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HomeMy WebLinkAboutApplicationGurtield County I ilri'j 108 8th Street, Suite 401 I {, ..'',,j,, Glenwood Springs, co g1601 ,'r,'ir 19701945-8212 :, , : Www.garfieldcountyco,gov Dwell Unit - MAXIMUM SIZE OF 200 FEET INVOLVED PARTIES b BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercia l/M ulti-Fami Demolition Manufactured Home or Tiny Home (Single or Multi-Level) 4 Residential (SF, Duplex or Town home) Arrcccnnr ino I Inif /AFll ll 1 CNI IADE |--Reroof Property Owner: Mailing Address: Email Address: VPhone lt\a -. (-6nA\Ll n ,f\\a ,(',crfz'Ll'\ rr.( ? Phone:3 rv,r,ts Ltt Phone: t4Q0t3Uu yrrq6 ('l r"Mailing Address: Email Mailing Address Email Address: PhoneA(r;c'n o - rrs abotr 0 Il-\-Engineer Mailing Address Email Address: Email Address: PROJECT DETAILS Phone IMailing Address: ManufacturedHometnstaller: NIf*, Describe work: N qr\, f,onstr v .fi 6\-*Rqsrdrn[t'oJ BlockLot5 L Height: 10t6\ 0r+ of Work:Size (Sq. Ft. 3,f of Floo Assessor's Parcel Number Job Address: Owner's Valuation Sq. Ft. of Building: Sub. Class of Work::n New Remodel/Alteration Addition Garage Detached PROJECT DETAI tS CONTINUED Septic:Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: mpt Permit #: NOTICE 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. 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. 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. 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) 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, ifthe location, construction or use ofthe 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, 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. (rl )6 Property Owner Print and OFFICIAL USE ONLY Special Conditions: &e ahbdhed euDtnaly's uaH:lilwi'w Plan Check Fee: I gbg.arc ?'frAEas Manu. Home Fee:vrisffi Tbtal /ees: --4v44. to Til(H'ss Balance Due:-zdg7g,t'ffiiru Qtq'OWTS No:@E-qLSr Setbacks: -. -fr)lVD Orrn ou',fe/-,""t .rrf"po ""'Prrra ^/ BUTLDTNG / PLANNTNG DTVTSTON : Signed Approval , Date Gwrfield CoumtY BUILDING DEPARTMENT 108 Eighth Street, Suite 40L, Glenwood Springs, CO 81"601 Tel: (970) 9a5-8212 P1AN REVIE W CHE CKLIST Permit No: 8/-RE ^0V-&tr-?e6o Building lssues WrroDertv Line setbac u, E' E'.E.4g.i.neered Foundatio n Driveway Permit Surveyed Site Plan -1EP/VV-e6-/A,5/ Septic Permit and Setbacks F Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker ch Conditions Parcel/Schedule No. Pla n n i ng I Zoning lssues 35 ft. Stream Setbacksry.w_Flood Plain Bui'itling 'iteig'ht ^:.::i #Hwfr"k* Zoning sien-ott/ r74tro/s t , Ro a d r, mpa c, *- {'}'drt */Pl tnaKttdup Grade/TopograPhY40% nAr.,/) Planning lssues Subdivlsion Plat t'-;v Descri n&SumApplication Signed ,+ft547e/4 Ft-S,zagy' x /a/ 4€ -- e487/,p Enerev Comoliance Path/Plan Received nanue.0 €\epo* Plan Reviewer to Sigh APPlication crw?/ A76AX Z( : 0l227z,oo alt7nr //a6 xez 95t ^tu. a N4 ./ 40# Snowload Letter - Manuf. Homes .r///agb x 24- eb 06f,oo CIF'r N{-h{ OLE SOt Ls RF-$}CIRT Rf;{AUIFqHD AT FOOTING 4*dlo,t/rn Soils Report $ \.) rrN$pf;0fi0N 500 PsF Cornf & ftT th/at*an.a ?3E5bV ao