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Home My WebLink AboutApplicationGurfteld County RÉGÉNED ÀPR \"d ?$}rE t"rY Community Development Department 108 8th street, Suite 401 Glenwood Springs, CO 81601 (9701s45-82L2 www.ga rf ield-cou ntv.com INVOTVED PARTIES G I lïiït'iir coNsrRucnoN ! DemolitionE Co,¡mmercial/Multi-Family anufactured Home (Si le or Multi-Level Reroofl7f Residential (SF, Duplex orTownhome) BU¡LDING PERMIT APPLICATION Email Address: - ,r Phone:U.:fþçR- C-c¡1 Property Owner: Mailing Address: Phone: Aæ trl.ÊÐ Þ ,rx.,QÈrP .ñ¿r1 Contractor: Mailing Address Email Address: ^rch¡tect; ,nb ç? (L Phone:g N Phone: ( ) Engineen Mailing Address: Email Address: Mailing Address: Email Address: Manufactured Home lnstaller: Phone:( Mailing Address: Email Address: Sub. Lot - Block PROJECT DETAITS Describe Work: Øtb7-? t3.6'a rc-, , Height: Job Address: o tlb Ctøh>tÐfrtß)79rÐ eo. of Work: Assessol's Parcel Number: Property Size (Sq. Ft. or Acres): lgt ã-'1.üt # ot Owne/s Valuation Sq. Ft. of Building: Move/RelocationE Rddit¡on ! Repair[ ruew f]AlterationClass of Work: ! oetachedc"r"c", $\þ IRttacrreo PROJECT DETAITS CONTINU ED Septic:OWTS Community NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property,described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION .$o+rerf] Propane l_l ElectricI I tttatural GasType of Heat I lPermit #Driveway Permit:fiExemRt I hereby certify that I have read this Application and that the information contained a bove 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, construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other appllcable 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 CounÇ 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 neer 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. AhCI&þ:--rb Property Owner Print and Sign 600 Date b4, OFFICIAT USE ONLY Special Conditions: Manu home Fee: >," Misc Fees:Permit Fee:t^ll tl OWTS No: I n r.l /K Due BP No: -Bir-t,- 6L0'z Check d: 00 Velrrrtinn'@ Zoning:Kryffi"¿OCC Grou ç-'i1'zd8 Date BUILD¡NG / PTANNING DIVISION : YÞ ïgVçî/ +t7 i( (:ottttty tsuil Z¡oninE Plan Review Ch ecklist Perrnit umber:þ. Bz^ o1- ) B- 52oz Plannnel Toninr / Engineered Foundation - r.0.* r,"" Setbacks Buil N,l Driveway Permit Site Plan 4 ú Septic Permit and Setbacks --¿ ura de/ Topog raphy 3a% ,/'¿ Attach ResidentialPlan Review Líst N ,l Subdivisíon Plat Notes N.il .Department Revíew tion Determ ination/ Fees n-lnËu Dl--./ C+oxse/ <+i?Vô/f f g¡ lJ/¡ JLqr ¡ tPq rr¡e¡rer Conditíons lication Signed ewer to Sign APPIícatíon Parcellschedule No. 40# Snowload Letter- Manu. Homes Soils Report ,/,/ $n-tt ""^Setbacks '¿ il.óodPlain ,/r'/ Bqrdine Height --¿"ning sign-off N".n o "rf P,-rtx I flt4 K,il Roa pact Fees Grade/ lopography40% Planning lssues Subdivision Plat General Commeñts: 2zsÞ " 7') lã4,aoo