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Home My WebLink AboutApplicationGarfield County t"F.f) ? 4 ?$:/tj Community Development Department '. -: .: : ' 108 8th Street, Suite 401 Glenwood Springs, CO 81501 (970194s-8272ry Commercial/Mu Demolition Manufactured Home or Tinv Home {Single or Multi-Level) Residential (SF, Duplex orTownhome)Reroof - MAXIMUM SIZE OFDwellUnitAcce FEET -3 I, utn Phone:c i4rr Property /1z-- k owner: Ebuc AIVD \ -nA 'nlg O Mailing Address Z9cs cK tcb tAR tlo r-ruflle Cn cl L'L5 EmailAddress: -ii +x.!"t a< a rgo..t z 1vc Sta {e I't7 ?- e | (.uc.':{G nre<'\ ox Q 3*'^; l. .ajr|y' //' h 6'v g ;\4:.i t'a-LL v -1 Phone @6n contractor: Z1)L^JA,LD g\e6 Mailing Address: Email Address: StLT lr ^.l.niz'l\t7 g Phone: ( t' )Architect: Mailing Address: Email Address: neer: tARt Es{, LLY 'lt'"d[f.Vg I e'.;t a- @ av a \ r/e .!lr *ct. e-,o ,w1 Engi Phone:11a Mailing Address: Email Address: Describe wort: -AbNl r1 {> t\ N:utr1 -Tt r;w't n uruft LL . Dt\i t \fl' A fl,ur4ht{\iq rvr TttC iNu oNR.. s,u. Drr--lq-fAu sf(Lt{\{-S rfte+{ r.ot A Block- Sq. Ft. of Building:Height: New Owner's Valuation of Work:,$I aoa -Job Address: L U ?g 552 ll" Phone: ( ) Class of Manufactured Home lnstaller: 'fr tr Mailing Address: Email Address: property size (Sq. Ft. or Acres):-$, t^tt t5 # of Floors: I Assessor's Parcel Number: DetachedGarage:Attached ( Septic: Type of Heat Driveway Permit: Community ural Gas Propane Electric Other Permit #: Authority. 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. 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. Property Owner Print Date lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 ofthe 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 acceptanceof responsibilityorliabilitybytheCountyoferrors,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. //:tc-2, Special Conditions:ee? 'Mp:ry7 'jz"f.'25 Manu. Home Fee:Misc. Fees:Adiusted Valuation:4 oua, eo '*UYs, Ft Fees Paid:.* ,9s,lt"i Balance Due: -p,50, / /Wnu-Qma OWTS No: OCC Group:/RC ,ontt.tVe"'pf ;Zoning:ASetbacks (t "4u T-zFZaBUILDING / PLANNING DIVISION Signed Approval Date Garfield Coanty BUILDING DEPARTMENT 108 Eighth Street, Suite 407, Glenwood Sprinqs, CO 81601 Tel: (970) 94s-8212 PLAN REVI EW CHEC KLIST Permit No: ELKtr- Ag-gF FAfy' Building lssues Planning/Zoning lssues az Aa CflilT Engineered Foundation Driveway Permit Surveyed Site Plan ptic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Energy Compliance Path/Plan Received Plan Reviewer to Sign Application Parcel/schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat t/ocfiuq* /n /?adrv z/ge, lr ex,r9/n Description & Summa ,@zrizty'azrza. s4'a4 3-/fZ6 4,onn ,Gu,;/m/rh/- ,4//r-^hir-, ,9rJ*,t/a/ fOa,-€ca-^az,*lb/fu&tu .4/ n/uahirn:/ ?roaa, ao