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HomeMy WebLinkAboutApplicationGurJield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81501 l970l94s-8212 ${w.g.Y"erf ieltl":qgi{Ltydliin i TYPE OF CONSTRUCTION CommerciaUMulti-Fami ly LEbemolition it (ADU)-MAXTMUM S|ZE OF I,OOO SqUARE FEET ,ft'c h-b,-4\V Phone:7 -V100 Phone: fiG/', f,{f, * 76{-f -8 d fr&th INVOLVED PARNES Property Owner: Mailing Address: Email Address: l'"t*'+ a7 contractor: Mailing Address: Email Address: Mailing Address: Email Engineer: Mailing Address: Email Address: Manufactured Home lnstaller: PROJECT DETAIIS Describe Work: ubpt- ,l Sa ulwk Stae t Vu.'l a I i i I I I I I i l I i I 1 : i L Caet ,[\ Phone: Mailing Address: Email Address: t BUILDING PERMIT APPLICATION Job Address: Parcel Number: Owney's Valuation of Work: Sq. Ft. of Building: , Class of Work: Property Size (Sq. Ft. or Acres): Garage:Attached Height:A5 *of Detached e.w PROJECT DETAILS CONTINUED Septic: Type of Heat: Driveway Natural Gas Print b-t/'/47t1 Propane Community Electric Permit #: Other pt , Permit: NOTICE 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' i Leeal 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 Hlghway/ 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 lherebycertifythailhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. I understand that the Building Division accepts the Application, along with the plans and specifications and other data rsubmitted 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 I applicable land use regulations (County Regulation{s)). All County development requiring a permit, except for residential usesaresubjecttoArticleToftheLandUseandDevelopmentCode. lacknowledgethattheBuilding permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the rstructure(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' I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have red information which is correct and accurate to the best of my knowledge Date OFFICIAL USE ONLY Special Conditions: se2 Misc. Fees:Manu. Home Fee:ifrb:"w Permit Fee:/552 75Adiusted Valuation:fra/il- o./b,2t L+/Lb _aPJ|o+__ &E-ffib3-f-otalffcs: ^.e"5 72,7t Zoning: \<const'tlKooCCGroup: IRCSetbacks: il-tkzazq ".* / hil,'rrABUITDING / PTANNING DIVISION : Signed Approval Gurfield County BUILDING DEPARTMENT 708 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW C HECKLIST g/ftE-?gz/-&b'zPermit No: Bui ng lssues Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Apolication Signed R"eche"L-r Planning/Zoning lssues 6 fuea Property Line Setbacks 35 ft. Stream Setbacks Flood Plain ilding Height Zoning Sign-Off Planning lssues Subdivision Plat &TEED: Descri on & Sum Qlal barn xmat4 24=5v, bAA / 900 mezz.blrn xz fr {V zoa/ofr 4>U 6eail4 ePq mah /evrl /ere/ 45ou 750' H,p_a, bab //,I6d2o/a Oo?x 32 f haa %lhbh/oriveway Permit Engineered Foundation Su rveyed Site Plan Se rm andc 8/{ cks I (b Energy Plan Reviewer Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report b'fl/"" hrreotlon /c/h-*rt f'z*z(, -(Ku*b*ttin, roo'd //- ?zU frDu7ry ,2 OPEN+IOLESOILS IS REQUIRED AT FOOTING INSPECTION IINO PSF