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Home My WebLink AboutApplicationGarfield Counify Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com TYPE OF CONSTRUCTION ❑ Commercial/Multi-family ❑ Manufactured Home (Single or Multi -Level) Residential (SF, Duplex orTownhome) BUILDING PERMIT APPLICATION 0 Demolition 0 Reroof INVOLVED PARTIES 12cnnAMrAA Property Owner: IZOal Phone: ( 970 ) q94, - ci iv 6!6 p1 Mailing Address: 211 Mc. rc ort 0t1 ne C, 1?.44tA10rxJ& Sr l'itac ZD Contractor: Jik,,,) grnnA rAr.Ir1 Phone: a, (9 70 ) ci 86 - ci 3 Ta Mailing Address: 2.24 l I 1' . ( I b I f Architect: 1244r.../Inr..v1 Phone: i rl t�{ ( 970 ) 9 $6 - (.133z / Mailing Address:72J MrAvonr, p1,,it ((,-1 P.v,1,.fmo cA 517. S 7 gum/ 1 M1r/I v., (So Lur-h o )15 L. rlil 14'60() r Engineer: MUI-i- frill Phone: ( S) 970 ) 355 -9 r 6 q Mailing Address: /0 Er.51` Mri%rfc-e,}' S}' fr1e (0 611 Manufactured Home Installer: Mailing Address: j r Phone: ( ) PROJECT NAME AND LOCATION Describe Work: 11/P,,J iifr►5 'Y(A+GJ`10Yl r�-{C el rd 1.P-�r.,w►i'1,7 11uv+�.Z A vi .°' Al , I P. Rc w' 1'i r5 L i,-- r ,J1 {, i' 6 ri f r;, ,i t..l r y„ -it G1 it T CO ) , 5 Job Address: 221 I'1cA uta() Y)ri'i....e, G -I „r,Jr-,r)rA Sprtry rj S1 a) SS/M/ Assessor's Parcel Number: Owner's Valuation Sq. Ft. of Building: ' i 5271-116()33Sub. Li ,i,'IP (26,.46,11 Lot 33 Block AI - of Work: $ 2jf 1 2_,5 2.1-!' 7b Property Size (Sq. Ft. or Acres): # of Floors: 2 2. l cvr 1 /2. Height: i' / 3" Class of Work: New ■ Alteration • Addition • Repair 0 Move/Relocation Garage: Attached • Detached Septic: • OWTS Community Type of Heat: Ig Natural Gas 0 Propane • Electric 0 Other Driveway Permit: Exempt • Permit U: NOTICE Authority. This application fora 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 r I hereby certify that 1 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 1 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. 1 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 ' correct and accurate to the best of my knowledge. c.k Property Owner Print and Sign f�pr1 l Iii+11) 7o Ili Date OFFICIAL USE ONLY Spedal Conditions: Adjusted Valuation: 2' Z &)7f Pian Check Fee: Wet. Permit Fe 1711.56'Pt Manu home Fee: Misc Fees: Total Fees: Lg cc i 0 i Fees Paid: 45119,. 9V Balance Due: 1167.0 7fQ BP No: OWTS No: -14159- CM ;% Setbacks:`lirf Spc OCC Group: Const Type: z-lic, Zoning: S V. BUILDING / PLANNING DIVISION : "4i 110 6 ----?-2.1c0 igned Ap • ova Date 'rasa, L ' Z119/. �� Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com i BUILDING PERMIT FEE ESTIMATE WORKSHEET Applicant: izo Phone: c17 0 - %& - G 37Z Project Address: ZZI nn..voc.A1 1�r�int., (. I i►.vvva ' pri1ris, (O 1(1601 Subdivsion: 4 M, k. L7,ti Lot: '3 Block: N�f- Ipe of Space quare Feet Fee Valuation ` Building Permit Fee Finished Living Space (N/A for Manufactured Homes) '21 1 Z. . 5 0 210 )037,5- $74.68 Unfinished Basement NA 0 ,,UA $41.00 Crawl Space 2, 0714.5 0 i 97 b ZO. $9.00 Garage 0 /71795? $18.00 Covered Patio/Deck 50 0 1)zpn 524.00 Uncovered Patio/Deck �-, Li -7 , 5 0 6 5 70 $12.00 Misc: 0 $0.00 Misc: 0 $0.00 f ManufactUredAHome Set -Up Fee Single Level ($400) 50.00 Multi -Level (5600) $0.00 Septk PINTS) byGarfield-Coun Fee New Installation ($123) Building Permit Fee $0.00 Alteration and/or Repair (575) $0.00 $0.00 Perculation ($150) Other (Ex: Road Impact Fee) $0.00 Total Fees Dti` , l "This Section Determined byGarfield-Coun Plan Review Fee $0.00 Building Permit Fee $0.00 Manufactured Home Set -Up Fee $0.00 Septic Fee (OWTS) $0.00 Other (Ex: Road Impact Fee) $0.00 Total Fees Dti` , l ***All fees are estimates until final plan review is completed*" and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as, any Septic or Road impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand and will abide by the requirements of this checklist. Prope Owner Print and Sign �12n I 1 �) ZU J (o D e Garficld Caufrzy 3tilidiliblian Review hec st Permit Number: klE. -off- 16- 4 I$7 Building Engineered Foundation a` r ` . Driveway Permit Surveyed Site Plan --/J 1.,.. Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes At AL. Fire Department Review Valuation Determination/ Fees ✓ Red Line Plans/ Stamps/ Sticker Attach Conditions Alication Signed ,Pl Reviewer to Sign Application ..// Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes Soils Report Planning/ Zoning 4 Property Line Setbacks xi r k 30 it. Stream Setbacks it. /' Flood Plain 0' �` • Building Height Zoning Sign -Off f(/Road Impact Fees `--"/ ade/ Topography 40% fanning Issues Subdivision Plat }General Comments: 44-0,-4-57a>4-.. LS. Z$)5 p 71 a c.S. 2.4;)76- ? G®fX 6. 84 /8 Nue4 x r 21 o, 2242 1S,475- /2, 31 z 2'92, to 75-