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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-8212 www.garf ieldcou ntvco.gov WPE OF CONSTRUCNON Com mercial/Multi-Fa ufactured Home or Tiny Home (Single or Multi-Level) Residential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED PARTIES Demolition Reroof Property Owner Mailing Address Email Address: Contractor: Mailing Address: Email Address: Architect: Mailing Address Email Address: Phone t17ot 4o4- /cl,,bL F , 5 Phone: one BUILDING PERMIT APPLICATION T Engineer:{Phone:KCt- tiec't Mailing Address .t EmaitAddresr, -T1.. Sc-\of-oe-de n O Odf loott-"G* 3Manufactured Home lnstaller:F Phone: Mailing Address: Email Address:J PROJECT DfiAII.s Describe Work Job Address: Assessor's Parcel Number: Sub.ltql Owner's Valuation of Work: S Sq. Ft. of Building:ILJ+Height Block _ Property Size (Sq. Ft. or Acres): # of Floors Addition Detached Lot .9-a Class of Work: Garage: New I Attached ss' Remodel/Alteration o PROJECT DETAIIS CONTINUED ptic:Se it:Perm Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit # NOTICE 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. CERTIFICATION I hereby certify that I have read this Application and thatthe 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. 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. iu /7u'eJ frrff,t'ro /*",1 fr{A*n Q * a-r-f,oei* Property Owner Print and Sign Date OFFICIAL USE ONLY t sea*h.ched eA/DlTeA&Special Conditions: Adiusted Valuation: 7X-Ar% 4 Plan Check Fee 34b.7L Permit Fee: -5t2.b,Manu. Home Fes.,Urrt,oqY Misc. Fees: ttF NE|D s I.EAZ''"i{:;h.-s7 Fees Paid: uco OC *6iT."Et BP No: P-r.mF -LH)I 4SnA Setbacks: -F oCC Group: I pC const. tro;RA ZoniyrgtIA C,u//r\lr /uZEBUITDING / PLANNING DIVISION Signed Approval Date Gurficld County BUILDING DEPARTMENT 108 Eighth Street, suite 401, Glenwood Spilngs, CO 87607 Tel: (970) 945-8212 PLAN REVIE W CHECK LIST vun>oqzl-qtul Hrhta^Permit No: Building lssues Pla nn ing lZoning lssues MF ,/Application Signed-perl>affNA Engineered Foundation Driveway Permit Surveyed Site Plan iii,;0q45-q50z Seetic Permit and Setbacks \ @ohVUan t?-t324{) Grade/ Topography 30% Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height -/ YE Road rmpact Fees l/ED -/ -/ Attach Residential Plan Review List -,/ Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Grade/ Topography 40% Planning lssues Subdivision Plat--t'J Description & Summarv: RIF NED 3zz Energy Compliance Path/Plan Received Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report stnll" afu/ n4AlF crdA)/ /hz(,r< 24 ?7A #r ) € /oo.oe a{uobllu/ilng ve/rnhh: