Address PROJECT DETAITS Describe Work:ia¿¿ Job Address: Assessor's Parcel Number: Sub.Lot Block Owner's Valuation of Work:PropertySize (Sq. Ft. or Acres): Sq. Ft. of Building:Height:# of Floors:_ Class of Work:New N Remodel/Alteration Addirion Garage:Attached Detached PROJECT DETAITS CONTINUED Septic: Type of Heat:ral Gas Community Electric Permit #: Propane Other Driveway Permlt: NOTICE AuthoriW. This application for a Buildirrg Permit must be signed by the Owrrer of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of author¡ty, 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 permit required for use on the property identified above, e.g, State or County Highway/ Road Access or a State Wastewater Discharge Permit. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION lherebycertifythatlhavereadthisApplicat¡onandthattheinformationcontainedaboveistrueandcorrect. I understand that the Building Division accepts the Application, along with the plans and specifications and other data submitted by me or on my behalt (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 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, 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 construct¡on 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 responsibil¡ty for compliance w¡th 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 req nformat¡on which is correct and accurate to the best of my knowledge. n1t r,/ Z3 Property Print and Dete OFFICIAT USE ONLY Soecial Conditions¡, . - t , I t**a*Wilil, aøk repab /rep /aæpzøL aa/y' Adiusted Valuation:i?,çzz,oo iöä"trr"6 Manu. Home Fee:Misc. Fels Totdf Fees: ^,275.'/ø [ö{j\'Balance Due: -//o7' Zþ sÏffr-ça â OWTS No: Setbacks:OCC Group:tRc ton*'tTþc t"qr ii-3-2èBUTtDtNG / PLANNTNG D|V|SION : Signed Approval Date a,ü, Garfield County BUILD//NG DEPARTMENT 108 E¡ghth Strcet, Suite 407, Glenwood Springs, CO 87607 Tel: (970) 945-8272 Building lssues PLAN REVI EW CHE.c KLIST Permit No:BLBE-/o-23-82¿Z Planning/Zoning lssues gNù,:,m,fù"P,;w Engineered Fjundatit Driveway Permit Surveyed Site Plan 110 Septic Permit and Setbacks Gradel 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 Rece¡ved 4 Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Line Setbacks 35 ft. Stream Setbacks Flood Plain Grade/ Topography 40% Planning lssues Subdivision Plat Building Height Zonine Sien-Off /uoo* F¿S Ro a d I m p a c r, ""ttoVplfub /e)A/A %:deok,' aa/V ¿ Description & Summarv:T#. Ltld 76þ x t2: f grgs2.oo a/ao/€/ /a,//,hr "tto/uøhmn fin'l7nirtur