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Home My WebLink AboutApplicationGarfield Community Development Department RFCEIVED 109 gth Street, Suite 401 rul 1 I 2o?5u'"n-'di;T;lT# 81601 G A Ft F I E L U g g g'dflrilur.garfieldcounuco.Eov C0M M UNITY DF VE l- OPivl i. l{T BUILDING PERMIT APPLICATION tl CommerciaUMulti-Family tr Demolition A Manufactured Home orTiny Home (Single or Multi-Level) tr Residential (SF, Duplex or Townhome)tr Reroof tr Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET Email Address: kzt+{rrQ +€rcaliqLjtnuelvfes .Carn Phone: $7o | 37q -gOO?-Kall"tn lCamio- Bcao\PropefiOnner: Maillng Address: Phone:( I Maillng Address: Email Address: contractor: OWns.r^ Phone: M:-XAS -qoSZ o Architect:C-\^^.,)D/\ lJorY\o-C Mailing Address: Email Address: Phone: ( t-136 | 766 -o D7 5 u Engineer: Malllng Address: l6lq tnl lvloOS Volrrce- V Kivrc- Vec,nor\ . vtfor\n 6l-\o7tr Email Address: Co\o,c s{- . Cat boo AaL cc5 elA a t Assessor's Parcet Numb"', ttzo * o * * *r"*" T.#*H,#*tt.^Sub. Lot Block_ Owne/s valuation of Work 5 2 7A,9OO Property Size (SC. Ft. or Acresf: Email Address: Describe Work: Job Address:fBD Mailing 8, 'as Address: 671 a3 QA,Gton ,nJ Sunc\iDn Co trlS oS f of Floors: J- Manufastured/ Tiny Home lnstaller:Phone: $7o ,t Ql"i'S 4O3q SC. Ft. of Building: )aSA He'rght:\a Classof Work:tr tlew E RemodeUAlteration E Addition E Repair tr Move/Relocation E Attached E DetachedGarage: l i PROIECT DETAilS CONTTNUED Septic:E owrs E Community E Natural Gas E Propane I rlectric E other Driveway E Exempt Permit: E Permit #: NOTICE Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by 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. Multi ple 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 Permiu 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. CERTIFICATIOI{ 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)). 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 or builder I hereby acknowledge that I have read and understand the Notice and Certlfication above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. a z/ rz/as Property Owner Print and Date Type of Heat: OFFICIAL USE ONLY \ 6e4,#aoAe/ T/ANSSpecial Conditions: 'wf:7€Manu home Fee:qoo .cro ilfEWlr4z4Adiusted Valuation:8-szo Plan Check Fee: zg7^ t7 'Fr*",w ffip,q3nt OWTS No:Kffi€Ea'""lffi,g1 oa4/n. Fees Phid ton"l;ff'rr* / tlca t"n'ff,-L."EbArD occcrou}, t>hpr, At)'r(L,BUIIDING / PTANNING DIVISION : Signed Approval // %/p?s Date Garfteld Cowm$t BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 8160L Tel: (970) 945-8212 PI-AN REVI EWCH ECK LIST Permit No: TLQF- AVfl€-?A?/ Planning lToning lssuesBuilding lssues -/ Engi.neered :Foundatio n Driveway Permit Wffi"ilf-zg-qz?z Septic Perm'it and Setbacks Grade/ ToPograPhY 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker ch Conditions ived Plan Reviewer to Sign APPlication Parcel/ Schedule No' Snowload Letter- Manuf. Homes Soils Report rty Line Setbacks 35 ft. Stream Setbacks Flood Plain 'Bui'iding 'ileig'ht Zoning Sign-Off P.cad lm.Pact Fees -/ -/ EE> /oa7af6 anor6&ttr/*t (plan t reae/rd */'* @ 6o sa''€ =/ Grade/ToPograPhY 4o% Planning lssues D otion & Summ arv: Fts /ztu AuNT /o.? o/n7/cebr/ auu/ /23ox 2/,20 447/. aa3o "/as/uREP'RT ?,nffit'+l"W$t &n EFD: