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Home My WebLink AboutApplication17 Garfield County 4AF;, 21111. Cbmmunity Development Department GARFIELD COUNT 108 8th Street, 3aite401 '1tiUN,TY DEV='.OAS,° 'Glenwood Springs, 0081601 (970) 945-8212 www.oarfield-countv.com TYPE OF OONSTRUCIION Commeraal/ M ulti-f=amily 1 Manufactured I-bme (Sngle or Multi -Level) Residential Duplex or Townhome) 0 Demolition 0 Reroof INVOLVED PAR11 W IJE' S, , Property Owner: $ Le- K. f + L r4 Phone: ("le?) Mailing Address /76 Pi 40,--e , C o' "1°1 O ntractor: (o k raU C a r"Re144-r1 T w.e Phone: (t"'10 ) 13o C Mailing Address: 636 1,-%ac�u� w1,.�,21 C1 � IJev-) 61Cia 1-(g,Ca e 441 Architect: Phone: ( ) Mailing Address: Engineer: Phone: ( ) Mailing Address: Manufactured Home Installer: Phone: ( ) Mailing Address: PROM' NAM EAND LOCATION Describe Work: '?.ee,c 1 y1-? a e.GLc., (,!-1Vtr lJCG L Inas r[) -F .bb Address: I /1) Acjih i Assessor's Parcel Number: 2 5 b 3 Z -04'"3q Stab. Lot Elodc Owner's Valuation of Work I$ 52 ?i / Property Sae (91. R. or Acres): / ,1 r- &. R. of Building: Height: #of Roors: Oass of Work: 0 New 0 Alteration ❑ Addition AFbpair ❑ Move/Relocation Garage: 0 Attached 0 Detached Septic 0 OWTS 0 Community Type of Heat: 0 Natural Gas 0 Ropane 0 Bectric 0 Other Driveway Fbrmit: 0 Exempt 0 Permit #: NOTICE Authority. Misapplication for a Building Fsirmit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below isnot that of the Owner, a separate letter of authority, awed by the Owner, must be provided with thisApplication. Ieoal Access. A Building Permit cannot be issued without proof of legal and adequate aaoessto the property for purposes of inspections by the Building Division. Other Permits Multiple separate permits may be required: (1) Sate Bectrical Fsrmit, (2) Cbunty OWTSFermit, (3) another permit required for use on the property identified above, e.g. &ate or Cbunty lighway/ Rad Accewor a Sate Wastewater Discharge Fermit. Void Fermit. A Building Fermit 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. CERERCA11ON 1 hereby certify that I have read thisApplication and that the information contained above is true and correct. I understand that the Btailding Division accepts the Application, along with the plans and spedficationsand other data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the sabmittalsand approval of thisApplication, a Building Fermit will be issued granting permisgon to me, as Owner, to oonstrud the structure(s) and facilities detailed on the submittals reviewed by the Building Dvision. In consideration of the issuance of the Building Fermit, I agree that land my agents will comply with provisions of any federal, state or focal law regulating the work and the Garfield Cbunty Building Cbde, OWTS regulations and applicable land use regulations (County I�gulation(s)). I acknowledge that the Building Ftermit may be suspended or revoked, upon notioefrom the County, if the location, construction or use of the Mrudure(s) and fadlity(ies), described above, are not in compliance with Cbunty 1tgulation(s) or any other applicable law. I hereby grant permission to the Building I]ivison to enter the property, described above, to inwect the work. I further adcnowledge that the issuance of the Building Fermit does not prevent the Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) Mopping construction or use of the structure(s) or fadlity(ies) if such is in violation of County F ulation(s) or any other applicable law. Faview of thisApplication, induding 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. Asthe Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents; induding without limitation my architect designer, engineer and/ or builder. I hereby acknowledge that I have read and understand the Notice and Oertification above, aswell as, have provided the required information which is correct and accurate to the best of my knowledge. Property Owner Print and Sgn rid ORFQAL UgONLY pedal Conditions Adjusted Valuation: 0//,66/. ed Flan Check Fee: I36.al Permit Fee: 009.L,; Manu home Fee: , Misc Fees Total Fees: AI ¢.. Zb Fees Paid: ii 1- I Balance Due: z 27.45 BP No OWISNo: G Elle -314o 9rtbacks f=Z..5,, .; 5/P OCC Group: _V g G Const Type: �'G, Zor)�q !<nj BUILDING/ PLANNING DN190N :�, / U/ 5- 9gned Approval Date Garfield County u.tian Nan Is' evve l Checklis(c Permit Number: /9L,-_9 /s- Vag Building Engineered Foundation p/n Driveway 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 Signed Plan Reviewer to Sign Application Parcel/ Schedule No. 40# 5nowload Letter— Manu. Homes Soils Report /PlanninZo ik 1 Property Line Setbacks 30 ft Stream Setbacks Flood Plain Building Height Zoning Sign -Off N/A ` Road Impact Fees `f Grade/ Topography 40% ✓ Planning Issues Subdivision Plat General Comments: 1/A/beffAeo Ur1?re'v. dem 785 x /2.06 = 9, 393.0O eetc/. 54y,77.e /Z ,'4 /B.Oo 7077/ /f66/.ec