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Home My WebLink AboutApplicationGarfield County RECEIV munity Development Department 108 8t Street, Suite 401 JAN 2 2 7079 Glenwood Springs, CO 81601 (970) 945-8212 GAFtFIELCi COUNTY w Barfield-county.com COMMUNITY DEVELOPM BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION n Commercial/Multi-Family Manufactured Home (Single or Multi -Level) Residential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET Q Demolition rf Reroof INVOLVED PARTIES Property Owner: 1,n 7 ca v Mailing Address: ‘9,_3-7 e -C Gl Email Address: t err; c, Q t .-/q Phone: (q/C 2� X3'7 SLI g1liS2- )fritkit Contractor: )1-O ►'►i -p oto rugA-- Mailing Address: Email Address: Architect: iii- f)W> Mailing Address: Email Address: Engineer: Mailing Address: 5012— CI. 159 Email Address: i nGG+, L/ pkov. c_p Phone: ( ) Phone: ( Phone: ( 677' )—[e3n5 Manufactured Home Installer: Mailing Address: Email Address: Phone: ( ) PROJECT DETAILS Describe Work: nrS% 1Z /(IS; S 7ci2ij ht�vy J a iv- r1 L014,Wi jr / use "1 � - kt usx rs " on p o `J �f J �J Job Address: t� 1 e.01.?,.. ES 337 5,-d- Assessor's Parcel Number: Q(0'273 ea)04 Sub. Lot Owner's Valuation of Work: $ 442.) ODD �^ Sq. Ft. of Building . ti - ) Height: d. . 7 Class of Work: New emodef/Alteratio Garage: 1 Attached Block Property Size (Sq. Ft. or Acres): • ' 61 -L4 -'8-S' # of Floors: / Addition Detached PROJECT DETAILS CONTINUE Septic: Type of Heat: Driveway Permit: NOTICE MO WTS II..^^❑Natural Gas HExempt Propane Community Electric El Other Permit #: Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If 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. 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. engineer and/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have rmatlon which is correct and accurate to the best of my knowledge. —TOM 177 on -•012-- proms the require I� Property Ow Prin . 00'in / 1, o l� Date OFFICIAL USE 0 Special Conditions: RDltk4 Iv+f 4 PxG Adjusted;�ation: Total Fees: eD (tra. 544 Setbacks:9-fU � a Plan Check Fee: :71 ermit Fee: Manu. Home Fee: 5{2.75 Fees Paid: alance Due: BP No: OCC Gro p: Const Type: Misc. Fees: $16tA 610 OWfS No: zng: BUILDING / PLANNING DIVISION : 4 15 Signed Approval Date Gcar,�r�fd �Counf�� Buil.Uolt1g P iR.eyiew Checklist Permit Number: 01426-0I-IG1-5(021 Building f Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review Subdivision Plat Notes IIIA Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed O Planning/ Zoning NA N/A Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off List Road Impact Fees Plan Reviewer to Sign Application Parcel/ Schedule No. NA 40# Snowload Letter— Manu. Homes X Soils Report Grade/ Topography 40% Planning Issues WA Subdivision Plat General Comments: 9 i w-. I,iwW (-6041 tAHaw Lw I Mfet0 uAA,'at. — 44o oco. oo (al s/49 1' -pOAA 10100A- Ftt, aboo oo