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HomeMy WebLinkAboutApplicationGarfuld County Community Development Department Jtlt{ ?nl'ifin 108 8th street, suite 401 ,. ."...,. Glenwood Springs, CO 81601 ,, ", liJhl l,h.,i[!?h, r: 1sto1's+s--aztz"' ', , 'i .l,ti.'. 'llidtw.garfieldcountyco.gov Ir v BUILDING PERMIT APPLICATION Commercia[/Multi- Fa mily Demolition Manufactured Home or Tiny ngle or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET Property Owner: Mailing Address: Email Addressr Phone:("{ ) b-JS .zl0! Phone:(qT ) 3U4' {4}-L Phone: o Contractorl -l\ltc DutDurE \tnc(trrnrN o$. Mailing Address: Email Addressl Architect: Mailing Address Email Address: Phone: f 1l0 f {0+. 0 wEngineer: Mailing Address: Email Address: Phone: (_) Describe Work Height: \AJ € 2[.]S$ s__-..r-.--- ,1 sf.€Fp .- j,l U1 Manufactured Home lnstaller: Sub. +050 Property Size (Sq. Ft. or Acres): Assessor's Parcel Number: Job Address: Owner's Valuation of Work: $ Sq. Ft. of Building: rot lt4 eb.k Mailing Address Email Address: l7t- 4\t # or Froors Classof Wrirk: , ffis$/ ,:. illnemodefAlter:atiori,''-' lffi*t.t'.0Garage:Detached Type of Heat atural Gas Propane Electric Other Driveway pt Permit #: _ 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. LeFal 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. 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 Iand 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 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. Property Owner Print and Ynn 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. B@l6,r,Qr" bA6,J*a, ,lb.a.?-s ,e' tla q**w c-/rcd 6heyY t> I *r t-ptV 5,Special Conditions Valuati/2/i9Adiusted 448,'fw"i:'sv 'ru'Fh/s Manu. Home Fee:Misc. Fees: R:FErs> #"e,,zos '*AE'64,ls Feds Paid: 4 rq tb..c 7',T',/ff),o BP No: Rt P€-clBna OWTS No: SeflSacks: /":,ilNt\ - 8"tr OCC Group: f f4c"Const. Typ.e:. /\ ,/, ^I t{L*"',tii'n ' r ec,€a' yeey' en.''tr&ef* BUILDING / PLANNING DlVlSlON I Signed Approval f4-26 Date ertS q4zil Garfteld Coam$t BUILDING DEPARTMENT J.08 Eighth Street, Suite 40L, Gtenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN RE VIEW CHE CKLI T /* Permit No:64e -0e Planning lZoning lssues b* 11 4 J zaz5 Co ttlT-p roperty r,^" r"T^r(F, n uilding lssues U(h?r* -1- OPEN-HOLE $OILS RHPORT IS REQUIRED AT FOOTINIG INSPECTION 15il PSF Foundation Driveway Permit Surveyed Site Plan Septic Permlt and Setbacks Gradel TopograPhY 30% Attach Residential Plan Review l-ist Red Line Plans/ StamPs/ Sticker ttach Conditions f-a *Z€ lication Parcel/ Schedule No. 40# Snowload Letter - lVanuf- Holres Soils Report 35 ft. Stream Setbacks Flood Plain 'Bui'icling 'Heig'ht Zoning Sign-Off Roed lmpact Fees Egb Grade/ TopograPhY 40% Planning lssues Subdivision Plat 7fL r- / -/ I ttat/ RlF tE>. 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