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Home My WebLink AboutApplicationGarfi.eld County R.F-iOEi:l\'rh"'rio mmunity Development Department jAf-! ? 5 ZCI'/it .,iffi:"rtl'rft:,":t;:1;rt t,",1,.i : i :' ii' ., ll, lg7}lg45-82L2 f.\'ii,ftio,iji'i'i': " WWW,gaffield'COUntV.COm -e BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home or Tiny Home (Single or Multi-Level) )<Residential (6F) ouplex or Townhome)Reroof Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED Property O*r"rr&4 Phone: tq- ft?{')a27 Mailing Address: Email Address: cont ^c.orr Phone: €.4 998 -2o 23 EmaitAddres". S.drz€ < jBdy€ f LMailing Address & Architect: fOn .fu$rV €/t? bor"nl Phone: €)Ot366 -a3f? Mailing Address: Email Address: DoPhone:Engineer: Mailing Address: Email Address: ()Manufactured Home lnstaller: Mailing Address: Email Address: PROJECTDETAIIS sq. Ft. oteritainc,-9d? - ' Height: .p '5" #orFtoors: / Describe Work: bs Owne/s Valuation of Work: S fuN Property Size (Sq. Ft. or Acres):j.fsub. EZk Assessor's Parcel Number: Job Address: rct JQ, Btock- Addition4rewRemodel/AlterationClass of Work: DetachedGarage: OWTS PROJECT DETAI I.s CONTINUED Septic: OtherPropane Community ElectricType of Heat: Ep'laturalGas Permit #:Driveway Permit: Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf 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. NOTICE 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 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 accu to the best of my knowledge. ,/*st/ Property Owner Print and Sign Date OFFICIAT USE ONtY Special Conditions:6ffi atLaatre'l CdNb / T|A/VS Adiusted Valuation:,4a/. tqD.62 Plan Check Fee:e0.t/r. tlz Permit Fee: 3.1d2,75 Manu. Home Fee:voFn '"'{:;i;q, a7 Fe6s Paid: 2a9{..b, Bdlance Due: z. !1q,75 BP No: WE-gsog OWTS No:-ph 'ffiffit>occ Group: I RC Const. Type lPu 'S?',x Per 6,€,(' ',,',',', Lg4 Signed Approval Date BUITDING / PTANNING DIVISION : Gurficld CountY BUILDING DEPARTMENT 7o8 Eighth Street, Suite 4O!, Glenwood Sprlngs, CO 81607 Tel: (970) 94s-8212 PI.^AN REV I EW CHE CKLI T Permit No: &rye -a/-r?r-g€az Building lssues Pla n n i ng I Toning lssues "a/> nweived 3-g-z/ E ngineered Four+datlon -fffiDlrroperryLineserbac * rr E€, //Grade/ TopograPhY 40% Planning lssues Valuation Determination/ Fe Subdivision Plat t' Red Line Plans/ stamps/ sticker g0& g/b Attach Conditions D ription & Sumication Sig a-E-2 (FL! 143f x 7/,bg W{rriveway Permit r'-'* surveyed site Plan A/A r t;i^ opEl{-hmlE $01 Ls Rtr PORT IS REQUIRED AT FOOTING Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Road tmpact Fees € A, /O = A AA 35 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off rv: s Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication ParcellSchedule No. 40f Snowload Letter - Manuf' Homes Soils Report K+4 2V -7-672 vernl,s? oo oo ardt)l #6? x /g 7?,?02,etfr cf/4 /ftg x 32*,7h,0,f6 t 66bx /tr b1 org n /z ilsbttu,a?- INSPECTION d.500 P$F fl!1tc/el juildr"J hh/aa,h'an : #