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HomeMy WebLinkAboutApplicationG*rfielcl Coun4: ? hi AII iqg$ffSnity Development Department iYlnrr e ' 108 8th Street, Suite 401 Glenwood Springs, CO 81601 le7ol94s-e21f'2 www,ga rf ig I d-:ea u ntv. q g rx Dwell Unit - MAXIMUM SIZE OF SqUARE FEET Phone:aProperty Owner: Mailing Address: Email Address: I Demolition or MuHomeManufactured Home or ulti-Fam ReroofResidentialor Town t tContractor: Mailing Address: Email Address: Phone =( Phone: 81trr 94.< " t 3AS Architect: Engineer: Mailing Address: Email Address: Mailing Address: Email Address: Mailing Address: Email Address: Phone:Manufactured Home lnstaller: Describe Work: /l1-l,, r.r - f of Floors: -l- ^r I tL Height:Sq. Ft. of Building:ls'.lG Property Size (Sq. Ft. or Acres):ia, L+ 5''1Owner's Valuation of Work: Sub. Assessol's Parcel Number: Job Address: rct I Block- V v AdditionClass of Work:New Remodel/Alteration Garage Detached PROIECT DETAI 15 COt'lTtNU tD Septic:Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: NONCE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. LegalAccess. ABuildingPermitcannotbeissuedwithoutproofoflegalandadequateaccesstothepropertyfor 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. CERTIfICANON 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 cn 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, ifthe location, construction or use ofthe structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I harohrr drlnf h6rmicci^n +^ tha Rrrildinc Frirricinn +^ aht6r +ha ^r^h6rh, nacariharl rhnrra tn ih.h6^t +ha r.rarl, I!,,sP,vPs,ltrv!Je,ivLv,,,JP!er 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 accurate to the best of my knowledge. Permit #: ^J t . i3l ,l s" l.t4 Print and Sign Date USE ONIY t I 5 p e c i a * o "ot"" "b -t a fu,.;b./ 2n/b / z-7a48 Adjltsled Valuqtiop^ .>lq ;541. w Plqn Check Fee: ,d8r. /4 Perrqit feg: _ -4/4/.7s Fee:Manu.flprge/v+Misc. Fees,A/r+ Total4ees:- o.)_/Ztr, "'FeerPaid: I tctq+t Balance Due; :,qzq, t5 EP No;. . ^1.5J&Err<rl OWTS No: setbacksuh--OCC Group /Rc const'rvJ fr?/ )Si''N U?4BUILDING / PLANNING DIVISION : Signed Approval I Date Gurfield County, BUILDING DEPARTMENT 7og Eighth Street Suite 4oI, Glenwood Sprlngs, CO 87607 Tel: (97Q 9a5-8212 PI.AN REVI EWCH EC KLIST Permit No: P\RE-27 -Zt -8i59 7 Building lssues Pla n ning lZoning lssues ry UM^ttach conditions -'/ Englneered Fo**dation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Sub'divislon Plat Notes Fire Department Review Valuation Determination/ Fees Red Line PIans/ Stamps/ Sticker Property Line Setbacks 35 ft. Stream Setbacks Flood Plain tding Height Zoning Sign-Off Road lmpact Fee Lof t/ s mthtmtl9a&rlint1 Topography 40% Application Signed n Planning lssues Subdivision Plat ron mma a733sF Sarye',{ilafrrrr/4&a*/* lz54f"/r'r? 4&b&4 r4Fp z-zto-zf Kenodel f,lerwu AtR€*8587 Zzqasbt tboo( j8o ancloge p&> * Jlvtnj l4'letrfor alfer Kt'tr-h-e'x f€tn o Ln f".L- s tr"& A"/ \ancln r* Rou-;nS Ph5tuf,l PUb rycanrhnb rl,t';l,\tb* Pab //* la