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Home My WebLink AboutApplicationcd Garfield County MAY 2 5 20 m>mmunity Development Department 108 81h Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com - TYPE OF CONSTRUCTION ---------------1 D Demolition D Commercial/Multi-Family D Manufactured Home (S i ngle or Multi-Level) fJ Residential (SF, Duplex or Townhome) i l~VOLVED PARTIES D Reroof Praperty0wner:11t~ .~ ~/~ MailingAddress: ===)( I D j /(D Phone:(3/.r"') qs-;,,. -]>~IO K'&_Q Contractor: Phone: ( ) Mailing Address: Architect: Phone: ( ) Malling Address : ,._. t.~v v tlh ~ ~?.,~i'St ane: 19/o ) .;l/(,-8-.£{;,/ Engineer: J ' Mailing Address : =~1 ._u:;.AI rD ef'J.S-()2. } Manufactured Home Installer: Phone: ( ) Mailing Address : PROJECT NAME AND LOCATION Describe Work: 3.,._; { J er f t') le 'il1trAJ Job Address: )(2.. '}) l!h A /(' ~ de-~. S //f /'n ,?1t...5-2 ,,I / Lot ~ Assessor's Parcel Number: :i!if)l lH.:3()(}11.JJ..ub. Block -- Owner's Valuation of Work: $ <l'O ooo --r;_. Property Size (Sq. Ft. or Acres): 3 9, R Ac.re ~ :.l 3 () </ / /_95' / Sq . Ft. of Building: Height: #of Floors: I Class of Work: 10'New j D Alteration I D Addition D Repair I D Move/Relocation Garage: D Attached IIJ..f1et ached Septic: OOWTS D Community Type of Heat: D Natural Gas I D Propane I D Electric j D Other Driveway Permit: Er Exempt D Permit#: I L NO TI CE J Authority, This application for a Buildi ng Permit must be signed by the Owner of the prope""rty, described above, or an authorized agent. If the signature below is not that of the Owner, a separat e 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 : (l) 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. Vold 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. CERTIFl eATIO N 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 Bui lding 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 locati on, 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: (l) requiring the correction of errors in the submittal s, 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 ~nstitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the wner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations st with me and my authorized agents, including without limitation my architect designer, engineer and/ or uilder. 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. Date OFFIOAt USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee : 4 l/ZB.q;t? ~8.S-.61 5?$,Z5" Manu home Fee: Total Fees: Fees Paid: ':lj Balance Due: 9 78, B.6 6 2-b . 01 Setbacks: OCC Group: ~ ;t5J f!.Z~ )Jo ~ /2C Const Type: J:,/ZC_ ~A,::~.,./~ BUILDING/ PLANNING DIVISION: _,A:X __ '-~---------~-------- iCUd s -;;JS·/ u \J~a f/3~, ?11 Signed Approval Misc Fees : - Zoning: Date ----------------------- JJuil ding/ ZoningPJan Review Checlµist Permit Number: /5t:...,l!e _ S -/6 -4-z 4-7 Building Planning[ Zo_nin~ 7 Engineered Foundation I Property line Setbacks t-'/A Driveway Permit / 30 ft. Stream Setbacks / Surveyed Site Plan I Flood Plain If /I Septic Permit and Setbacks I Building Height / Grade/ Topography 30% I Zoning Sign-Off / Attach Residential Plan Review List tv)/1 I Road Impact Fees / Subdivision Plat Notes / Grade/ Topography 40% /J/! Fire Department Review / Planning Issues / Valuation Determination/ Fees / Subdivision Plat / Red line Plans/ Stamps/ Sticker / Attach Conditions -----'-/ __ Application Signed General Comments: / ----Plan Reviewer to Sign Application __ / __ Parcel/ Schedule No. /// /-u .It It l/7}__-- ;v)I? . 40# Snowload Letter-Manu. Homes JJJ /I Solis Report 4-B '( 5'/-=-Z1f6 ~ 1B ~-~4-? ?eB. tTP ,,