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Home My WebLink AboutApplication€ Gtulieltt Cu,tnt), I Comrnunity Development Deparlm.nt 108 8th Street, Suiie 401 Glenwood Springs, CO 81501 970l,945-8212 www.garlield.countv.com TYPT Of COJ{5IRI.,CTION Commercial/Multi.f irntty actured Home or Tiny Home (Single or Multi"tevell Residential (5F, Duplex or Townhomef Accessory Dwe lling Unit {ADUI MAXIMUM SlZt Of t,?00 SQUARE tEtf l[--lDemolirion i[--l Reroo{E-U IIVOTVED FARIIES p'opertv owner: lv ft'1ckt"IftlN mnrfiB ur phone: {_to5_ t_ gp: 5_!tf_ Malling Address: Imall Address: Cgntraclor; -__ Phone: t7?olLa?- loYZ Mailing Addrers: tmail Address: Archltect; 4tJMdb/N CLiltffi Engineer: -//U\Q -!$ ril/tElQ9_ -_- phone: 11..1 , ?a7- ?g+5 Malllng Addres::6585 D(. 4rr ttg ,oo Email Addresr:. d.cry\ orlw Lt Ma ilin3 eddr e ss,fu5t1fr_ Lils +1{ I rilrrts sr__:rg_ uA* _ Email Addrese : Mailing Address: Irnail Address: i PRO,TCT DETAIIS I Oescrlbe Work: Job Address t??MMIN Asressor's Parcet Number, ?j3.ALa2?6A!E_ _ Manufactured Home lnctalleri _ - phonel (-_ _ __) sub. hs,lEL 6l;EN_ Owner's Valuation of Work: S {r4O9,OQ sq. Ft. o{ Buirdins: 4 ,?,4 | SA ff .r" w F lD . Brock ___ 0 propeny sire lSq. En, U'- I 7/6tt a ot n. orAcres): 26ral1 50 Ff Class ot Work Garage; Addition DetachedAttached Remodel/Aiteration ; I .PROJECT DETAIIS CONTIT{UED Septi6i munity Type of Heat Natural Gas Propane Electric Other Driveway Permlt: nbrici Authoritv, This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. l{ the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. leqFl.Ac.cess. 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 Petmits. Multiple separate permits may be reguired: (1) State Electrjcal 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 iJ the work author;zed is not commenced within I80 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 orher 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 siructure(s) and facilities detailed on the submittals reviewed by the Euilding Division. ln consideration of lhe 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, excepi 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), descrjbed 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 prop€rty, described above, to inspect the work. I further acknowledge that the issuance of the Buildlng Permit does not prevent the Building offlcial 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 acceptanceofresponsibilityorliabilitybytheCountyof errors,omissions,ordiscrepancies. AstheOwner, I acknowiedge that responsibility for conrpliance 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 Certilication above, as well as, have provided the uired which is correct and accurate to the best ol my knowledge laltg luzg Pr,nt end Sign Date Group: Permit # CERTIFICATION oFFrclAt usE ot{tY \ Special Conditions:a#ac-fudfiee Manu. Home Fee: t--- Misc. Fees Tota /lBa 7s Fees heckc Fp',g \ OWTS No: Setbac Const, sUrtDtN6 / PtANNtNG DlVtStON : Signed Approval Date Gurfield CounQ BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 87601 Tel: (970) 94s-82L2 PLAN REVIE W CHECK LIST permit No: BLRF- 0lr%- ?92 I Building lssues Engineered Foundation Driveway Permit Surveyed Site Plan el Septic Permit and Setbacks ANP Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees -F- Red Line Plan s/ Stamps/ StickerutwAttach Conditions Application Signed Plan Reviewer to Sign Ap Parcel/Schedule No. 40# Snowload Letter - Man Soils Report Planning/Zoning lssues I@rropertv QNP hrFltr r-inesetbac@, E ) - 35 ft. Stream Setbacks - Flood Plain uilding Height Zoning Sign-Off Planning lssues @^oadrmpactrees F BD /-- Grade/ Topography 40% Subdivision Plat l7baao rt* Rtr qB.>.= Description & Summarv @clre*pilaa.T j.4 vpta, Energyconipriancepath/pranReceived trLS g{gVX /O/"/6' 3 531256, t9 7f(x VZ z!,lzg."aplication uf. Hom ^t/ITCratu/vy87 x Taax el. ^/ gg 698"'a tT752. 6a// x /d 7r^, oo* op/4 '^-yt4 tl 2/7073 +'rqolQf.6;tva{usn/bu,//,'tg va/uahan;