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Home My WebLink AboutApplicationGurfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (97Ole4s-8212 www.garfi eld-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION ulti-Fam Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof f Accessory Dwelling Unit (ADU)- MAXTMUM S|ZE OF 1,000 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: I Phone: (7?tc]l 2-t1"oC7 tr I Email Address tal Contractor: Phone:( Mailing Address: Email Address: Arch¡tect:J Phone: fl7nl7V{'ÎcÀlf, Mailing Address: Email Address: J..-r^-r"-È,r'?e. Engineer: Phone:(I Mailing Address: Email Address: Manufactured Home lnstaller:Phone:I Mailing Address: Email Address: PROJECÍ DETAITS Describe worL, iì ¿,n*d",/ /4JJl /¿t;¿t to F.-,j *tr' hocl"L as'CoJob Address:tt Assessor's Parcel Number: Sub.C- "o S<, .fr¿ .5 o Lot / q Block owner,sValuationofWork:sælwq5.@ropertySize(Sq'Ft.orAcres)lnc24er'.':, Sq. Ft. of Building:L-/ 31 Height:# of Floors:_ Class of Work:New Remodel/Alteration x Addit¡on Garage: n t e Attached Detached l Community PROJECT DETAITS CONTINUED Septic: OtherPropaneElectrìcType of Heat:Natural Gas Permit #:ptDriveway Permit: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describeda bove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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 andvoidiftheworkauthorizedisnotcommencedw¡thin180days 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. 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 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 r,e ineer 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. Owner Print a 2 -to_?<> tj Dete OFFICIAI USE ONtY Special Conditions: Manu. Home Feel l.l/A Misc. Fees:MPlan Check Fee:fi4H.4 Permit Fee:4loto.loAdiusted Valuation4ç*A?A.oo Balance Due:ø4ø1.(B BP No:Mv-5K62 owrS No: eyistlhaTþ¡?Áq'o JFees Paid:ø trt 5rä"ii,üi::n Zoning: KConst. Type: lR¿Setbacks:F/R' ?Íc,$'la OCCGroup: fR¿ BUILDING / PLANNING DIVISION :ølqløn DateSigned PÞ.lÍl 5t, crq lo tq Garfield CounQ BUILDING DEPARTMENT 708 Eighth Street, Suite 407, Glenwood Spr¡ngs, CO 87607 rel: {970) 945-82L2 PLAN R EVIE W CHEC K LIST Permit No: e'lÆ- Ü'l' 14 -%Dz Building lssues Pla n n i ng lToning lssues Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ TopograPhY 30% Attach Residential Plan Review List Subdivision Plat Notes Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat ñ/¡ N General Comments N/A x ñ/A N/A Fire NA x NA âût'lqW,lI^l Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report RØ tvuptt ?rL = N/A l.l{/p tra^l^t^bV Arø < W * (àp n;vun,ç') UÁhl-î,lton Møvr lltt¿l WãÅøA- tln{wql,v& ru"r/vttut Þal- Fttwtt¿¿\ Atr¿* êr0 ?90 6o b0o \4 þ 71.h = x q 41r.00 = xq lø.Ø 'x9%.Ø = e %tØø. þ ø,ry2. E t410. s lbt>oo- Ìut¿l ç%Ívb.Ø