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HomeMy WebLinkAboutApplicationGørfield County BUILDING PERMIT APPLICATIONCommunity Development Department 108 Sth.Street, su¡te 401 Glenwood Springs, CO 81601 l970le45-8212 www.garf ield-cou ntv.com DemolitionE Commercial/Multi-Family El i'tfnufactured Home (Sinele or Multi-Level) ReroofìSi Residential (sF, Duplex or Townhome) j.,",i'ì. i,)l ,:I rl{l:lr liì l{: i ii,;lil Itff,u ehone: 9l da Email Address: MailingAddress Property owner: - 1.4¡'+Cl4¿t ( A]\d t Phone: tî,fuJ^&^Ola U wl -.I -<.-(Rg¡¿f)€1t f .¡., , ê LêEmail Address: MailingAddress Contractor: - Phone: ( )Architect: MailingAddress: Email Address: Engineer: -- Email Address: Phone: ( ) Mailing Address: Phone: (_) Describe Work: I "l -<r,n' * t7 f of Floors: - tt W+it?v -;eight:Sq. Ft. of Building: Property Size (Sq. Ft. or Acres) Manufactured Home lnstaller: Owne/s Valuation of Work: S Sub. Assesso/s Parcel Number: Job Address: Lot Block Mailing Address: Email Address: Ll ¡dd¡tion l_lRepair I Move/RelocationClass of Work:ff"t"ll llteration I DetachedGarage:flattached I lrJlLJ.{,rl:\rl 1:r I l,/,..1t,,ll, il ilìirl())il.l, lr)l:,rt;',il1 1.: Type of PROJ ECT DETAITS CONTINUED Septic:OWTS Community Natural Gas Propane Electric Other Exempt Permit # NOTICE 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 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. 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 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 desi engineer or builder I have read and understand the Notice and Certification above, as well as, haveI here provid ack requ rmat¡on which is accurate to the best of Date I frr{\ì oFFþ|AtÙSeeùr Special Conditions: Manu home Fee: -"¿ . Misc Fees:Ad¡usted Valuat¡on: 74 çtb Plan Check Fee: 751 rt Permit Fee:.hl. Ll Balance Due: 500,t15 *ffixc-çar'OWTSNoz,-"-------7Total Fees:Msv Fees $ lLl 5 Paidr rl Zoning:R.ocryR,c- Ì.\ ton"YË(-,-Setbacks: BUILDING / PLANNING DIVISION :7:1"-Lo18 Dateproval BuÍtdÍns.l T,onims^Plan RevÍew Checkli Permit Number:bU,f ,do-/g-52&- st Buil Planning/ Zoning ^t.A Engineered Foundation ./ ''/ Property Line setbacks lil.I/ 'Å . Drive;ivay permit --¿*gsitePtan.ß Permit and Setbacks Topography 30% Attach Residential Plan Review List /t ,l^- Subdivísion Plat Notes n ewer to Sign Application 30 ft. Stream Setbacks /( ,î Flood Plain O'/¿. Buitding Height - Zoning Sign-Off /¿ ,A Road lmpact Fees -/-Grade/ Topography 4A% I ol-4 þ 24 = 74 576 l/, L ,o.Department Revíew ,1/.1 Planníng lssues N'l subdivisíon prar Red Line Plans/ Stamps/ Sticker A Conditions Application Signed General Comments: /r/,Ã 1,4 Parcellschedule No. 40# Snowload Letter - Manu. Homes Soils Report