The URL can be used to link to this page

Home My WebLink AboutApplicationGarfield County Comm unity Development Department enwood S ,.i (e7o) GI prings, CO 81601 www.ga rfieldcountvco.sov TYPE'OF GONSTRUCTION 94s-8212 Commercial/M ulti-Familv Demolition Manufactured Home or Home e or Multi-Level) Residential Du or Townh ome)Reroof Accessorv Dwelline Unit - MAXTMUM S|ZE OF 1,200 SqUARE FEET : INVoLVED PARTIES \1 Phone: ( /110 ) c14( - tb-l t)Property Owner: Mailing Address:\ Email Address:<\\v.f nbrii\Att $ nA\./{}t1r\ contractor: A nrtnr\I r\ v'l/,\Phoner(410 ) 'rt'X *01tol--{ Mailing Address ^ SO Email Address: Engineer:f)nr,n \r.r;l\rnm Phone:rCl-lhr q(,1 -4113 MairingAddress: 650 rr'.tc,* l*t 1)r. ('fuvh0ntr\ri\e, Co {ittr7-} Email Addressl Architect: Phone: Mailing Address; Email Address: BUILDING PERMIT APPLICATION Mailing Address: Email Address: Manufactured Home lnstaller Phone PROJECI DETAITS Describe Work: Job Address: Assessor's Parcel Number: 5ub.r-ot {1 - Z Elock - Owner's Valuation of Work: $5, (/'it ,r , [)5 Property size (5q. Ft. or Acres):204 5q. Ft. of Building:l,"lpidl Height:S of Floors: Z Class of Work:Addition Garage:ched Remodel/Alteration Detached PROJECT DETAIIS CONTINUED Septicr Type of Heat:Natural Gas Driveway Permit: Property Print Propane Community Electric Permit $: Other NOnCE Autlroritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owrrer, 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days 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 Divislon 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 land my agents will comply with provisions of any federal, state, or local law regulrting thc 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 -^^ti^-Lt^ t-,^,qPyiluourE rovv. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. I further acknowledge that the issuance of the Building Permit does not prevent ihe 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 ed the required information which is correct and accurate to the best of my knowledge. ,,1 - t 'tlxI i-n Date tOIFICIAL USE ONLY specialconditions: ^ ^ LL^ ^/^ ^./ r ^, /,.. , n,r1A I <?@ 4crE-46/7q U-?/l//2/ I I (/f ll -Adiusted Valuation: EgE/-. oa 'w"vf"'Pe5ryli.rrne:gt A!lLo. -"Manu. Home Fee:Misc. Fees: Total Fe-ef -20b 0b .2"tl4t 'iw:25 ffiTp,qms OWTS No: Setbacks:occ Group: RC Const,2 ZoninE:D BU|LDTNG / PLANNING DIVIS|ON :9l?9' Signed Approval /0-7-22 Date Garficld County BUILDING DEPARTMENT 108 Eighth Street, Suite 407, Glenwood Springs, CO 87607 Tel: (970) 945-8212 PLAN REVIE W CHECK LIST Orye^4Zt-?/fd JodabPermit No: Building lssues Planning/Zoning lssues ,taAe Lat4Z I Engineered Foundation way Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application SignednoAinfr Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height ZoningSign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat nzA Description & Summarv 6,n/a,hb ,,g/b, oa 6abnr/h/ rVar ra/rca oPt' 4-lllb zK la'z-2' 6W-q465 dodwin {il^ u"epalr, tt!47 cR Pq freP uvu D"I,L g.-* I fr,ufuh ylaf,aht LF RDRAI^ olno* Louqh S^li't yvrtpia,s ZaqStzozool Lol- 4-L EN -fr,ilyt/Ytom I tl 'rA &y'"t"fi.'2uPtd* pthe