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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (97Ole4s-82L2 www. garfield-cou ntv.com OF INVOLVED F-S 47 BUILDING PERMIT APPLICATION Commercial/Multi-Family Demolition [Vlanufactured Home or Tiny Home {Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SqUARE FEET Phone:-fl"r, Email Address: 2747bFaU TlQ$at Property Owner: Mailing Address: f ,I L/& Contractor: T/bMailing Address: Email Address: a t Phone:r47ot 776- 3 -41Architect: Mailing Address: Email Address l4'Q' t cQt T/ r fuulI phoi",Engineer: Mailing Address: Email Address: PhoneManufactured Home lnstaller: Mailing Address Email Address: PROJECT DETAITS Describe Work: Job Address:Tl 6z BlockSub. / 0 Height: 17 q052 & .frAssessor's Parcel Number: 2 o0 size (sq. Ft. orAcres): Z ,l trZ &r-Owner's Valuation of Work: S Sq. Ft. of Building:#of l/Class of Work:Gw Remodel/Alteration Addition detachedGarage:Attached Electric OtherI Gas Propane Driveway Permit:!Exemnt Permit #: PROJECT DETAII.S CONTINU ED Septicr Community Type of Heat: ; NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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 andvoidiftheworkauthorizedisnotcommencedwithinl80days of the date of issuance and if work is suspended or abandoned for a period of L80 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) aqd facilities detailed on the submittals reviewed by the Building Division. ln consideration of the issuance of the Buiiding 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 Regulatiqn(s)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and Development Code. I ackrtowledge 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: (L) 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) 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 have read and understand the Notice a tc correct and accurate to the nd Certification above, as well as, have best of my knowledge.p Property Owner Print and Sign Date OFFICIAL USE ONtY -9. Special Conditions: t /€ee al/ac/Pd p/l/D/nd//< Adiusted Valuation: 4t/L. {oa"e Plan Check Fee:4qP.7F '*D'l?,46 Manu. llome Fee:N*Misc. Fees:.MA '"7,17i2,0 Fees Paid: 7Dt^ 53 Balance Due: ' t' bgq, 'e fr*lru-(ss: OWTS No: *Mn/>occ Group: IRA const.rvee/R U toflu' od,3-2528BUTLDTNG / PLANNTNG DIVISION Signed Approval ( Date GnrfuId CountY BUILDING DEPARTMENT 1Og Eighth Street, Suite 4Ot, Glenwood Springs, CO 81607 Tel: (970) 945-8272 PI.^AN R VI CHE CKLI ST Permit No: 6LRF-a52/-8552 Planning/Zoning lssues P/atilak a" Building lssues e ,, (ry -- OpHN"HOLF SCItLs RHPOI{T IS REQUIREN,4T FOOTING PSF Engineered Driveway Permit Attach Residential Plan Review List SUM'rvision Plat Notes Fire Department Review . Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Parcellschedule No. 40# Snowload Letter - Manuf. Homes Soils Report /1/A ilA 6q9?69 Jaa/-zz- Froperty Lrne Setbacks 35 ft. Stream Setbacks Flood Plain Building Helght Zoning Sign-Off Road lmpact Fees Topography 40% Planning lssues Subdivision Plat Descri otion &Summarv: tutan/ ,2ffi/e cfar4 /5aa,L '/z/= gb)ooo 6mx 6tB- /9 BU # /6, Boo.oo f ruspEeT,Oru "/>rh/ h,t/rl('/ /a/aahbn ; \'