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Home My WebLink AboutApplicationGarfield County 8F# $,iþTffifi E"* h¡f';i ; "',, r,,o p.-,J ent &¿^ a'5 TYPE OF Com mercial/Mu lti-Fami INVOIVED PARTIES Property Owner: Mailing Address: Email Address: Contractor: Mailing Address Email Address Arch¡tect Mailing Address: Email Address: Po tzL Engineer:gî) r-i o h Mailing Address: Manufactured Home Installer: Mailing Address: Email Address: Demolition Phone: rctb råìg* I Sog Phone: b B Phone:,qtrl,q +S-- SOZ-í Þ Email Address: Phone: å1ot "bb'84A Phone: ( ) PROJECT DETAIIS BUILDING PERMIT APPLICATION E Manufactured Home (Single or Multi-Level) SI Residential (SF, Duplex or Townhome) ! Repair ll Move/RelocationI Alteration Llndditionfi ruewClass of Work: Detached-Efniià¿t'¿o Describe Work Job Address: Assessor's Parcel Number:?-14 r¡ø.l * æZ Sub.Lot Owner's Valuation of Work: S Ft. orAcres): iY,bOZ XC , 5q, Ft. of Building Garage: , ?-4t>r)Height: lbfr * of rloors: I PROJECT DETAItS CONTINUED sãpt¡i:OWTS pCommunity Type of Heat:Gas Propane Electric Other Driveway Permit:Exempt Permit #: NOTICE AuthoriW. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Leeal 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 complywith provisions of anyfederal, 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 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. rty Print and Sign 6t 5É 5,q4 OFFICIAT USE ONLY Special Conditions: Adiusted Valuation: *79,4,211.ô0 Plan Check Fee: 9t,2t0.11 Permit Fee:?rßbt.19 Manu home Fee Misc Fees; S/A Total Feeó:$?ot t"Øl iäåi',q.{ Balance Due:ehrylb.q+BP No: [-¿1:--çffi OWTS No: Setbacks:FIR"Ø,9=4A occGroup: lr¿ConstType: { R C Zoningr ?UD 41qø Date BUTLDTNG / P|-ANNTNG DIVISION Signed Approval / P.q(€\ r@ B Zo.nin P Review Ch Perrnit Number:Øree- ö'T-tØ- b3Ò7 N.t,¡.. coøb sFR Building Planni Zo / PropefiLineSetbacks N/A x/a N/^Septic Permit and Setbacks '/ Building Heíght '/ Grade/Topography3a%Zoning Sign-Off Attach Residential PIan Review List N/A Road lmpact Fees Subdívisíon Plat Notes Grade/ Topography 40% '/ planníng lssues / subdivision ptat '/ Attach Condítions t Engineered Foundation Driveway Permit '/ Surveyed Site Plan Fire Department Revíew Valuatíon Deterrnination/ Fees Red Line Plans/ Stamps/ Sti€ker Application Signed Plan Reviewer to Sign Applicatíon '/ Parcellschedute No. General Comments: Ftaa t eø"t ftcte^ Ñ/A (Xo tus W Ve\Muloe Ran¿h 9lA ) Yîhmr ,:å)"'Øo 30 ft. Stream Setbacks Flood Plain N/e 40# Snowload Letter - Manu. Homes Soils Report $r,un^Avy - R¿eih^u çAM*4L Otaw\ þacc (,ovtyaf Døþ- Ulnco\), Dl¿? x 914.bø x 432.00 x I ¡6.0ôx glø,Ø x Ç lZ.0O la74zt. 2q1øo. Iab1o. 11¡40. l¡06ô. hØ0 Ø4o-7W qØ q0 ^q =q =fÐ =9 =q l2b4t2ll.oo Garfield Coanty Community Development Department REGÉNED .'::i:*ï:i"ïi5'^lå' Aut u \ ?s8 .,rv"**lllil''^-'.iÍ"'1.."," GARFT+D"93.p\å-' COìJlhlUNtt I "" - BUILDING PERMIT FEE ESTIMATE WORKSHEET o- Block:Lot: t r\lc Phone Project Address icant: bdivsion z5Øo S74,68for Manufactured Homes)Finished Living Space 541.ooUnfinished Basement *tqz s18.0aCrawl Space "ll:7-s32.ooGarage (Conditioned) (i.e. insulation, sheetlqtkl - s24.ooGarase (Unconditioned) 518.00Patio/Deck s12.ooUncovered Patio/Deck so.ooMisc: 50.00Misc: TotalValuation so.oo so.ooSinele Level (5400) 5o.ooMulti-Level ($600) Total Set-Up Fee So.oo so.o0New lnstallation (S123) So.ooand/or Repair (S75) so.oorculation1s0) Total Septic Fee $o.oo so.o0Plan Review Fee 5o.ooBuilding Permit Fee 5o.ooManufactured Home Set-UP Fee So.ooSeptic Fee (OWTS) so.ooOther (Ex: Road lmpact Fee) This Section Determined by Garfield County so.ooTotal Fees Due *x*All fees are estimates until final plan review is completed*