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Home My WebLink AboutApplicationGarfield County Community Development Department 108 gth Street, Suite 401 Glenwood Springs, co 81601 (970) 945-8212 www.garfi e ld-countv.com TYPE OF CONSTRUCTION 6i Commercial/Multi-Family n ~·-, .. ured Home (Single or Multi-level) IJg-«esidenti;A {SF, Du plex or Townhome) ~ ~ - INVOLVED PARTIES I D Demolition I CJ Reroof Property Owner: 12-lc.t... ... ,.,. \) c.. l't oo&. .. Phone: { f7° } ,;J.? 'I-r,n,/ ~ d MaiHng Address: /~ ·lJ ~.J't'< pbc,fc.., L'""" C..lo .... ..Jo.J S" e~ <:!., y/&,.O' Contractor: f-ou""J..;,:... R-e"·,._ o~ f,J.,J-._., G!o Phone: ( Cf 7" } :Z Y.1 -Z.o:l. .._ Mailing Address: 1. r-1r-t/l;Y ':<So ~ ....,....J j" •H• JI e_ c2..o .,-/S-/JI Architect: Phone: ( ) Mailing Address: Engineer: &,,,,.'1. j_ fZJl~L.~ Phone: ( '11 t> f z.. SO-qi,.~ z.. Mailing Address: 3. q !> 1 ~ .. .1-~Mir "'"' .. :u b~u ·L C.L-JJ .fu~J;~ f}of OlY Manufactured Home Installer: Phone: ( ) Malllng Address: PROJECT NAME AND LOCATION Desaibe Work: u ... 1-....... Q ,;... Tl-c. 12. :,,,..,..:, (. oJSe- rt:)Vha/.l ~WI ,£~1L _ Job Address: /S-VJ L,74! ?ec../~s L~> Assessor's Parcel Number: .o 'l (. t2.1 ·1f·''l'7Sub. L ,,_,"'" ~ 11.1J 1.c. (u '}) • lot /'{'j Block -- Owner's Valuation of Work: $ ;i. " I $"'0 ~ Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: Height: #ofFloors: Class of Work: D New I D Alteration I D Addition &J Repair I D Move/Relocation Garage: Ill Attached []Detached Septic: CJOWTS C! Community Type of Heat: IB Natural Gas I a Propane I D Electric l D Other Driveway Permit: D Exempt D Permit#: : Authorttv. This application for a Building Permit must be signed by the Owner of the property, described above, or 1 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. l.eJal 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. 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. CER'FIF,IGA Tl!)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 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 Bullding Division. In consideration of the issuance of the Bullding 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 Regulatlon(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 facillty(ies), described above, are not In compliance with County Regulatlon(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 facllity(ies) If such is In violation of county Regulatlon(s) or any other appllcable law. Review of this Application, including submlttals, and Inspections of the work by the Building Division do not constitute an acceptance of responslblllty 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 llmltatlon my architect designer, engineer and/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, hN provided the required Information which is correct and accurate to the best of my knowledge. "i"-~~---':'.::'",..._ --'/,/1 (. Prop~n -D-a-te"'--/+--------- OFFIGIAL l!JSE (!)NbY Special Conditions: Manu home Fee: Adjustt!d Valuation: ze 5oc::J etJ- Plan Check Fee: zeo~57 Tota Fees: Balance Due: //Z. ZZ-4-31. 65 Setbadf.s=,.;; ,1 OCC Group: ;J: ,JZ.c BUILDING/ PIANNING DMSION =-/1).~---~~i:=""------~-+-------> Signed Approval Misc fees: Date --------------- l ~-@Gaefreld Co1mr.f J Building/ Zonin g Plan Review Checldist Permit Number: ,&£/!e-6-/b -4Z7Z.. tJ/ll • I / )J(ll / / / / / / /V[1 fl/jtf Engineered Foundation 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# Snowload letter-Manu. Homes Soils Report Planning/ Zoning /lJ//I Property li~e Setbacks --+---30 ft. Stream Setbacks --+---Flood Plain --t---Building Height ----Zoning Sign -Off --+--Road Impact Fees __ ,__ Grade/ Topography 40% --1---Plann ing Issues ---+\-Subdivision Plat \ General Comments: 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 here acknowledge I have read, understand and will abide by the requirements of this klls. ProJrty owner Print and Sign Date