The URL can be used to link to this page

Home My WebLink AboutApplicationDocusign Envelope lD: A868767E-B7BC-4202-8841-C7785C87691A GarJield County ::.' ;: .', ::. Flmmunity Development Department 108 8th Street, Suite 401 ,{t,{i ll I .'i;';:; Gtenwoodsprings,coSl6ol . ,. i.ii r..,..:i:,.ri"? (9701945-82L2 '' i', iri i'r i,;i.,;,Wlvw.Sarfieldcountyco.Sov TYPE OF CO'{STRUCTION tr Commercia !1Nau!t!.rqmi!yilManufactured Home or Tiny Home (Single o1!agl!!:Lgygll tr Residential (SF,Duolex or Townhome) Dwelli Unit (4QUI - MAXIMUM SIZE OF ltiv,olyEq P4!M9 tr Demolition tr Reroof Property Owner: Mailing Address: Email Address: 1(fila + SIOW heisn(y phone: (tll t114- 0127 0 clal/+on lmrnrsContractor:Phone: Phone: (_) JMailing Address: Email Address: Architect: Mailing Address: Email Address: na Phone:t)1,sflgq-644b 6 vwnal , tff R401h Email Address: Manufactured/ Tiny Home lnstaller: Mailing Address: Email Address: PROIECT DETAITS Describe Work: (to fl1K-rGlJ 4Phone: n rY\ I BUILDING PERMIT APPLICATION 3 s0Job Address: Assessor's Parcel Number 2111',]-120 w0t Sub.QutCEsilrgf Cr rot I Brock - Owne/s Valuation of Work: $ Sq. Ft. of Building: Class of Work: 1020 Height:lO' #or F New : E Remodel/Alteration Property Size (Sq. Ft. or Acres|:i|1.2u7 El Repair tr oGi-r'"a6arageL'i Rttachea El Addition tr Move/Relocation Jsign Envelope lD: A868767E-B7BC-4202-8841 -C7785C87691A i pnorrcr DETAILS coNTtNuED V owrsSeptic: Type of Heat:tr ttaturat ear ] S rtoprn" E Community tr rtectric g"P"ilit.r;' E other Driveway Permit: NOTICE E Exempt 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. leqal 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, 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. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. lfurther 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. by:bY: steve n. eesi 'sL ,", 1a 6/L3/202sTamla A. Beisner Property B093D0DF2EC74D8 Date OFFICIAI. USE ONTY ,e**ded/ z*)NPl nA/l/S6re.'& Special Conditions: 'HUiiTa Manu home Fee:oat1(n IiHHfr>#lraLAdjusted Valuation: ax tsk1 0a Plan Check Fee:stlb,2z -qqA"L OWTS No:ffirr'ffti"i)Et BP No: Pr m-'qtDss7Tota/Fees: l.?7K.",:\:ih constryveT p *Zoning; H-. Set6acks: - Ga- occ Group: / RC tu*-EOaCt'r{./,BUttDING / putrtrutrue DlvlsloN : Signed Approval Date Gwrfietd Cowre$t Building lssues / UND ./ -/ -1- Grade I Topography 3o% Pla nni ng lZoning lssues Flood Plain 'Bui'irJing 'i{eig'ht Zoning Sign-Off Road lmPact Fo-es Grade/ TopograPhY 40% lanning lssues Subdivision Plat .Enei neered Foundation ,ie#;m€u*p/qb Surveyed Site Plan AFpr-08-Ad-?rzU Septic Permlt and Setbacks br_L ""rur"^;rtffE 35 hstream Setbacks RIF€EP Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker ch Conditions Ap ed Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manuf- Homes Soils Report z $5023 g /"b escri n&Su ma &plication Sign W2/11 &a mil*lar #f% 6td /O2o crarl/ F 2{agt6&,e ^/AtllnUy tta/t'nhb- OpaD,&-HCIt-E $CIt L$ KE pORT ts tasotllRpn AT FooTlNG r i't sCHCrr aN 21.(l%2: PsY KIF S,F.D 5 A4#z