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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www .garfi eld -county .com MM 1 3 7017 TYPE OF CONSTRUCTION D Commercial/Multi-Fami~y [ D De-molition D Manufactured Home (Single or Multi-Level) ~ . Resider:i_ti~I __ (SF,_ Dupl~x ~~ ToV\fnhome) ------- INVOLVED PARTIES JD Reroof Property Owner: Jt..TP ~~ ~~~ L,,..,,J Phone: ~u2; ) 'f(}f(" .ZP ~ Z- Mailing Address: /"l'/c;> ~tAI' ()~t.. iJt<-~'t..-1u.I {o f?DZ/S Email Address: ~~~~/' @ ~'-/NI' • NEr Contractor: _ _.::_6_r_N_£:_1'-___________ Phone:( __ ) _____ _ Mailing Address: _________________________ _ Email Address:--------------------------- Architect: ISArt.,V A{-1Ar? ~ Phone: (~ 9-"7 2 · ?Z. GI O Mailing Address: //¥ kJ /Jr "$/ j./ /'Y /Vl .AJ..L lj f 7 'i 7 Email Address: .fl s ff-t9 ~C/Lc!-e,A /)tJsr /1-,Vp{ ~~' /e>"""- :;;~ - / , Je;v9,,.v~u,,,.. 'f , Engineer: -,rt /f AIC. I' ,,er:.,.,.. ~c/1ct:5 Phone: ( ~~ 4~ /{Jc> l/ Mailing Address: ____ / _____________________ _ Email Address: __________________________ _ ~ Menttfe&tYretl Home Installer: fl~ J:./,,.Vf'? Phone: (Yo ~) 'ir7'? ---'?~'" MailingAddress: /Iv v. /">r $T. Vf, W£-;VC ~~7.T Email Address: .J{; S ~ ;J S~ C;{_f Z/L ,,.04 ST ,,f?..J/f) /J £/f;v'-, l () ,vt- PROJECT DETAILS o.,,,;be Worl<o /\k->.J Uw '>J'WC )i,.-J ~g-..-. :g;,h- fok ~/.> ~~Al -~~Q_~ l_.ri\ Job Address: /. ,,.;, /.) • C l'l--1/7 ~ ~ > { D 'rr / ~ d I Assessor's Parcel Number: _z.._"'=' __ '1_"5"":_1_< __ 4'i_fl_tJ_v_1_'-_I __ Sub. f?t/JA--Lot ___ Block __ _ Owner's Valuation of Work: $_2.5 t QQO~ O~ _ Property Size (Sq. Ft. or Acres):----- Sq. Ft. of Building: / O 8 <.> Height: :" )\.5' O # of Floors:._...__ __ _ l D Repair J D D Detached D Alteration D Addition Garage: D New I D Attached Move/Relocation Class of Work: - I PROJECT DETAILS CONTINUED I S~ptlc: -I Type of Heat: l Driveway P~rm1t: l St OWT S . ----1 a Community I ii'N atu ~1 Ga~ o -P~~pane ---r Jai'E ~ctriC _[a-o t her r a Ex ~mpt -----I a Permi~ #: --------] NOTICE A uthority. This a ppli ~;t;ion for a Building Permit must b~ signed by the Owner of th ~ property~ described ab~v~, 1 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 th is 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. I I Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, I I (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 I of ~he date ~f ~suance a~d if work is_s ~pende ~~r ab~nd ~~=d ~r a perio_d of 180 days after commencement. ; CERTIFICATION ------ 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 cons i deration 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 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. 1 1 hereby grant permission to the Build i ng Division to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Bu i lding Permit does not prevent the Building Official from: (1) I 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, includ i ng 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 r esponsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect desig nr:,:, engi neer an cy or bu i lder. _ _ _ 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. ¢/rsl~z .ref¥1<~,'1~1Z-0 ~'"~ A--N~w Property Owner Print and Sign ~ t: '1{' t.vl----Date OFFICIAL USE ONLY Special Conditions: Manu h ome Fee: Misc Fees: Setbacks: Building/ Zoning Plan Review Checklist Permit Number: Building __ / __ Engineered Foundation __ .;;;;_/r_ Driveway Permit ---=~;..__ Surveyed Site Plan j./ k//~ermit and Setbacks --z__e/ Topography 30% ____ Attach Residential Plan Review List f./{J. Subdivision Plat Notes ~e Department Review ~on Determination/ Fees ---~lans/ Stamps/ Sticker ---~nditions Lion Signed ____ Plan Reviewer to Sign Application ----Parcel/ Schedule No. _ 4, Snowload Letter-Manu. Homes ___ J.~ Snoi1ll's Report Plapning/ Zoning / Property Line Setbacks Or/{, 30 ft. Stream Setbacks ,/ ~od Plain Su !/Qf1. ~JI. ~dingHeight ft-hs S;.:..r --/Rg Sign-Off ____ Road Impact Fees !././/:-. ---~-Grade/ Topography 40% -+-/{ ..... ~nning Issues ____ Subdivision Plat General Comments: c~<-311'-t.,(.. :::::. le400 ?;too 'I IB pa-1'1 21 -17 2 S'U 7 2..fO y Ro..f ~-ijL'f r,4 S'O )t,o , IB __:.-.;.--- 30, 2t:J