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Home My WebLink AboutApplicationGurfrcld County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (97Ols4s-82t2 www.garfield-countv.com BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION DemolitionCom mercial/M u lti-Family Manufactured Home (Single or Multi-Level) RerooflResidential (SF, Duplex or Townhome) - MAXIMUM SIZE OF SQUARE FEETDwelliUnit INVOLVED PARTIES 4 'rKcPhone Email Address: Property Owner: Mailing Address: Corr'\ Phone:Contractor: Mailing Address Email Address: In*i\\er Phone:(L{h2q3'q92. t Architect: Email Address: Mailing Address: t Phone: one:(Sctf )38q-qVgq Email Address: Engineer: Manufactured Home lnstaller: Mailing Address: Mailing Address: Email Address: PROJECT DETAITS Owner'sValuationofWork:5 ^Ol.trf,Sb PropertySize(Sq.Ft.orAcres): <1,81 OCfA Describe Work: Job Address Height: t Assessor's Parcel Number: # of Floors ttl ,qol - l\l --:lR Block Sq. Ft. of Building Sub. Lot x AdditionNewRemodel/AlterationClass of Work: Detached v\P,GaraBe:,9,,Attached c PROJECT DETAITS CONTINUED I hereby acknowledge that I have read and u provided the required information which is Property Owner Print and d the Notice Certification above, as well as, have to best of my knowledge. Date CommunitySeptic:f,WTS E lectric OtherNatural Gas ne f,(fronaType of Heat: Permit #:Driveway Permit: pt Authoriw. 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. 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. NOTICE 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)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, cohstruction 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 OFFICIAL USE ONIY I A?,e,r'-77 a&*ahd cc/vP/T/e/vs Manu. Home Fee:H'iF-Ssp$t,s'ftFiulf66%luiatpfr.-'.Xn/,-o5Z,od 35 OWTS No:Fees Paid:Balance Due:q5 BP No:qD EB+,43'";?"62g,37 Zoninli+) k1 OCC GrouC:, R O Const.Setbacks: --F-4' z-28-4LLl,v#nBUILDING / PTANNING DIVISION : Signed Approval Date 4/_ Gurfield Coanty BUILDING DEPARTMENT L08 Eighth Street, Suite 401, Glenwood Springs, CO 8L601 Tel: (970) 945-8212 AWrr/, Driveway Permit .Y Surveyed Site Plan attz-",mfrieffi,gz{ R EVIEW CHECKLIST permit No: 9t RE -Ob -2 /-S foE Planning/Zoning lssues oa)ner /elhr 2-22-25a ,t fe' 7 Building lssues Engineered Foundation -"'- Grade/ Topography 3o% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees / Red Line Plans/ stamps/ sticker ChNPottach conditions Plan Reviewer to Sign APPlication -? Nr+ Soils Report Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height Zonine Sien-Off ,V)i'"r&iPrZgan/V Road lmpact Fees / -d/ G rade/ Topography 40% b w; _/ F,fi,rZ Planning lssues Subdivision Plat Application Signed Energycompriancepath/pranReceived tr/$ /QOx 7/, bB = 6nS/2f esc Parcel/Schedule No. 40# Snowload Letter - Manuf. Homes tr94 /B{x// =/ tr,,tft' 6ra//// 6/bx /9 = I /0A68 /B/?Lg 072 C /16 x tg OPEN+IOLE SOILS REPORT IS REQUIRED AT FOOTING INSPECTION IfuA PSF a56x /2 / &oOuO!6 ea coyreTrkehe./11/ Rtns,BP F 332.