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Home My WebLink AboutApplicationGørfi,eld County ,,,.-,-, 108 8th Street, Suite 401 .ltll il ö lluiEtenwood springs, co 81601 3.în5,iFlB'f,?.um REcElyJffi unity Development Department L RTOR { BU¡LDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES #r*" lvJ t )q. c) Cot*tc Ð Va.Ä oa , (on^ +5 L Phone: (q 70 )r lvl k 3J? 7321s cc)e CA.tbo'..J./e ow\ Email Address t la C-tProperty Owner: Mailing Address: Ih.\ Cqvlacnlst€ (t 91a'>3 Å,"r i C.d w.ç t1 Phone:ç7()3/Contractor:3'z b C'7 G.lcutú¿ Õt ¿ lJu eMailing Address: Email Address: liu'tqr c'5'te oi t3,' ì I è ,tq -s Phone:(1Õ5't 7?A 8S6dArchitect: Mailing Address: Email Address: ffiûPhone p 0 1/\rttnJesl r\ ¡IÂ GwoEngineer: Mailing Address: EmailAddress: Phone: (_)Manufactured Home lnstaller: Mailing Address: Email Address: PROJËCT DETAII.s s*. Coo?evl t * LotÐ/tz/s/yetock K Owner's Valuation of Work: S- Property Size (Sq' sq.Ft.ofBuitding: ?b9.Aú Height: i/'< /ç. #ofFlo Describe Work:rforf 7313 7 ['s okðo ( Ft.orAcres): lb,l:t tA --1------7- + eV t c* Slce [ (c,Coq s*rq<l 'Çun nà o*" o^ i.,'7 Glolt- ao L Ãu e CavL.,,-!cl€ (o {lL'21 Assessor's Parcel Number: Job Address: v New Remodel/Alteration AdditionClass of Work: (Attached DetachedGarage: PROJECT DETAII.s CONTINUED I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required informatio ch is and accurate to the best of my knowledge Pro Owner Print and Sign L 7/^,/l ziirl l,Community ^lA Septic: /Jdt\€ OtherPropaneE lectricType of Heat:Natural Gas Permit #:Driveway Permit: Exempt Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. NOTICE 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 Bu¡lding 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 CERTIFICATION designer, engineer and/ or builder stOFFICIAL USE ONtY Special Conditions: Manu. Home Fee:ñtA Misc Fees: . -Nll\Adiusted Valuation: +4,4m.ÒÒ Plan Check Fee8lz.çt P.ermit Fee:e nl,z> Balance Due: Q 4ç,0> BP'No! r\çË- 5&t5 OWTS No:ñlEIFees:Tota1t 6?.6b +q'öi ãl Const. Type: lRa zonìrìe:RiSetbacks: Fl&=?t>,Ç*lD occ Groun: ¡ç¿ BUILDING / PLANNING DIVISION !2tu DateSigned Garfield Coun$ BUILDING DEPARTMENT 708 Eighth Streel Suite 40L, Glenwood Springs, CO 87607 Tel: (970) 945-8272 PLAN REVI EW CHEC KLIST Permit No: A.{€'n'n-WÞ Building lssues Pf anning lZoning lssues N/A tU\ NA_----f- N/¿ Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat 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 N,L Application Signed Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report General Co mments: l.l X A*?ov+ Arq-: l2 y 72.Ò " 770 9f. Valwt,on: ?:tox4lø.@- Ð1t6bo.0o Fd lynf-c,t î.t¿, l/A (no wviubk A'a"\ \