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Home My WebLink AboutApplicationGarfield County Community Development Department RECEIVE 108 8th Street, Suite 401 RECEIVED Springs, CO 81601 0 (970) 945-8212 �u Puwww.garfield-county.cam GARFIELD COUNTY COMMIIIVIT Pt ut—c LTION BUILDING PERMIT APPLICATION D Commercial/Multi-Family r r ## ❑ Demolition ❑ Manufactured Home (Single or Multi -Level) ❑ Residential (SF, Duplex orTownhome) ❑ Reroof INVOLVED. PARTIES Property Owner: 7 A- (j r' n ,a i' LLL. P Phone: (,'1,0 Mailing Address: ff.'s ....t'' mss- )t U ). 1'7/1ti • 4 Email Address: .. 3 Contractor: L rqpe 6 l i'i ell- l Phone: (766) 3 41?- try„ .7 Mailing Address: -.5 9'1 –C_49 CSI ti !/1J (7 j Email Address: ./1,4( - 9°4 ,3 "` 3 7 e.-. Architect: Phone: ( Mailing Address: Email Address: Engineer: Phone: ( Mailing Address: Email Address: Manufactured Home Installer: Phone: ( Mailing Address: Email Address: PROJECT DETAILS Describe Work: P0l L 11.4-1 Job Address: -3 4'& �ri C7- 6W? ,itti 1 "e_ Assessor's Parcel Number: Sub. Lot Block Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: .� CO .4_4 A Height: 1 # of Floors: I❑ Class of Work: New ❑ Alteration El Addition ❑ Repair Move/Relocation Garage: ❑ Attached Detached PROJECT DETAILS CONTINUED Septic: OWTS jJ Community Type of Heat: MI Natural Gas I] Propane 71 Electric I. Other BP No: - OWTS No: Driveway Permit: 0 Exempt Permit #: OCC Group: I - NOTICE • Authority. This application for a Building Permit must be signed by the Owner of the property, described above, If the signature below is not that of the Owner, a separate letter of authority, signed by provided with this Application. Permit cannot be issued without proof of legal and adequate access to the property for by the Building Division. separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, for use on the property identified above, e.g. State or County Highway/ Road Access Discharge Permit. Permit becomes null and void if the work authorized is not commenced within 180 days and if work is suspended or abandoned for a period of 180 days after commencement. or an authorized agent. the Owner, must be Legal Access. A Building purposes of inspections Other Permits. Multiple (3) another permit required or a State Wastewater Void Permit. A Building of the date of issuance 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. In 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 designer, engineerand/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the requiel information which is correct and accurate to the best of my knowledge. Property Own r-Pitint and Sign Date OFFICIAL USE ONLY Lika 3 j8,4,l8 , z.�e. Special Conditions:"� Road ikvipakc+ pa ' 3€L Gt,t6teleV II OF GoLi,#u(i+iolis . (RAO ri cAv c-$) Adiusted Valuation:Ian 434451217.00 Total F/e�es: 13416 1 -CJ ChPrk FPP: ¢x,61 . (b Permit Fae: �2�S20.15 Manu fo a Fee: t\„11. Misc Fees: 5 0160.32 Fees Paid:glance (7511i8 1-N Due: ck.4 BP No: - OWTS No: Setbacks: r1(ew*143' 10 OCC Group: I - Const Type: V Zonng: BUILDING / PLANNING DIVISION : ! �� 16116.12Ort Signed Approval Date Le Garfield County -1 Buildingi . Review Checklist Permit Number: Building 13I.G9- -145- I&2 SEPT- ov - t --X27 6141'11144 EVffztr Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade) Topography 30% Attach ' - = Plan Review List N/A Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. N/A 40# Snowload Letter — Manu. Homes Soils Report Planning/ Zoning Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues NA Subdivision Plat General Comments: 61449fv146+h61.4 Type. v -e 1► f14- acay064461 = A-2 4A s9x 42(y L I�, Ale" �+D x 64 S) 040 er Vet6 'I -1'0m S) & 10 x € 7.'M 51. 4 217.06 Road t t i p`&f Re( `8 060.3z S 040 x$liopg. �o