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Home My WebLink AboutApplicationGørfield County BUILDING PERMIT APPLICATION qtrñ Community Development Department tog gth Street, Suite ¿101 Springs, CO 81601 l970l94s-82',2 www.garfield-countv.com Q(r* o TY'E OF CONSTRUCNON Ø Commercial/M u lti-Family Demolition tl Manufactured Home (Single or Multi-Level) l-l Residential (SF, Duplex or Townhome)Reroof INVOTVED PARTIES Property Owner: Mailing Address: rllO I t * c1Kl,, ) G Email Address: Contractor:Phone:rqTb I qRq-ôt'-lq Mailing Address: Email Address: Architect Phone: I ) Mailing Address: Email Address: Engineer: Phone: (-)- Mailing Address: Email Address: Manufactured Home Installer:Phone: Mailing Address: .t{rl e Email Address: PROJECTDETAII.S c,lass Describe Work: Job Address: Parcel Number: B;t le lot - Block - Sub. Owne¡'s Valuation Sq. Ft. of Building: of Work:Property Size (Sq. Ft. or Acres): b, Å ac feS I ll'q'/* of floors: IHeight: Class of Work:Kl{"*! nteration paoition ! Repair Move/Relocation Garage:!Rttached I Detached PROJECT DETÆ$ CONTIN UED 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. eÌal¡r ownerPrintandSign'$or Q*.c-e--B;t\e- G *Ñ"-' PÞ 4î0 ,00)Ig ! CommunitySeptic:Iowrs þrt".tri.'lJotherI I Natural Gas ! PropaneType of Heat: l_JPermit #:Driveway Permit:fl exempt Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with thís Application. Lesal Access. A Building Permit cannot be issued w¡thout proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Permits. Multiple separate perm¡ts 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 NOTICE I hereby certifr/ that I have read this Application and that the information contained above is true and correct. I understand that the Buildíng Division accepts the Appl¡cation, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my certifícation 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, construction or use of the structure(s) and facility(ies), described abovc, 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. Rêvlew of thls Appllcatlorr, irrclurJirrg subnriLLals, arrd irispectiurts of the wolk by tlie Building Division do not constitute an acceptance of responsibility or liability by the County of errors, omissíons or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest w¡th me and my authorized agents, including without limitation my architect designer, engineer and/ or builder OFFICIAL USE ONIY Special Conditions: Çæ n+Iad^ú. lìst a( øvú,úlons.FØ-à \nw.<Å Fa(yu(ø )¿,;q+rìc-+) b>-t.'#iPlan Check Fee:ß?00.2-t '6'.\lifTao Manu home Fee:e4æ.mAdiusted Valuation:ç?l3v0.a *ømnr -6045 OWTS No: bzI 22 Fees:Total4lt Fees Paid:o fin.oo Balance Due:Staz.zz Zoning: PLtb oCCGroup:ft3 ConstType: V_þSetbacks: ?*bârß*26,9*ló BUITDING / PLANNING DIVISION Signed Approval zhtl,øø Date +ßW,'L L BuildÍns/ Zoniqe Plan Review Checklist Permit Number: Buil '/ Engineered Foundation '/ Driveway Permit x Surveyed Site Plan øLMF- 02- Iø- b04b QWr¿(. hÞl¿ Cl¡,wdl -NtUt Cl¿rltrOot'n7 Planni Zoni Property Line Setbacks N/A 3o fr. stream setbacks N/A Flood Plain '/ Buitding Height ToningSign-Off Road lmpact Fees ./ Gracle/ Topography 40% '/ planning lssues ./ Subdivision Plat N/a Septic Permit and Setbacks / Grade/îopography3o% '/ Anach k:r'l*\!^^' '/ subclivísíon Plat Notes / Fire Department Review Valuatíon Determinatíon/ Fees Red line Plans/ Stâmps/ Sticker '/ Attach condÍtions Applicatíon Signed ,/ Plan Revíewer to Sign Application '/ Parcel/schedute No. 40# Snowload Letter- Manu. Homes X soils Report General Comments: 1'ft,L 0( t'Au. Þ,rùl)'',e1 24x b4 = IP?22 9.7 Vnlvwtro'r' - C¡¡øtl þ*n Uutøv. ?al'02 tþ% x 616j4 zlCæ, 70o x et2.*e ?(e. mtal ø?ltAø: þaà, Inpact F,r* - \5?6 x øl.OoA lee = * hun.6o (*^+t, Åiøtnirt - ¡;nsh'twtioø()