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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701e4s212 www.garfi eld-cou ntv.com '3 BUILDING PERMIT APPLICATION Commercial/Multi-Family Demolition Manufactured Home or Tiny Home {Single or Multi-Level} ReroofResidential (5F, Duplex or Townhome) Accessory Dwelling Unit (ADUI - MA)OMUM SIZE OF 1,2q, SQUARE FEET Q-5...a Lg,it I u"erv Phons&@i-!ffi&qqq Emall Address: Property Owner: Maillng Address: MalllngAddress: EmailAddress: Phone:Contractor:tulF Archheck Phone: Mailing Address: Email Address: Email Address: Engineer: cMaillng Address:I Phone: (ifui3lfuS3bL MailingAddress: EmailAddress: Descrlbe Work: Phone: Heiglrt:t?#of of work: $ qqftoo - Property She (Sq. Ft. or Acresf: Manufactured Home lrstaller: Assessor's Parcel Number: Job Address: BlockSub. lot Owney'sValuation Sq. Ft. o,f Bulldlng: Glase of lllork:7pe*RemodeUAheration lAddition Garage:Detached PROJECT DETAITJS CO'ITITIUED Septic: Type of Heat:atural Gas ity Propane Electric Other i Driveway Permit f: Authotity. This application for a Building Permit must be signed by the Owner of the propefi, 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. lesal 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. (Xher 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. Vold Permlt. 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. : ccRTlFlcATKltrl 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 (21stopping 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 andl or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provlded the required information correct and accurate to the best of my knowledge. al? t/75 Propefi Otrner Print and Sitn oate n UTE OTIIY t 6u a/*o)i/Gaub/T/a/l&Special Conditions: manufiHee,*hzzAdlusted Valuation:t72.a2.e Plan Check Fee:5t9,5*'ffiff'25 ffil,.qW OWTS No:-n4TotalrFees:2q1.,41/r-EiH':e+ Balairce Due:1qt,7s const.roz.eO t'trjfr'Setbatks:--'=oCC Group: /pC BUITDTNG / PLANI{|NG DrVlSlOil : Signed Approval r W Date a Gurfreld CoamtY BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 94s-8212 PI-^AN REVI EWC HECKLIST Permit No: 9t4g -OVA6-?+0a Building lssues /g Grade/Topography3o% *d Attach Residential Plan Review I'ist Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees -/ Red Line Plan s/ Stamps/ Sticker ttach Conditions .E.rgi.neered :Foun d atio n Energy,Compliance Path/Plan Received Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Planni ng lToning lssues Pro.perty Line Setbacks 35 ft. Stream Setbacks Flood Plain 'Bui'irling'i{eig'ht Zoning Sign-Off Rcad rmpact F€€s 42 nO Grade/ Topography 40% OMilgrrivewavPermit - Surveyed Site Plan N4 septic Permlt and Setbacks uo*i))fi);4 rl // -/m -/ Qt nexqrrplr't?, 7 7-// D lssues on Plat Descri otion &Summarv: T4 /gaoq.fl x la da+"/"/f*/uJ //-r' llr+un/aaq tu?urr/*a??z/ Fnlah ue"4 OPr fu-F'iol-E $01 Ls REPORT [$ RfiQIJIRED AT FOOTING rN$pEefioht l5D0 psr ry a@ 9b"