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Home My WebLink AboutApplicationGarfteld Counly BUILDING PERM¡T APPLICATION R Development Depärttnent APR CI ä,¿fiffi,riï'i',::¡5 lTå" GARFIELD COUWÙI s4s-82L2coMMUNITYDE@ DemolitionComme Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Dwell Unit - MAXIMUM SIZE OF SqUARE FEET r'1r ,ìLj)'.,.l,I'll" Property Owner: Mailing Address: Email Address: Phone: ( (càc¡, sl" Á t\s QmÅ ö l¿- Ca 'løs> st5 Contractor: Mailing Address: - Email Address: Phone: ( ) )Phone:fArch¡tect: Mailing Address: Email Address: Engineer: Mailing Address: Email Address: Phone: ( ) Mailing Address: Email Address: ' Sub. lot - Block - Describe Work: ( r.lch¿n sq. Ft. of Building: l?AS Height: Pho ne:l ì H) kdar ll.. 2pi Âi f I C¡) ? th6>- Owner's Valuation of Work: Job Address: Assessor's Parcel Number: S of Floors: Manufactured Home lnstaller: Property Size (Sq. Ft. or Acres): Y AdditionRemodel/AlterationClass of Work:New DetachedAttachedGarage: XrIVJ r),\q, J,, i'ìr,ilìlilli 1:, Other PROJECT DETAITS CONTIN Sept¡c: Type of Heat:ral Gas Driveway Permit: NOTICE Author¡W. This application for a Building Permit or an authorized agent. lf the signature below is must be signed bY the Owner not that of the Owner, a sepa Community Electric Permit #: of the property, described above, rate letter of authority, signed bY Propane the Owner, must be provided with this Application' Lesal 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 r"p.rrt" permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (¡) ,notfr"l. 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 commencemcnt' CERTIFICATION I hereby cert ify that I have read this Application and that the information contained above is true and correct' I understand that the Building Division accepts the Appl ication, 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 Applicat ion, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) an d 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 (Coun ty 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 compl iance 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 arch¡tect er,ra 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' Lt ).lq Property Owner Print and Sign Date OFFICIAI USE ONtY oos Soecial Conditions:.- 'XL Pü*aLt¿&liet øf ¿o¡ulil,onq.ß0â.A lttp¿* N¿rlh Åiq¡¿I Misc. Fees:Ql,Ø2.40Manu. Home Fee:¡.\ lAPermit Fee:?tzo.'t2Plan Check Fee:44b6A4Adiusted Valuation:q'uo,4ua. oo OWTS Nor Frìsfìna BP No:gtatr-,s?ct5Balance Due:þt,ou-24å",".fr1- Total Feeslq\164.24 Zoning:a 0Const. Typelw0.OCC Group:wf.?"lo *tløt< BUILDING / PLANNING D]VISION : Signed Ap Date Gurfield County BUILDING DEPARTMENT 708 E¡ghth Street, Suite 407, Glenwood Spfings, CO 87607 Tel: (970) 945-8272 PLAN REVIEW c HECKLIST Permit No: ø"FÊ- 4-14->10b Building lssues Planning/Zoning lssues Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to S¡gn Application Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report N/A N/e '/ subdivision Plat Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues General Comments: / N/^ x/a Þøeaill^tut Fluçlt Arra = l¡Ø10 tr. \lnhwfi ottt' lt6to x ùzz.bôo,@t qb0"0o F1aal Vvnpa<* ft¡+ * 4l¡aZz.OO (Ho"tt à;çt"''þ)