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Home My WebLink AboutApplication.pdf\1\-- 1 `= comcARVeD COON ma Garfield County nity Development Department 8th Street, Suite 401 wood Springs, CO 81601 (970) 945-8212 www.garfield-county.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION "' Property Owner: � .,)` WA r FDA/ ` Phone: me ) »7j f ?G 0 816Z`5 ,Commercial/Multi-Family • Demolition • Manufactured Home (SF or Duplex) Mailing Address: • Residential (SF, Duplex, or Townhome) • Reroof INVOLVED PARTIES "' Property Owner: � .,)` WA r FDA/ ` Phone: me ) »7j f ?G 0 816Z`5 Mailing Address: i�'C'7'S /AA/ et bio ?,[5(%z.zs Go Contractor: / " i4 — Phone: ( ) Mailing Address: pp�� Architect: 'N/ P/ /Also:IJ g5 Phone G 4 (77O) 3 6 Mailing Address: TO. ' %%Jt C/fr Lb Y ' V ' Z`3 Engineer: A ~ - Phone: ( ) Mailing Address: Manufactured Home Installer: Mailing Address: Phone: ( ) PROJECT NAME AND LOCATION Describe Work: e-,-- /j32 — Job Address: !,SI air e2-z.-Al2,61."144-14-z, -t67_,-., Assessor's Parcel Number: Owner's Valuation Sq.Ft of Building: Sub. Lot Block of Work: $ 4 5-66 . Property Size (Sq.Ft or Acres): # of Floors: Height: Class of Work: 0 New ■ Alteration • Addition 0 Repair ■ Move/Relocation Garage: ❑ Attached ■ Detached Community Septic: • OWTS ■ Type of Heat: • Natural Gas ■ Propane ■ Electric ■ Other Driveway Permit: 0 Exempt ■ Permit #: NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by 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 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. In 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)). 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. 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. 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. Larcs- Prope caner Print and Sign g'- Date 14 OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: *5C/ . z a Plan Check Fee: -72.3 / Permit Fee: // / e z, Manu home Fee: ,...-- Misc Fees: Total Fees: /83.3-4 Fees Paid: /83.3% Balance Due: BP No: 30s OWTS No: at() , Setbacks:/ OCC Group: r, �� Const Type: Zoning: BUILDING / PLANNING DIVISION : / ' ��'re. 7 Signed Approval Date General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -7-14-8008 Parcel: 239132200003 Application Date: 07/14/2014 Owner: Aspen Waldorf Foundation Applicant: Aspen Waldorf Foundation Applicant Phone: 970-963-1960 Email: Building Plan Review Description of Work: convert use to classroom Bin #: Location Address: 16543 HWY 82 CARBONDALE, CO 81623 Building NyAEngineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Minimum Application Questionnare / Subdivision Plat Notes Fire Department Review Valuation Determination/Fees Red Line Plans/Stamps/Sticker / Attach Conditions Application Signed / Plan Reviewer To Sign Application Parcel/Schedule No. Nl 40# Snowload Letter - Manu. Homes N///) Soils Report T1A Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Building height Toning Sign -off Road Impact Fees HOA/DRC Approval Grade/Topography 40% Planning Issues Subdivision Plat General Comments: 0/kt/A'14 56, i' = �%• ?78 W6i 43 :::77 ¢ � X 3° 0 30/, 10 Thursday, July 24, 2014