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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 $] i-r.. Glenwood Springs, CO 81601 *' (970194s-82L2ry r{:j .: BUILDING PERMIT APPLICATION ti ilt.: i,, .r Commercial/Multi-Family Demolition Manufactured Home or Tiny Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Access Dwell Unit - MAXIMUM SIZE OF E FEET Property Owner: Mailing Address: Email Address: qsPhon1 I a b 72212 C ConSt ?-3 Phone: (1?0 ) t?1 . 44ssContractor: Mailing Address: Email Address: h"\nt"A. phone:Architect: Mailing Address: Email Addressl +9.4*I4:LPhone:Engineer: Mailing Address Email Address: tlal{@t ,r'tlltg O,(AfC Phone L Height:2-]t.-1glt Describe work: St? - 3V s6 000,6 Sub Manufactured Home lnstaller: Property Size (Sq. Ft. or Acres): Assessor's Parcel Number: Job Address Owner's Valuation of Workl Sq. Ft. of Building:# of Floors: Z Mailing Address Email Address: to. 1l Btock- ,Cla.ss.cf Worki. 1lxl,** ,' , , il fRemodeUAlteration Additlon Garage:lffinttached Detached ggNTI{\IU.ED 5eptic: Type of Heat:atural Gas Propane E lectric Other Driveway Permit: #: Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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. 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. CERilTrcAflON I I I 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 approvalof 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 regulatingthe 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. x FR.D ory&uut Wrlfpr.iilD X 01,?t.L5 Property owner print "nJiig; V'I Date 6ee atta*G/ANbtT/aNSSpecial Conditions: Adiusted Valuation: {2A.70/. t5 'ivyyvT 'Lyn'#Manu. Home Fee: UtFiefr' 4rgo3 Fees Paid: \q(E.q'a Balance Du 'g,2bb,BP No:wEqLila OWTS No:------ -=-'TotalTees: --4605, " Setbacks:ntAlD-EE.occ GrouP: / /QL ,o"t .rr)"po TTn 9-.U-ZBUILDING / PLANNING DIVISION &/,iry% Signed Approval Date Gwrfield CoamtY(n*'raol cqrealins BUILDING DEPARTMENT 1O8 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 94s-821 2 ?-zzgPrsN REVIE WCHECK LIST Permit No: S;RE-A7-254/A Buil ng lssues Pla n ni ng lZoning lssues rA e&e y .E.t1gj.nee.r ed .Foun d ati o n Driveway Permit Surveyed Site Plan Sepfic Permlt and Setbacks Grade/ Topography 30% Attach Residential Plan Review l-ist Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker h Conditions -Ap plication Signed YEe Rcad tmpact Fees ZFn ifga 35ft a Flood r/'Bui'icling'i{eig'ht ing Sign-Off Grade/ TopograPhY 40% 1-;7 b5/"310 T<fla /Vr+ Description & Summarv: Planning lssues Subdivision Plat /6 /o/,(5 30tr?60,t5 %tJL* qb% 77 e a$7702/E)Atl e)?gb oP[iu4{OLE sOrLs REPORT I$ FREQUIRED AT FOOTING lNsPEcTtoN _&QLpsr 75o,oo # rzgza/,6 t"-F refor? ohyal fi/D /a I