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Home My WebLink AboutApplicationGørfield CounÍ! BUILDING PERMIT APPLICATIONCommunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (97Ols4s-82t2' www.sarfield-countv.com l_l DemolitionE Commercial/Multi-Family E Manufactured Home (Single or Multi-Level) rlrl thsr\ReroofEléi¡¿éntial (SF, Duplex or Townhome) f 'i iV l-1 ;' (.rl :. . Jrr iL J':'l il l:,.'llrl ; i'',r | 1 Property Owner: e Mailing Address: EmailAdd C'a-rlrytnd r,b fc)Y15*l L[ Iù{ Phone: û"11 l3ß t¿gf f Xlt¿r> Phone: Email Address: o zContrector:ürkp Ì'ìres(n ^,Lc-¿ rMailingAddress: "151 cò 8tøra\)\ C u rhanÅcLlê Email Address: Phone: I )Architect: Mailing Address Engineer: Phone: Mailing Address: Email Address: Mailing Address: Email Address: Describe Work: Phone: L r Z t@ cl u Height , tq' lD (l Sq. Ft. of Building:11qff Sub â 4t Job Address: Manufactured Home lnstaller: Owner's Valuation of Work: $ #ofF Assesso¡rs Jdn n Properry size (sq. Ft. or Acres): Z aZ'ACfeS 1i:5 Brock- I Repair Move/RelocationI llteration lX RdditionClass of Work:flruew DetachedGarage:Attached l;t'l.,ly'lj I r,¡;rl,r 1!7\iLi i ri., ! CommunityffiowrsSeptic: flotnerll Elcctric ¡lNaturalGas ! tropaneType of Heat: Driveway Perm¡t:Exempt Permit #: Author¡tv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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 Perm¡ts. 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. I hereby certify that I have read this Application and that the i nformation 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 constructthe 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 regulatio.ns (County Regulation(s)). I acknowledge that the Building Permit may 6e 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 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' ,l"o Ã.-1. l-+-;F- Owner Print and Sign Soecial Conditions:'4à altaoh,¿* |.c¡t o( ao*lítì onq. Misc Fees:fl72b.Ø ¿Permit Fee:qîq.7b Manu home Fee:N/APlan Check FeelI ("ot%4U sted Valuationl 1,2æ.Ø OWTS No:EY ha Balance Due:Qqæ.æ BP No: 'nlçp- lg?"ffåäl:.?qTotal Éees:Þltæ1.?4 zflne: 0Const Tvoe:TDII.occ "lËþcSetbacks: flR=2Þ,a,þ tohl2otlBUILDING / PTANNING DIVISION : Signed Approval Date NL 86 BuitdÍns.Í ZaninE Plan Review Checklist Perrnir Number: wre- oØ-tl- 46q7 Build tng NA Engineered Foundation Driveway Permit Surveyed Síte Plan '/ Septic Permit and Setba.cks Grade/ Topography 3A% Attach Residentíal Ptan Review List "/ Subdivisíon Plat Notes Planni Zon N/A N/A / Buitding Heighr Zoning Sign-Off Road lmpact Fees ,/ Grade/ Topogtraphy 40% 1 Planníng lssues '/ subdivísion Plat x Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Fire Department Revíew Valuation Determinatíon/ Fees Red Line Plans/ Stamps/ Sticker Attach Condítions Application Signed Plan Reviewer to Sign Applícation 1 Parcel/schedule No. N . 40#snowload Letter-Manu. Homes x Soils Report General Comments: fuâÁtaa. 1atøt øv,i* Dlr)L xJalUatton _ iøoxa71'Ø=øæftw'q7ôx432.Ø-4?l¡2æ' lo0xçlø.oo,s l¡6Ø' T2TA¡, 94tt2Ð. Rø¿ lw^rj F,u- o I z2r¿.Ø (gaqt Þ'etn:t+) ¡'t/e '7Ø 475 tØ