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Home My WebLink AboutApplicationGaffield County fr-L Commun¡ty Development Department RECEIVED 108 8th Street, Suite ¡[01 Glenwood Springs, CO 81601 AU$ 29 20,|Û le7ole45'8212 GARFTELD couNTY www'sarfield-countv'com COMMUNITY DEVELOP-¡¡ENÍ _ IYFE OF COÍISTRUqNON Commercial/Multi-Fami Demolition 'rwórveo PARNES property owner: 11l /(f 'Tlrg¡ø P -So¡,/ Phone:-72*tÊ Mailing Address , eA g¿tÇ2-3 ï Email Address:?-s.? çr G vttñ zN ?L¿-*s*t'¡¡ Htt¿ Manufactured Home Installer: Phone: ( )- c Mailing Address: Email Address: . PROJECTDETAILS Describe Work:Dt-MO Èx tsTt CK ÁÑÞ R6 CtN(- wt BUILDING PERMIT APPTICAT¡ON Manufactured Home or Mul ReroofResidentialor Townh MairingAddress: Po (ctv I ¿/ \- Stfctt'vt\l <(, <o ø'tGÇ' Phone: t'17O1 6 t &rØ/tt6 e I:¿n¡ GéV"/ilContractor: Email Address: Architect: Phone: Email Address: I( Mailing Address Engineer: Phone Mailing Address: - Email Address: ) â Job Address: Assessol's Parcel Number: Sub. lot - Block - Owne/s Valuation of Work: $ a1):t-Property Size (5q. Ft. or Acres): 7 Aef¿tS Sq. Ft. of Height: t?"L7zt' #or'i.oorsz I Lâ,,/à c- Class of Work:New $epair C'c)z1 Garage:Attached Alteration Addition Detached Move/Relocation l_lrtearic Other! Propane I-p¡olscr oETAtB coNTtNUED Septic:OWTS Community Type of Heat Natural Gas Driveway Permit:Exempt Permlt #; NOTICE Authority. This aPPllcation for a Building Permit must be signed by the Owner of the propert¡ described above, , a separate letter of authority, signed byor an authorized agent. lf the signat ure below is not that of the Owner the Owner, must be províded 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 owrS Permit, (¡) ,nott ". 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. CERTIFrcANON I ¡ê*¡v ;";riit rñài r ht" reâ¿ ir'it Àóói¡i"iion ãnã *rt iñ" ¡nior."tióñìóntãiñèJ ãrjıve iJ [ire and toirect. 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 submittais and approvai of this Application, a Building Permit will be issued granting permission to me, as owner, to construct the structure(s) and facilíties 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 Buílding 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, omisslons 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 ner er and/ or builder I hereby provided that read and the Notice and Certification above, as well as, have which and accurate to the and Sign Date r8 ^;¿L v/rh6 'l D 311.1bOFIICIAT USE ONLY Special Conditions: Fee:Manu Misc Fees:Fee:Fee: 2tusted Valuation: ô. BP No: ( lance Due: 11.æFees Paid: -. #blat.1V Zoning:p-Constocc Group: Tp Oal BUILDING / PIANNING DIVISION: Signed APProval <lze Date fSctatustu"u: BuÍtdins.l Tnmins FI an Review Checklist perrnir Number: EiR6' (lø' l4- >4Vl Itumpxtn DuL e¿t?w'l¿ Build x Engineered Foundation Driveway Permit X Surveyed Site Plan Vn Septic Permit and Setbacks '/ Grade/Topo graphy30% '/ Attach ResidentialPlan Review List N/A Planni Zani '/ Property Line Setbacks Vt NA---.7-_ "/ Zoning Sign-Off Yn Road lmpact Fees General Comments: 30 ft. Stream Setbacks Flood Plain Building Height Subdivision Plat Notes Grade/ Topography 4A% Fire Department Review '/ Planning lssues Valuation Determinatíon/ Fees ñrA Subdivision PIat '/ Recl Líne Plans/ StamPs/ Sticker Attach Condítions Application Signed '/ Plan Reviewer to Sign Applícatíon '/ Parcel/schedule No. N/a 40# Snowload Letter - Manu. Homes X Soils Report Nl/,u, V¿-*U-: 7Þb * VtLVrWttOn t j7bx Ðtô.ôô= slVgó.óó Roù lvupov*F.q= Ve