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HomeMy WebLinkAboutApplicationCGarfield County Community Development Department vo tidOiSIOU '1'1N1� (] 108 8th Street, Suite 401 „14(100❑'1�L� Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF_CONSTRUCfION Commercial/Multi-Family CletupA J -LJAD LeS5 +W) (0 QDemolition L] Manufactured Home (Single or Multi -Level) Residential (SF, Duplex or Townhome). Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET BUILDING PERMIT APPLICATION 1.1=I Reroof INVOLVED PARTIES Property Owner: ADAM L. Phone: (11 D 0e7q Mailing Address: Po BOX 8?0q(v`d S41.110brr)o TX, 7W25' ra.ct`iP;117- 1�arteenb(o @etrenTS3' U(f-v�� Email Address:Alen c01Yx Contractor: z ('0dl/5712 i✓C.'tfC /lig L L C Phone: (?7C) 9 "2ZC Mailing Address: fJ 7 J I HA N ❑y O C ! ve CcLfloc7Y\di le , Cc), Imo 2 �5 Email Address: Z—CC'I V Sine he9d J, Jd ' ( (9) 9 c•--[ Architect: lc{ 1 [ y tJl 5 hi.[! erc r Phone: (Ct70 -)- 3c E3j (5 1 Mailing Address: '311 PL -Andy Prr►r ' (orb° tviale CO a ((023 Email Address: iek.r year/ r Co YP I Engineer: .C/a I ^ 4k a p �1 Phone: (9470) c/-15-9-6,( 2 ,3 Mailing Address: ' / 7 Gravid e G[ =nwava Spit & 5, Cd Email Address: Manufactured Home Installer: A///:74 Phone: ( ) Mailing Address: Email Address: PROJECT DETAILS Describe Work: Nt kA) 5q=_11-: &(C D Fret. ► ?-e r.e Job Address: 2-`71_41-8' 5 fllei lnwC_Ly (42 R1ELe, Co, `(. ( (a50 Assessor's Parcel Number:^ Zi 7 71 l 0 300 9 Sub.B 5J bd i ViS+B el Lot el Block Owner's Valuation of Work: $ z24, v®d ^ Property Size (Sq. Ft. or Acres): �Acrre S � Height: 141 - Z. # of Floors: CIL( E.. Sq. Ft. of Building: 1/2 0 Class of Work: Garage: New Attached ❑ Remodel/Alteration RAddition Detached PROJECT DETAILS CONTINUED Septic: Type of Heat: Driveway Permit: _ NOTICE w• WTS ❑Natural Gas Exempt Community —1 ❑ Propane ❑ Electric ❑ 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. 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. 1 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, 1 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 provided the required information which is correct and accurate to the best of my knowledge. C 0(e_ Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: ROA, INi j.e4 r,CG • �'.I'.e "�kell I►g% of Gpl s1L 1OWs. (00141A Ai,fviG+) duIs3di�l30: T `$laofh(eck. Fee : Permit lFe215 ManuN. H%e Fee: Misc. Fee 1)223.04 Total Fees: 4I1G'f•b Fees Paid: $b-H.+2._ Balance Due: 411017.( BP No: OWTS No: 9/,c,0 --53-P2 Sepr 57e3 X2cigr*g10 OCC Group: 13 Const Type: y...Zoning: c& BUILDING / PLANNING t DIVISION : , 0 ILII W17*fri / Signed Approval'. Date pi).f 071, 42 , /i335, 4/3/i�. Garfield County BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: MO- O&-(1- 5762 Building Issues Planning/Zoning Issues Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Resiek4e1Plan Review List 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 ,4%& 9wwi0/tivi : 0 (2 - Pd / Pew r/Steukr C,v tw) 5 III'7o 110 11170 N/A N/A 'rte Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat General Comments: 6.9149 fi 011 T1p .: '/-e Oe ti etil(494 : Group e iv 9a HA.99 e` a. ) Roet.ef I vioecri4 F -cc ' 1.12xcS1,0gr2.;.z. 441)-2'23M (9cidin pi9tric410ffiee V sc) x 4 <6141 = V1 O . x • 12. CO = 3 1174;6. x 145.6D = s 20, 1600. fel 4 113) 643 et)