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Home My WebLink AboutApplicationcG Garfield County ~ • Community Development Department 108 8th Street, Suite 401 JUN 1 7 z~tie nwood Springs, co 81601 (970) 945-8212 www.garfleld-countv.com TYPE OF CONSTRUCTION D Commercial/Multi-Family D Manufactured Home (Single or Multi -Level) --· -----------• Residential (SF, Duplex orTownhome} --~ INVOLVED PARTIES ------ I D Demolition :=@._ Reroof - - Property owner: ?A.TR}C.k CHP\SE Phone: (97D ) 9{'., 3 9 h 3 4-- Malling Address: g~ KINGS RoW C& Rf;o ~DA.LE co 9l6'Z-~ Contractor: ~E:.LF Phone: ( ) Malling Address: Architect: SE-L F Phone: ( ) Mailing Address: Engineer: NoI Rtl-lU ~ [S£h Phone: ( ) Malling Address: -· Manufactured Home Installer: Phone: ( ) Malling Address: PROJECT NAME AND LOCATION - Describe Work: #\DD\TtON OF ~O'R ~Sl-\OP DNIO A[\\ E-~ISTN~, I DE..T8CBEJ:)• ~ARl\§E • Job Address: SA~E... Assessor's Parcel Number: 2"39\'2.130 I 003 Sub. Ki NaS ROW Lot 3 Block - owner's Valuation of Work: $ 9DOO. o o Property Size (Sq. Ft. or Acres): 4.s Sq. Ft . of Build ing: 33~ He ight: to' #of Floors: \ Work: 'D New [ D Alteration 1 • Additio.:_ E ----D Repair ove/Reloca~io_:_ _ D Attached 18 Detached Septic: Dowrs -D Community Drivewa Heat: 0 Natural Gas j D Propane I 11 Electric I D Other ~ yPermlt: 0 E><empt ~r a Permit #: I - Type of I ~TICE AUthoritv. 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. 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. CERTIFICATION 1 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 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(les), 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 : (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(les) if such is In violation of County Regulatlon(s) or any other applicable law. Review of this Appllcation, including submlttals, 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 Regulatioj s 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 is correct and accurate to the best of my knowledge. PA-TR\Cf< CHASE.. Q;t;.4 ~ \1 ::rvtvE-2.0\ Co Property Owner Print and Sign Date OFFICIAL USE ONLY Spedal Conditions: Adjusted Valuation: Plan Check Fee: Permit fee: Manu home Fee: Misc Fees: {, tJ1-8 .06 tf{).5' I 179. Z5' Totaffees: Fees Paid: -5/ Balance Due: !!fl!g_: Z'2--f..76 .,,,,,,. ~ . 1 ~9. Z.5 Setbacks: OCCGroup: Const Type: ~S".~5JtJ .z=;z..c _i:.,i2c:.... BUILDING/ PLANNING DIVISION: ~ slaned Approval Permit Number: J54'f!E-6-/6-4-Z91 Building Planning/ Zo_ning t-J/A Engin~ered Foundation / Property tine S~tbacks Driveway Permit / 30 ft. 5trcam Setbacks Surveyed Site Plan / Flood Plain Septic Permit and Setbacks / Building Height Grade/ Topography 30% / Zoning Sign ·Off / Attach Residential Plan Review List fJ/A Road Impact Fees / Subdivision Plat Notes / Grade/ Topography 40% • t--1Ltt Fire Department Review / Planning Issues / / Valuation Determination/ Fees Subdivision Plat / Red Line Plans/ Stamps/ Sticker / Attach Conditions ~ / Application Signed General Comment_s: / Plan Reviewer to Sign Application / Parcel/ Schedule No. w~")pt IV/,I . 40# Snowload letter-Manu. Homes 5'§6 ~ ;B .oo :-$ t:,, 6~8 . OD tfJ Soils Report