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Home My WebLink AboutApplicationGarfield County BUILDING PERMIT APPLICATIONCommunity Development Department RECEIVED 108 8th Street, Suite 401 Glenwood Springs, CO 81601 NOVlg 2018 ptots4s-s212 www.garfi eld-countv.com PK f-l Commercial/Multi-Family Demolition E Manufactured Home (Síngle or Multi-Level) E Residential (SF, DuplexorTownhome)Reroof \"11rìi,Ir'.ìjlfì. li{trl. iltiììl Property Owner: Mailing Address: Email Address: phone: (q'lCIt "L?;S -75t4 Phone: tï?t I 73 4 -LÇî68,,,.\-'.-4,t, Mailing Address: Email Address: Contractor: Q-ttr¡- fÅ Phone: (_)Architect: Mailing Address: Email Address: Q.Èr Phone: Email Address: Mailing Address: Engineer: €* w\ è lf-t5v\,.\e.ô I\\*.*Èú*""ùDescribe Work: L++loL5oooV6 4ô ov rTtd Ê- |t<' t zPhone: I s Lot Height: Owne/s Valuation of Work: $ f of Floors: /Sq. Ft. of Building: Property Size (Sq. Ft. or Acres): BlockSub. Manufactured Home lnstaller: Assessor's Parcel Number: Job Address: -?sr, nnô Mailing Address: Email Address: Class of Work:fr[New l_lAlteration E R¿dition ! nepair ! Move/Relocation Garage !Rttached [_l Detached PROJECT DETAILS CONTINU ED Septic:L ]owrs l-l Community Type of Heat: Driveway Permit: | | Natural Gas [| Propane LJElectric Other Exempt I lPermit #: NOTTCE 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. 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 restwith me and my authorized agents, including without limitation my architect des ner neer and/ or builder CERTIFICATION I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required informatio is correct and accurate to the best of my knowledge. I I --/5"-/ s Property Owner Print and S¡gn Date OFFICIAT USE ONtY Special Conditions: ówH inqfallalion ínqània, r,¡auip& prior to ca,\frcdl¿ o( oauWua'|. Misc Fees:*ltØ2.00Plan Check Fee4zta.<o Permit Fee:Øqøz"to Manu home Fee: 4oo .ooAdiusted Valuation;$az-to.oo BP Nò: etnr - 55++ OWTS No:w-6ç+64rro.0o Fees Paid Balance Due:$Tq+.%t¿tb.Ø Tota 4tr, l'Fees: Zoninþ koCè Group iBc ConstType: le¿Setbacks: F/R=23,9.10 BUlLDING / PTANNING DIVISION Wlørb DeteSigned ?o 4oo.Þ,,78L, t'lol tg Poú ,lvtØülFtt BuildÍn s.l T,rning PIan Review Ch ecklisf Permit Number: þ¡A7- ll'16- r/74 wr- u-tø-w1b Buildine Engîneered Foundation DrivewaY Permit x Surveyed Site Plan '' Septic Permit and Setbacks '/ Grade/TopograPhY 30% Attach Residentíal Plan Review Líst l.t/¿ subdívísion Plat Notes N/A FÍre Department Revíew ,/ Valuation Determination/ Fees Red Line Plans/StamPs/ Sticker '/ Attach conditíons Application Signed '/ Plan Revíewer to Sign Applícation '/ Parcel/Schedule No. X soils Report Flood Plain Building Height Zoning Sign-Off '/ Road lmpact Fees / Grade/ Topography4a% '/ Planning lssues Plannine/ Toninx NA Propefi Líne Setbacks 30 ft. Stream Setbacks N/A N/,À,5ubdivision Plat General Comments: aøwl%,a Whv.Dl¿þt tldlwttOn- l¡6tþ x4tö.00.4?2tb7ô Þ0 x9a.00= ÚØ T?TAL = qa27ô.Ø ttØ6 9rMT R¿^¿ lnry* F¿c = q I¡þ2.Ø (wtuã#,rir.*)