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HomeMy WebLinkAboutApplicationGarfield CounQt Community Development Department li 'r.,;"i'r ; :i ' tgt 8th Street, Suite 401 ,: : i GJenwood Springs, CO 81601:'t:, l9tOl94S-82L2 , \ i . wwr,\rigarllg.ldcounlygcg;ll;T,r_ e BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/M ulti-Family Demolition Manufactured Home or Tiny Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: T/tNPhone: Tatrd< Q,l:*"n Phone: r#Lt E7S-)u4 G Contractor: Mailing Address: Email Address: )Phone:( t Architect: Mailing Address: Email Address: ID fZa-p.J Engineer Phoner ( Mailing Address: Email Address: Phone:Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS owner's Valuation of Work: 5 fO rocrrl Property Size (Sq. Ft. or Acres): Describe Work: 64 Height:igt g"# of Floorsr I Sv Lot 95W j,s 1- Job Address: 5q. Ft. of Building: Assessor's Parcel Number: Sub.Block x Remodel/Alteration AdditionClass of Work:New Garage:Attached Detached Type of Heat: Septic: Driveway Permit: PROJECT DETAITS CONTINUED Natural Gas Propane Community Electric Other Permit #: NOTICE Authoritv, rhisappllcationforaBuildlrrgPermitmuetbesignedbytheOwn6rofth6property,d6scrlb€dabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. LeEal 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. CERTIFICATION 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) anci facilities cietaiieci on the submittais revieweci by the Buiiciing Division. in 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 applicabte 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 ennlin:hla lrur I herebygrant permission tothe Building Division to enterthe property, described above, to inspectthe 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 Iimitation my architect designer, engineer and/ or builder. 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. ffxemot -la 7 z"-a.s- Property Print Sign Date OFFICIAT USE ONtY su al*ailel cau>/TtaNsSpecial Conditions: ^ l:..-r-l rr-1..-r:--.AUIUSIEU VdrUdtr(,lr./o7^An a hl-- ^L--l- F--.rtdtt LrtcL[ rtsE. 656, gb '7h',)8"r5 rr--.. u--- F-^.tvtdtru. nuiltts rtsc,it:-- F^^-.tvt t5t. rctsl. "'^'flt'62'/t gtaFees Paid:(Alo.Balance Due:/a/o,fg BP No: -P..t L-t:,Qu lt OWTS No: --Setbicks:occ Group: t RC const.rvc/rp*zplncz f4-azBUII.DING / PLANNING DIVISION :Dil;.lt Signed Approval Date Garfield C*am$t BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Gtenwood Springs, CO 81601 Tel: (97Q 9a5-8212 PIAN R EVIEWCH ECKL rsT permit No: 0LR6-OVA6-?I/// Building lssues /1/4 / Plan ni ng lZoning lssues a .E.ngj.neered .Found atio n Permit Surveyed Site Plan Sepfic Permlt and Setbacks Gradel Topography 30% Attach Residential Pla n Review'List Subdivision Plat Notes /1/A Road rmpact rees 42 re Pro.perty Line Setbacks 35 ft. Stream Setbacks Flood Plain 'Bui'iciing 'i{eig'ht Zoning Sign-Off Grade/ TopograPhY 40% Planning lssues Subdivision Plat ?-//-?E ';";T;irYffi;;; hl*, Valuation Determination/ Fees /t'-7 1a72ttpfst/Red Line Plans/ Stamps/ Sticker ttach Conditions Descri on&S ma*')8ff)74 ,€laile/ fnvrlpf Energy,Compli.a nce Path/Plan Received 4A FLg Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report q€u x ro Moo t[A Mn , e/5 l/r/?er/€/ 4eregrc:/;r't^Xfffubig) )