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Home My WebLink AboutApplicationGarfield County BU¡LDING PERMIT APPLICATION i . ir¡' :,:ì,i' . i.r\ ,;i.j Community Development Department AUtì {i u ?tll'l 108 8th street, suite 401 Glenwood SPrings, CO 81601'. ' r¡ .i 'r:' P7olg45-82L2. .:, '''" ', n Demolition or Multi ! Commercial/Multi-Fam ! Manufactured Home ReroofResidentialor TownhomeDu INVOLVED PART¡ES f4 Phone: t?zu ) 711o9ç4Property Owner: Mailing Address: -0 l?Pt ,4,I't / l/ì¿r.,t .y' u,t Rì,f4, C ¿s /. co Email Address ttz¿ç øoí/Ø /',tt t.t t t ¿¿:t, C ¡ It lzl Contractor: C¿zLttz ¿"' Phone: Mailing Address: Email Address: Architect:ü¿,/n t ¡Phonel Mailing Address: Email Addressr /\ Phone:È,nglneef: vL1./11¿r'I Mailing Address: Email Address: Manufactured Home lnstaller:Phone:() Mailing Address: Emaíl Address: PROJECT DETAITS Describe Work: Job Address:tLl .)( Assessor's Parcel Number:3 i)a 1t ,)t{'t:,r;, /tr¿ 5eþA con'|.31./tlla¿ Sub.\ a /ztr-jja -00 * lq"7 [ot Block Owne/s Valuation of Work: $3C',ooo Property Size (Sq. Ft. or Acres)7b-: J'// ¿¿ sq. Ft. of Building: 2q Úe ryff Height:/6'# of Floors Class of Work:[l trtew l_l Alteration E Rdd¡t¡on ! Repair Move/Relocation Garage:!Rttached So"tu.n"o I Communityffiowrs PROJECT DETAIIS CONTINUED Septic: l_J Electric flottrer| | Nuturul Gus [[ eropaneType of Heat: I lPermit *:IXlexemptDriveway Permit: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describeda oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Legal Access. ABuildingPermitcannotbeissuedwithoutproof of legal andadequateaccesstothepropertyfor 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 1.80 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. bove, 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. ln 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, constructlon 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 ReBulation(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 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, 9-t -/ z Property Owner Pr¡nt and S¡gn Date ,CLtß OFFICIAL USE ONtY Special Conditions: Manu home Fee:Misc Fees:Plan Check Fee:aAU.ù1 Permit Fee:g Ø4.-7bAdiusted Valuation: Qbl,("æ.Oo BP No: Tfrç,.L4KN\ OWTS No:Fees Paid: 4ÑL.g+ Balance Due: Q r¿qq.t5Total Fees:4\tÒ4.n const Type: I RC Zoning:RoccGroup: fR6Setbacks: FIR=zo,a=þ M,r,ûBUILDING / PLANNING DIVISION I Signed App @1"r, Date n)qfi I/¿IT I @-¡¡;æ;¡re;;;;¡,) BuÍIdÍnrll Zonins Pl an Review Checklist Permit Number: ÞL.RE- 0Ø'11- 4ø>Z Buildine Plannín Zoni X N/a x N/n N/e x Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Subdivísíon Plat Notes Fire Department Revíew Valuatíon Determinatíon/ Fees Red Line Plansl Stamps/ Sticker Attach Conditions Applicatíon Signed Plan RevÍewer to Sign Application Parcel/schedule No. 40# Snowload Letter- Manu. Homes Soils Report Property Line Setbacks 30 ft. Stream Setbacks Flood Plain N/¡ NA / Attach ResidentialPlan Review List rVa N/A N/A ,/ Building Height '/ Zoning Sign-off Road lmpact Fees '/ Grade/ Topography 4o% "/ planníng lssues NA Subdivisíon PIat General Comments: Ç\at : l¿o x 10 = 2¡4Oo "?lalwii7¡¡ t 2,1Øx 9!1.6" 657t(æ. Roaà lrng,c* F,u g, N,/A (po vuâ+abk e F.)