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HomeMy WebLinkAboutApplicationGarfield Coanty Com munity Development Depa rtment 108 8th Street, Suite 401 Glenwood Springs, CO 81601 p7als4s-82L2 www.Ra rfield-countv.com OF CONSTRUEilON Demolition Accesso Dwelli Unit - MAXIMUM SIZE OF FEET Property Owner: Mailing Address: Trav',s e Che 'v L .)odr-uin Phone D Email Address:*S i lrf e r',r erl,.'l,(.lprran n",l rr:rn Ll.5 7 0 Itoo I l-l r Contractor Mailing Email Address: 00?hone:t970 t q8/" - GLILI(! Address: A515 l'ltdV IBdSo C,rdrd,JL* Co Bi56) BUILDING PERMIT APPLICATION Commercial/Multi-Family Manufactured Home or Tiny Home (Single or Multi-Level)r.Residential (SF, Duplex /Anr rl I tno (nl laDE or Townhome)Reroof4 Class of Work: Architect Engin Phone: (_) Mailing Address Email Address: ""r, (\oa,' l;1..,, ', leVg r t7 zo 1 t/ 4 0-qq50 *f Mailing Address: Phone 200U 17tt /O 7 1.'t Email Address Manufactured Home lnstaller; t t Phone: (_) Mailing Address Email Address: FROJECT DETAILS Describe Work: r^ L. I \ 0r'l lable- n p re I a-.e*g €!r rn5 .Po st Assessor's Parcel Number:n3q5 i)er)2ba\ Sub.o Lot Owner's Valuation of Work: $3J Ssa. r>t Block Property Size {Sq. Ft. or Acres}, , oLlS Sq. Ft. of Building ,?GBI Height: # of Floors Addition (' Garage ched Remodel/Alteration Detached Septic: Type of Heat:Natural Gas Propanel Electric Other Driveway Permit: Permit #: PROJ ECT DETAI tS CONTINUED Community Exempt NOTICE Authoritv. This appiication for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided wlth 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. 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. 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)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land LJse and Development Code, I acknowledge that the BLrilding 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. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. I further acknowledgc that the issuance of the Building Permit does not prevent the Building Official frorn: {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 Applicatiott, including submittals, and inspections of the work bythe Building Division do not constitute an acceptanceofresponsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, 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. Property Owner Print andy'Sign Date 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. i\' tl / /t()*b;lt)o X/r/r^o,*,-, (e-20-Jt[ c r-\ t-&rOFFICIAL USE ONtY eee avtaoh e0[ (nN> lT I o NSSoecial Conditions: fM'ibtAdjusted .zx^'i;E:w "i{fT*06 Manu. Home Fee:N*Misc. FessN4 '*""izg gg OWTS No: Setbacks Fees Paid: OCC Group: Dus3 "bg Const.o Zoning: \a hn:,qBUILDING / PLANNING DIVISION Signed Approval LL2PZtt Date Garfuld Con;wty BUILDING DEPARTMENT Io8 Eighth Street, Suite 401, Glenwood Sprtngs' co 81607 Tel: (970) 94s-8212 P N EV E CHE K I Permit No: B1-fr9- Ob'2+* 87W Building lssues Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ ToPograPhY 30% Attach Residential Plan Review List grbdivision Plat Notes Fire Department Review Valuation Determ ination/ Fees Red Line Plans/ StamPs/ Sticker €onditions Application Signed Energy Cornpliance Pathy'Plan Received Plan Reviewer to Sign APPlication ParcellSchedule No. 40# Snowload Letter - Manuf. Homes Soils Report Pla n ni ng I Zaning lssues Line Setbacks 35 ft. Stream Setbacks Flood Plain Buitding Height Zoning Sign-Off Descri ron Sum a Road lmpact Fees 'P FLs nrth irn4s Grade/ Topography 40% fen,t,6 Planning lssues 5r/rl Subdivision Plat / Sob*/b/ lfi/uah',h f uq7ig,o, Slruaht'^'U 6,'mdah'on *f^inooL