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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 JUN 1 6 LG I (970) 945-8212 www.earfield-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION O Commercial/Multi-Family 0 Demolition O Manufactured Home (Single or Multi -Level) ®' Residential (SF, Duplex or Townhome) 0 Reroof INVOLVED PARTIES Property Owner: tl I- IA 00 111.1 I i T-4 L Mailing Address: -191 0. Roy- J3 o),', i3Ais 11 0.0. 81 L; 1 Phone: (`i'7 ) .(/ `J . -L/4 Contractor: 514111 RrWeco feYCoKSl Phone: (c190 ) 3']cl-q5./1 Mailing Address: yr] 1Fil I� Dr .Sh ou yyt A 15 CO R. f Architect: Phone: ( ) Mailing Address: Engineer: Mailing Address: '4771 cL Phone: (J ) 1z1 Manufactured Home Installer: Phone: ( Mailing Address: PROJECT NAME AND LOCATION Describe Work: .1314 t 1 1 a Neu) ) ivw� a re, Wv-phko ho itis r 1104 314v-njeci doc..1 Job Address: /a S /4wjl = GI�44-','d cRIc'Q! Assessor's Parcel Number: a395O)l DOGa I Sub. Owner's Valuation of Work: $ j 000 Lot Block Property Size (Sq. Ft. or Acres): Q9 / s,t; Sq. Ft. of Building: nZ 5"C -9O Height: a` r # of Floors: L Class of Work: 12 New 0 Alteration i 0 Addition 0 Repair Garage: 0 Move/Relocation 14 Attached l 0 Detached Septic: Type of Heat: ® OWTS ❑ Community ® Natural Gas 0 Propane 0 Electric 0 Other Driveway Permit: 0 Exempt I ❑ Permit #: NOTICE Authority. 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. Void 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 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 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. 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(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 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 Regulations rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or builder. hereb .ackn ' wledge that I have read and understand the Notice and Certification above, as well as, have , ovid6. the required information which is correct and accurate to the best of my knowledge. 1 Pro . erty Owner Print and Sign 7O( D to OFFICIAL USE ONLY Special Conditions:.�D 0 SOD 40- il-'? jr--w&-1 & -f %"/C 7h -wit. 04 51-x-inc 42, Mat.) /coca 4,4, ',,-,R,LI__ p .4,44i,v./F4-_,__ . Adjusted Valuation: 183r 11 Plan Check Fee: qS I:70 Permit Fee: x1)5P Manu home Fee: Misc Fees ►7 �7+0,,.., C4404 c i/„pi , Total Fees: 74116. -6 Fees Paid: 0 u 44.34k Balance Due: 13679 Sj 1 131' No: k(��-.ap— OWTS No: tK. en pup, . ��'`` 7s 8 17 -.i788 rt0 1 -1 Setbacks: 1 OCC Group: Const yjr: Zoning: ,4„.., BUILDING / PLANNING 1 DIVISION : , Sig d A . . • va1 Date FP. 40.3'x, jkmI,(�i'JI� Garfield C or nn Building/ Zoning_ Plan Review Checklist Permit Number: Bc.....R72: —c6-0- 178'8 Building Planning/ Zoning Engineered Foundation `�.I.tlf�� Property Line Setbacks /577 Driveway Permiti30 ft. Stream Setbacks ---------Surveyed Site Plan p OSTirt Septic Permit and Setbacks Flood Plain 01 Buil ing Height Gra / Topography 30% �Zoning Sign -Off Attach Attach Residential Plan Review List �f� Road Impact Fees /1-7D . atc-0-4/4/AW /V• J(' Subdivision Plat Notes ade/ Topography 40% Ali • Fire Department Review .' . Valu p tion Determination/ Feesu va l.rR d Line Plans/Stamps/ Sticker A tach Conditions Application Signed General Comments: Reviewer to Sign Application �I `Parcel/ Schedule No. ` `( rd�. 40# Snowload Letter— Manu. Homes `---- Soils Report " ra(PA•1/ (07 z )1 2 - /4:12 8 Li / se 3, IV? Planning Issues Subdivision Plat cU., /d900 Lc_MO 6S /67,z 8 3 2210),71 It l9 0,7L9 CZ "al IRW 91.0Z 0L90 sai3V 10919 03 'SDNI&E COCAA.N3-if32 AVMHSIH 225'9 SSaiPPV Ou!PPW OD919 SONidd3 000/0.370 22S9 ssailDPV I0D!sA4d 0.[T33NV "Z3rsilielVIN Sns3r Vlerd'ill 'VIDYVC. z31-1-3,rilvvoc J.guhko 97c. [ [0 junoDav Sala6 IXY31$so1aIttl toclos X 1.0:10011096£ZNLI 6588 Highway 82, Glenwood Springs Maria Dominguez