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HomeMy WebLinkAboutApplicationGarfield County RECEIVEEmmunity Development Department 108 8th Street, Suite 401 2018APR 13 Glenwood Springs, CO 81601 GARFIELD COUNTY (970) 945-8212 COMMUNITY DEVELOPMENTrww.garfield-county.con1 BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION L❑ Commercial/Multi-Family , 0 Demolition ❑ Manufactured Home (Single or Multi -Level) IR Residential (SF, Duplex or Townhome) Reroof INVOLVED PARTIES Property Owner: ek , e. '•c i\ Phone: ( ) Mailing Address: (651(3 2— 11OLieiA 5-3I f Email Address: Contractor: DCA R 1----..\c„),"--call (0,631 C`)� , °'!'> Phone: +7C') . L 5.- 7i`'' 2— Mailing Address: o - f U'" --6C, �'4t.„6-7 2— Email Address: ''\.—. `^"uA C V" Architect: ‘1'n e..f1Mr:.J1 t.;4C i72 - (I Phone:( lb) 9q -7562_ Mailing Address: 4 S5t'sU 2- /7 lr---)S / t-� Email Address: ( k. 4 -X--- e...A P\ d..2.VVv^CA' i Z_Z, YV) Engineer: 1"#� Phone: ( ) Mailing Address: Email Address: Manufactured Home Installer: A Phone: ( Mailing Address: Email Address: PROJECT DETAILS Describe Work: �v -tJ1 �Y� !S lb re i+.Z , yij \-c-v\ Job Address: z_r fl Assessor's Parcel Number: Sub. Lot Block Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: Height: # of Floors: Owner's Valuation of Work: $ i I , Class of Work: New J Alteration Garage: h ❑Attached Addition ❑ Repair ja Move/Relocation D Detached PROJECT DETAILS CONTINUED Septic: 7JOWTS ❑ Community Type of Heat: ri Natural Gas 11Propane Electric n Other 1 Driveway Permit: ❑ Exempt U 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. _ I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is co/rect and accurate to the best of my knowledge. --Sc-t c N:-.' \ N '\ cV-Ve A v,..N )1//{).4, / Property Owner Print and Sign / Date OFFICIAL USE ONLY I' 0..i d LA / 3 ] ` (j'. _ /Q0 , r 8 l► 11- 91 Special Conditions: djusted Valuation: I-1)475.00 Pan Check Fee: `(113.31 P rmit Fee: `251.25 Manu o e Fee: K" Misc Fees: Total Fees: `�-}Imo}. 5(0 Fes Paid: ` Tap• gl B lance Due: 27•(15 BP No: 519 OWTS No: '0.2-- - rV !fl Setbacks: Nf� OCC Grou�2 n Const. onst T�ype:C,_, Zo�ng: BUILDING / PLANNING DIVISION : 00*(6 Signed Approval Date GRrfietrl Cv�s�Rly i Iii.id.i / onir,lan Review Checklist Permit Number: R6'O1' ie- 5(417 f-Gv t wMG( Building NSA Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List N/A Subdivision Plat Notes NlA Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions f NSA N/A Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes Soils Report Planning/ Zoning Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat NIA General Comments: to lArch 13 x '23 z -WO x 13 = 125 \PI kitititi oh 3Hi$-76.