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Home My WebLink AboutApplicationGurfield County.. . , o 'i i,,i *, . u;,i'r .i-: t U,V tEB 0 g 1¡fl Community Development Department . ., i i i..,. rr :i.i l'r' 108 8th street' suite 401 i.,,.., ,, ir 'l-'t. ,.:','ì.' . Glenwood Springs, CO 81601.,,.,tì ':i (9701945-gZLz BUILDING PERMIT APPLICATION TYPE OF CONSTRUCfION tr Commercial/Multi-Family tr Demolition tr Manufactured Home (Single or Multi-Level) þ Resident¡al (SF, Duplex or Townhome)tr Reroof INVOLVED PARTIES Property Owner: Mailing Address: EmailAddress: Ðol-,¿o 'l"ls 0o Phone: (_) 8/øq7UIt Phone:117¿ ¡ Z?|-t"l/ìContractor: uru?@hrln*1.".^ Mailing Address: EmailAddress: ùZ /*tr F * h ",4t;1",8 Phone: (-)Architect Mailing Address EmailAddress: Engi neer:Pwck"-l E^,* "nh,Phone: (_) s|l* ú,-"i' S(*Jr.esMailing Address EmailAddress: Phone: (_)Manufactured Home lnstaller: Mailing Address: EmailAddress: PROJECT NAME AND TOCATION Assessor,s parcet Number: t j1{Oz"tl ürnt1t"r. Describe Work: Job Address: I,bl a¿rtÁ {" Block e L¿rçhts'rl, g,"L h lì^l Property Size (Sq. Ft1Owner's Valuation of Work: S b00 &!0 # of FloorsSq. Ft. of Building:27too Height:21'2 " Class of Work:S wew E Alteration E Addition E Repair tr Move/Relocation 'Garage: ;- -"*.__. . .-. : Septic: ,Type of Heat:' fl Natural Gas E I s¡6s¡s6 EJ (ommunity Û Electric E f,ermit #: fl other an authorized agent. lfthe signature below is not that of the Owner, a Owner, must be provided with this Application. CERTIFICA:NON I hereby certify that I have read this Application and that the information cr.: ni:ained above is true and correct. Iunderstand that the Building Division accepts the Application, along with tl¡e plans and spec¡f¡cations and otherdata submitted by me or on my behalf {submitta ls), based upon my certificirtion as to ãccuracy. Assumingcompf eteness of the submittals and approval of this Application, a Buílding permit wìll be issued 6rantingpermrSslonto me, as owner, to consrruct the structure(s) and faciritíes deti ir¡:d on the submittals reviewed by theBuilding Divísion. ln consideration of the issuance of the Bu¡ldi ng Permit, I e,gree that I and my agents will complywith provisions of any federal, state or local law regulating the work and thrl Garfield County Building Code, OWTSregulationsand applicable land use regulations (County Regulation{s)). I ac: <nowledge that the Buílding permit may be suspended or revoked, upon notice from the County, if the locatiorr, construction or use of the structu re(s)and facility(ies), described above, are not in com pliance with County Reguii tion(s) or any other applicable law.I hereby grant permission to the guildi ng Divisio n to enter rhe property, der.cribed above, to inspect the work. Ifurther acknowledge that the issuance of the Building Permit does not prer,rnt the Buildin g Official from: (1)requíring the correction of errors ín the s ubmittals, if any, discovered after ssuance; or (2) stopping constructionor use of the structure(s) or facility(ies) if such is in víolation of County Regl lation(s) or any other applicable lawReview of this Application, including sub mittals, and inspections of the worll by the Building Division do notconstitute an acceptance of responsibil ¡tv or liability by the County of error,;, omissions or d iscrepancies. As theOwner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulationsrest wlth me and rny authorized agents,including without limitation my arr:ritect designer, engineer and/ orbuilder I hereby acknowledge that I have read and understand the Notice arnd Certification above, as well as,have the requi which is correct and âccuriiite to the best of my knowledge. Driveway El Exempt NOTICE Authoritv.This application for a Building permit must be signed by the Property Owner print and Sign OFFICIAL USE ONLY Special Conditions: Owrrer of SeP,: ¡u¡" ¡ the property, described above, or etter of authority, signed by the Lesal Access. A Building Permit cannot be issued without proof of legal anc adequate åccess to the property forpurposes of inspections by the Building Division, other Permits" Multiple separate permits may be required: (1) State Electr cal permit, (2) county owrs permi! (3) another permit required for use on the prop€rty identified above, e.g. srate or county Highwåy/ Road Access ora State Wastewater Discharge permit, Void Permit' A Euildlrg Permit becqrnes null and void if the work authorizr, d is not commenced wíthin 1g0 days ofthe date of issuance and if work is suspended or abandoned for a period of 1il0 days after commencement. /uf '7I Date lcl'nt Manu hon'e Fee: BP No: ,û-v- ¿Ìft? Constrype: lRC, EUTLDING / PIANN|NG DtvtstoN Signed Propane Check Fee:tæ.4 Plan*lt Permit Fee:4t,t77.7ç Misc Fees:- Q2ftØ7.00 ?zfl%.21 Total Feesi Fees Paid: q),þ. L"l-a. Due: 0 b 59Èî'Ltslg' OWTS No: f:aaß'Ð,sry0 Setbacks: 'ccGroupr JFC;r{t) Þ\ $ 1* aL) lk ìs1q,4/--aIJ tT Date q)l t=ê-o* -l Buitdins.l Zonine Plan Review Checklist Permit Number:ÞlÆ-02-lt-Abtl %fT- 07- fi- çtø Build tng Plannin Zonins / Property Line Setbacks/ Engineered Foundation '/ Driveway PermitxSurveyed 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. X 40# Snowload Letter - Manu. Homes Soils Report N/A 30 ft. Stream Setbacks N/A Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat General Comments: ÇttwuvÁilw, - lvlaìn l/Ul UFPtrl-wl | )420 116 "wbtotal 2,34b Uatrv,attlh - ø2*1, boq" 2,?4,Ò x ø1q.b4,6 t1ø,Øy\ '7to5 xøv2-Ø=ß 21)1to 4b xø lb.7Ô=4 'ßto iç x þ l2.oo ^'6 qØ Itq70 x þ tb,0g"6 74tçbo Oara¿wU Avø¡.o& Pa'ft0 Ulnc',cv. ?alt'0 Ar¿wl 9paa, 7bb 45 -7> 1742o ;åi'i'.å':ff"i?',1:îf5ffi,lxîffii,lffl!"Äï:i1ff"å'ï:rr"*?,-ffi: unti,the required rnrormation is ;5:Jiii*åî','ffi yiiåJlï1i#*,[:äîJ;:".il,i;"*i1s,[ii:äsubm*ta,îhepermitree,as ,T:.i:äil;liJ;il':åi:ffi::" sisned bv the olvner or bv person h,vins wriüen author*y from the owner 33ffii:g"i'::,.:i_äli¡Ërï:lËî;iî11îii;L?îi3ffiijeo¡ i,, issued using the buiding withour ainspection requirements wiil ıe "ttã"ï*¿'ìo your apiroveir;rt:Jirffiffilii the f,remíser. (Finäüöö" owledge I have read, understand and willabide fuy the requirements of this ,TOwnerPrintSignÐate 1,901 to 2.400 - Se¡rch Clear GARFIELD COUNTY Road lmpact Fee Calculator Ch@5e a Devetopment Ïype@ Footôqe of Fìn¡5hed Fl0or Àrea fheslroÍr5J Coflt{t tlìe (ìdóeld Co$nty fommuoit} Dryelopmeol Departrnent dl (970) 945 8?1? Fæ5 eflertire lanuôry l. 2Ol7 Choose the Ênter tfie L0(atron or PIN) Fee Info I-ee $2f8li fee !rEe(!Le ptN Add|15 Diffid 2J9502406019 778 HUEEII.IGER DR East Beoefit Drrtr¡cl Ëaet É,*,1Èl¡t I'iltrrr:t