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Home My WebLink AboutApplicationG@rfield Counqr Community Development Department 108 8th Street, Suite 4o1 Glenwood Springs, CO 81501 p7al94s-82t2 www.garfi eld-counW.com DemolitionCommercial/M u lti-Family Manufactured Home or Tiny Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET tE atffirU,r; -phone: rhgt€f€^ $AS MairingAddre rr. tc7 CillsffrZ Cfiz-tfaas'DfZ, fft*'{**li>P4 ltp' 8/6a3 Email Address flc?>tE wftfr&*l{& ,luvgl-vjql4RflF9_- Property owner: {lOX r?/+/z-, {Ol1 StarlPhone:,€zpri7€"1is"aContractorlh4{{= flrtaPgerr 6a *'*s Mailing Address 2t {fuffie-91cfrn rffi" 5n-'Aatn&5.1CI" Email Address:lZr a,ty'l-Tj3 @-r'onr,'4s7. Azff Mailing Address: Email Address: IPhone:(Architect: Engineer: Phone: Email Address: Mailing Address: _ Email Address: owner'svaluationof'work: S VSleg","I Propefi Z) Addition Phone: Describe Work:{i,frll{rtaa"t tzP46)6L . Si p,:rzzft'nA\ fr-rry 5 Feae Laffil$t, {?-&''let {t#,effiDt il-Fr-*giW'- Height: B ,' Lbt Block _ sq. Ft. of Buildingr Mailing Address Manufactured Home lnstaller: Job Address: Assessor's Parcel Number: Sub. PROJECTDETAI[S Class of Work:AlterationNewllffnemodel/ W DetachedGarage:tAttached t -t Septlc: Type of Heat:Gas ffiNatural _lPropane Electric Other Drlveway Permit lf: Au,rhorlty. This application for a Building Permit must be signed by the Owner of the propefi, 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. Leml 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, Vold 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. 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 (submlttals), based upon my certiflcatlon as to accuracy. Assumlng corlpleteness 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 provlslons of any fede ral, stat€ 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 ofthe Land Use and Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construstion 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 Divlslon to enter the property, described above, to inspect the work. ! further acknowledge that the issuance of the Building Permit does not prevent the Building Officlal from: (1) requiring the correctiron of errors in the submittals, ifany, discovered after issuance; or (2) stopplng construction or use ofthe structure{sl or faclllty{ies} if such is in violation of County Regulation(s} or any other applicable law. Review of this Appllcation. including submittals, and inspections of the work by the Building Dlvision do not constitute an acceptance of responsibility or liability by the County of errors, omissions, or dlscrepancies. 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 Certlfication above, as well as, have the required information which is correct and accurate to the best of my knowledge, alae ftq Owner Print and Sign o{te / Speciel Condltlons:?t Adiusted Valuat'ro{:6n975, ae Plan Check Eee:qq^ bl 'l'.m:'rg Manu. Home Fee:Misc. Fees: '^ffiz,ab Fees Paid:t4l,$1 Balance Due:-qg.ho frffig-sryy,OWTSNo: Setbacks:-__zo,ft: lltJ,'-l-lBUILDI{G/ PrANl{[{G DtVtStON : Slgned Approrral 3-t4 Date BUILDING DEPARTNIENI 708 Eighth Strcet, Suite 401, Glenwood Springs, CO 81607 Tel: (970) 945'8272 ttoil)€5t Lvt l,r+ 3 rt P NRE Permit No: Plpg.-Oz2+ 8 53A vtEw CHE CK LIST c,+t- or C'wee Gurficld CoantY Building lssues Pla n ni ng I Zoning lssues Engineered Foundation Driveway Permit 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 APPIication ParcellSchedule No. 40# Snowload Letter - Manuf. Homes Soils Report Property Line Setbacks 35 ft. Stream Setbacks Flood Plain NA min irnus no incr€AQ in Grade/ Topography +o% gy1'9h'ng F t-.€. Building Height Zoning Sign-Off Road lmpact Fees Planning lssues Subdivision Plat t Exish'n7 re9t Descri ion &mma ferY10 ?-aaSsy,fb x + 3 ^{):v;leA b,^i tA,iw1 vo-lutohm.\ - o', Inlerrior' l;rn;hA +' rWnovahon3 onl f 6sr; lt)orkSow fwtodd' bn*hrown V