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Home My WebLink AboutApplicationGarfield County community Development Department 108 8th Street, Suite 401 p�G 0 lt17 Glenwood Springs, CO 81601 G0k.li (970) 945-8212 �,]��!� L �F'"•1' www.garfield-countv..orn QOM 1'1 TYPE OF CONSTRUCTION 0 Commercial/Multi-Family V1/4 Manufactured Home (Single or Multi -Level) Residential (SF, Duplex or Townhome) ❑ Reroof INVOLVED PARTIES Property Owner: S. Vet. �� - Phone: (1Q g Address: J { Mailing 2 v` ); 11 � 1 W CA � O� e ' ;43)(0)(0 Y � . Email Address: (A v. -arc -W-0, 1.1' 1 }C Contractor: -- 4D1r) )\QLD• -- Phone: (___1 _ r_i_ Mailing Address: Email Address: C Y 1 �� (WI -- Architect: (i o rrt Phone: ("11{. -1.0) ( 1 E Address: r ,� l.' l L-� baSa (! 1 t Mailing � � L� � -�-�-� � r Email Address: CILCI)In Engineer: 1QNr\--Y-\--€-{-1--Phone: (- l 1 D) �� j OD - Mailing Address: 3-5 P� .- + �-'Y 2 i + D - R. Email Address: R i n (OY) i 'der " Cfl fli Manufactured Home Installer: Phone: ( ) Mailing Address: Email Address: PROJECT DETAILS ,, ,j Describe Work: � A'ro l kink / k\ 2 41 l )Y1r iS , Job Address: `):2 � iI1 1 I O �V . Assessor's Parcel Number: 2_,13 ) 5 1 OC)oD9 Lot Block Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: 1 1100 Height: # of Floors: 2 -- Class of Work: ❑ New W Alteration Pi Addition ❑ Repair ❑ Move/Relocation iQ 35 cunsV►f ' 7 , rI 0 fly. iNLT Sub. PROJECT DETAILS CONTINUED Septic: El OWTS ❑ Community Type of Heat: 0 Natural Gas ❑ Propane 0 Electric n Other Driveway Permit: ❑ Exempt n 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 1 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 ui r. I hereby acknowledge th 1 a e Fa and understand the Notice and Certification above, as well as, have p • he r aired In rift ti n whi hh s correct and urate to the belt of my knowledge. Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: v4,0)575 CO Ban Check Fee: ` T.4R P rrnit Fee: `.*Se#0.7 ' Manu home Fee: -- Misc Fees: . Total Fees: Ii 420.24 Fees Paid:alance 50?•59 Due: `1",C3.1.40,55 BP No: OWTS No: ' . 5 'E-4%2 �exRac�kZs�1 g— fO OCC Group: I ING Const Type: f RG Zoning: i I BUILDING /PLANNING DIVISION : O r 6174417 ■_ Signed Approval Date 11).4s -tog. li- L Garfield Carr;rty J eve r _C ec Permit Number: 131. S- 08-17- 4652 Building Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% N/A Attach Residential Plan Review List Subdivision Plat Notes NIA Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker s Attach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. NSA 40# Snowload Letter — Manu. Homes N/A Soils Report V aWI - 3G10 x 4?4 • a 4 2q)12. 1) 100 k 9135.00 = 1)*i50. 1btA( 440) 575, Planning/ Zoning NIA .7 Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off N/A Road Impact Fees Grade/ Topography 40% Planning Issues N/A Subdivision Plat General Comments: Wu 4p 9trAiv9 5414/. Row Atf 9• 305 g5 tJLW i ht.(,v i01r 9 t a, 3 o iv1A1� Leivti Rtmt4G( 3�0 Up9tails 1 4 j 1) ) 00 cab it) toI Ihfw1'0v R(Mwk( I ?470 RoaA I11xi4 secs : N/A (4('a: 9f. P.uo tiAli bit Sia,