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Home My WebLink AboutApplication3urr-D\¡J neC f lVgff mmunity Development Department 108 8th sÜeet, Suite 401 ApR Z [! Z0lg Glenwood Springs, co 81601 (970194s-8212 GARFIELBGOUNTM cbmuu Htrv DEVELoPM ENT- Garjield County Ð- BUILDING PERMIT APPLICATION TYPE OF CONSTRUSN( l--l Commercial/Multi-Family Demolition fl Manufactured Home (Single or Multi-Level) EL Residential (SF, Duplex orTownhome)Reroof INVOLVËD PARTIES Property Owner: Mailing Address: Email Address: Phone: fl- | ø/â -frof I a zp Email Address: Phone: ( I Mailing Address: Contractor: nel í/ G) Architect Phone:fl 7o ,Ò77.rzsf Mailing Address Email Address: Phone: Email Address: PhoneManufactured Home lnstaller: Mailing Address Engineer: Mailing Address Email Address: PROJECÍ DETAIIS Describe Work:?â cd'8ât-&1 -OÕ * /oô,L +ræ Øefes øø"(&.-ncls - rct 2,7íþcre5 Size (Sq. Ft. orAcres): 125-t #of Sub. Assessor's Parcel Number Job Address: Owner's Valuation of Work: Sq. Ft. of Building (-g¿- sp ! nepair Move/RelocationClass of Work:! r,lew ÞfAlt"rrt¡on i )4.Ado¡t¡on ! DetachedGarage:!Rttached PROJECT DETAIIS CONTINUED Septic:OWTS €rn sh Community Authoritv. 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days 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. 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 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 Bu¡lding 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 engineer or builder I hereby that I have read and understand the Notice and Certification above, as well as,have on which is correct and accurate to the best of my knowledge' d 4/2.,/ts Date o Xl-Electric . I- o*rtOO OtherFl.NaturalGas fl etopane - exlJ.hmq-u'Type of Heat: l_lPermit #:Exempt &,3ñn;-Driveway Perm¡t: NOTICE \o(oOFFICIAT USE ONtY lJov{h Þi:+nd lnp¿ol eqiio Special Conditions:?N,l d4rig*haao 0€ ^ b4 l/Wcl+tr4+l ttû home FeetÊManu L1 Misc Fees:* tt3zz.ooPlan Check Fee:ßtzq.øø Permit Fee:çs\t22.y2Adiusted Valuation:+izz,Ð26.66 OWTS No: trvis\cúr Balance Due:sht77.r>BP No:' {¿.L".tr -,';atz Total Feés:g-1,øæ.zl Fees Paid: Þ(o?S.OG Const Type:Setbacks:. Fln=26,3=f o OCC Group: BUILDING / PLANNING DIVISION : Signed Approval Zo *tlzrt Date Buildins,/Z¡onins Plan RevÍew Checklist ?ß#-04-tø->2t? lú(^rr. A¿Uih'On Perrnit umber: Build tng Engineered Foundation '/ Driveway Permit '/ Surveyed Síte Plan Septic Permit and Setbacks Grade/Topography 30% '/ Attach ResidentialPlan Review Líst N/A subdivísíon PIat Notes Va N/A Plannine/ Tonins Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% '/ Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker '/ Atiach conditions "/ Plan Revíewer to Sign Applicatíon / Parcel/schedule No. VA ,40# snowload Letter- Manu. Homes X soils Report 9wt Fire Department Revíew bøa^'wft tlan l-'Wll llQfuvìvq Covw*- PouÁn '/ Planníng lssues N/A Subdivísion Plat General Comments: Nl\ F'oa¿ twpøaf '?/L u + t,722. Crt* tJgf';¿{ ) l,UZf, x 91l',4'e l2\3ry>.[{/^) 7ô82 720 ?N Gb x Þ t6.oO + l¡lzp. hà¿hlton IOTAi- Úa'trvøÍion þ lzztbz>.