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HomeMy WebLinkAboutApplicationGsrfieW Coanty Community Development Department , i,: .. : :t i;'ir l'J:1088thStreet,Suite401 i .,, .ii i,,iit:r'j i r!r \r!.: :;rr'Gli.iiWOOd SpfingS, CO 81601 l970ls4s-82L2 www.garfi eld-countv.com TYPE OF CONSTRUCTION .a la l*A Ye a2gYt16 NALr'6 BUILDING PERMIT APPLICATION DemolitionCommercial/Multi-Fam Manufactured Home (Single or Multi-Level) Residential (SF, lluplex or Townhome)Reroof Dwelli Unit )- MAXTMUM S|ZE OF FEET INVOLVED PARTIES tb Property lt Oo 0 I o Phone: IqTO | (-a t q - AZ 13owner: /btort iea EJtl ma n P. Io land ail. € ad l'ra ata. O Mailing Address: Email Address: tl Basalt. 0o 1 t0 t I Phone: 0 aornea+f. n/+ o I I IJo, Turnrz,&"r, tl l+ l./eo ,tow oo tu Yntz Contractor:b ts. 32 Mailing Address: Email Address: phone: Qot, 1 Aq6 - 2oSaDtrtE t{,unezArchitect: Mailing Address: Email Address: 1(urtzn 0 ,4 ttaBr (eEngineer: k /tn vtaa / 6 Phone: flTo1 4 45 - bSoS Mailing Address: Email Address: Phone: € Wat/dillonDescribe Work: At Height: ar t( otnl brtt nJale Uo Lot Block PROJECT DETAITS Email Address: Sub. Property Size (Sq. Ft. or Acres): # of Floors: Manufactured Home lnstaller: Mailing Address: Assessor's Parcel Number: Owner's Valuation of Work: S 5q. Ft. of Building: eaq3 ,q I oo t{1Job Address:n z 0orI a z rt tt Class of Work:New Remodel/Alteration Addition DetachedGarage:Attached PROJECT DETAITS CONTINUED CERTIFICATION 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. dEIc.** Da.^n-. n?.7 tt l+t Aozv Septic: Type of Hcatr ral Gas !owrs Driveway Permit: Other Community Permit #: Electric 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. Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor 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. 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. p6{ertv Owner Print and Sign av Date OFFICIAI. USE ONtY \ t t /r^- rL ^Al.-See abhacherJ 32/u !> / / /a/v>Special Conditions:I Adiusted Valuation: -.qry^nA.2?'flrff."fq:"ff0'q:75 Manu. HomsFee:A/*"'K)'7'A, '*nf'j?L.r?OSFees Paid:bn Balance Due: 77tr.5(BP No:mp-- 8ltgt OWTS No: toq$Setbfcks: / -DT occ Group: t pO const.rvcelQf t MBUITDING / PLANNING DIVISION : Signed Approval BUILDING DEPARTMENT 708 Eighth Strcet Suite /W, Glenwood Springs' CO 81607 Tel: (970) 945-8272 AA/4-o/A4-gn7 A CampaneTt I t/CP gee'oil, D,r butsion Gurfield CountY PI.^A REVIEW H c Lrs Permit No: e /X7*//-&€-S/Z€ Building lssues Fou*datlon Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ TopographY 30% Attach Residential Plan Review List Suklivisio* Plat Notes Fire Department Review Valuation Determination/ Fees o.d Line Plans/ Stamps/ Sticker Conditions Application Signed Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Pla n n i ng lZaning lssues Property Line Setbacks ft. Stream Setbacks lood Plain Buitding Height Zoning Sign-Off RIF,'iito(*in,mn) t/-, ( Road lmPact Fees < Gradel TopograPhY 40% Planning lssues h?3 las c, F4F xdV2: ZtlZ,oo its frqb( =3r2?nz1 (nea.k/ /rezeaoy', traalsfuyf /zA 57/zb , Fre-,4pV /kq th fuz - Darren/'/owr-/'t//s'U*fWE btn/76hsA ulu /Zu /6 /0,5*tr e,L 7t b