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HomeMy WebLinkAboutApplicationGarfield County RHbrelvrn frfrh!*h+f*tuYns'Hfr* Communlty Development Department 108 8fr Sfieet, Sulte 401 Glenwood Springs, CO 81601 (9701 94s-8212 www.garfiel d-cou ntv.com BUILDING PERMIT APPLICATION TVPEOF COt{SrRUCnOit Com merclaUMulti-Family Manufactured Home (Single or MultFLevel) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARNES Propefi Owner:NftTA'fc tlA lt ILD ryRAIVDT Phone:rZlL telo-606Y Maillng Address: 57 r+ r?/'1"+ tv f< 0A D C'rtR8 o/vD/f Lt t/6 23 Email Address:FEMM tr OtFer- @ OnnlL . C,o/vl Contractor: Phone: Malling Address: Emall Address: Archftect:Phone: ( ) Malllng Address: _ Emall Address: Entinaer: Phone:I I Malllng Address: . Emall Address: Manufactured Home lnstaller: _ Phone: Malling Addressr Email Address: PRO'ECT DETAIIS Describe Work:fy-a*+-t V h b'* ri,64 a c-.rt k oo( /rs' 4- L vuad n>ot\ertirAzt11L1 6L'1n w(r1 Job Address:,V ARL(A,v Ror+D Assessor's Parcel Number: Sub.Lot _ Block Owne/s Valuatlon of Work:000 ?Property Size (Sq. Ft. or Acres):'/ rUr Sq. Ft. of Buildlng:2, OoO Height:totrtoorc;-!-b - lo Class of Worft:New lfinemodel/alteration Addition Garage:Attached Detached ,.*/ PRO.IECT DEfAIIS CONTINUED Septic:Community Type of Heat:Natural Gas Propane Electric Other Drfueway Permlt: NOTICE 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. leral 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 Permlt. 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)). 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 Bullding Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use ofthe structure(s) or facility(ies) ifsuch is in violation ofCounty 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 or builder. I hereby acknowledge that I have read and understand the Notice and Certificatlon above, as well as, have provided the required lnformatlon which ls correct and accurate to the best of my knowledge. IExemot Permit #: ,("tn-,u "fr,r-/=^ w4sr- /{ta{" 4*-g/l't cl 2-0 LL Property Owner Print and Sign Date $oFFrctAt usE ot{rY Speclal Conditions: ^ryu,{"1vT,''y't)""r?"Permit Feelg3.Z€t M^"\T;E""'Mlsc. Feesr AI/,fl lh/ni,ht Total Fees: t 3q 3/? Fees Paid: $ Rz '3Q '"'il61u"a BP No:,F'l'szF-?qq5 oWfS trtor trr /A Setbacks:occ Group: / Rc'const. rype: h<e ^v ezryBUITDING / PLANNING DIVISION : Signed Approval Gurficld ConntY BUILDING DEPARTMENT log Eighth Strcet, Suite 40t, Glenwood springs, CO 81601 Tel: (970) 945-8272 PL^AN R EVIEW CHE c KLIST Permit No: B tKE-/f22-746 Building lssues Engrneered Fo*ndatlon Driveway Permit rveyed Site Plan ptic Permit and Setbacks rade/ Topography 30% Attach Residential Plan Review List SuMivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line PIans/ Stamps/ Sticker Attach Conditions Aoolication Siened^""""""o-i)/? /fu Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Pf anning lZoning lssues 2 Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ TopograPhY 40% J / Ptanni ng lssues//V Subdivision Plat D riotion &Summa 3b 7,/* x 674,68 = /2r6t8./8 a/aekl bw//'ng L/a/ua-hh- 7 b /itnry?V^g e/earbrL /a/