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HomeMy WebLinkAboutApplicationGarfield County REGENED Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82L2 AI tÊ'¿ ? ?(\1!} BUILDING PERMIT APPLICATION TYPE OF commercial/Multi-F Demolition Manufactured Home (Single or Multi-Level) x Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF FEET PropertyOwner: Jonqt^av^ ?,Jnt*@,a+O POuloS Address: 15 81 Rioe. ße^d Naq , 6l*uood 9pß, La ât bot Emair Addres* F f . Rdsl en . Çaudl @ q ¡v,ai l. cn'. Mailing Phone: ¡ l o 5 l óteø - 1 5oto 1Z O þtob ^ 8¿5 bl<ri>ten lau) c.1f 10 IIPhone: þ o a,I ,L K 3ét3o l> €zø . e-l| L8 E UJ UE Contractor: t b3l?.0. obo Mailing Address Email Address: Phone: Phone: ^t, AEngineer: Mailing Address Email Address: Architect: È.ai L "le - Mailing Address: Email Address: Phone: ( ) PROJECT DETAITS Email Address: Mailing Address Manufactured Home lnstaller: N. A F,'n is l^ Ò + u,,^ (i ni th ..) þa seaa u^+,Describe Work: (À)6lq^ Assessor's Parcel Number:72_0 L Sq. Ft. of Building:'?-t I 441'Ê.Height: CÒ 9I Property Size (Sq. Ft. or Acres):Owner's Valuation of Work:JÔO sub. lrônbrialq a 2q'*olçloorst L Ê(, r hotr*, uu\f rct ?Z43 Btocko!- Job Address: l\Ø1 ItVer Class of Work:ll! nemoOet/AlterationNew Inooition tF AttachedGarage Detached PROIECT DETAT t5 CONTIN U ED 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 Bu¡lding Official from: (1) requiring the correct¡on of errors in the submittals, if any, discovered after issuance; or (2) stopping construct¡on 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 Build¡ng 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 desi er neer or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the which is correct and accurate to the best of my knowledge, Property Owner Print and Sign Date Septic:)WTS Þ4Community Type of Heat:Natural Gas Propane Electric Othe I Author¡tv. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of author¡ty, 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. Permit #:ExemptDriveway Permit: CERTIFICATION OFFICTAL USE ONIY 5a all¡u)rt0 Ltet o( høàlnon9. Special Conditions: Misc. Fees:N/AAdiusted Valuation:qAb^o.oo Plan Check Fee:*q8Åô Perm¡t Fee:+.4ß2.1î"Manu. Home FeelN/A Baq lance Due: lÅF2.% BP No:wq,:qtg UwnvnØ n tTV OWTS No:Total Fees:*tqv.ryz Fees Paid: 4loo ,oo oCC Group: IRO Const. Type: RO Zoning: PutoSetbacks: ãàq.^\tolmL BUILDING / PLANNING DIV]SION : Signed Approval J Date aføløq w t00"o0/ C C-a æl,q Garfield County BUILDING DEPARTMENT L08 E¡ghth Street, Su¡te 401, Glenwood Spr¡ngs, CO 81607 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit ¡,to: ÞLff ' 04' l 4'Þ4 l 6 Building lssues Planning/Zoning lssues N/A N/a NYA ñ/e x/a ñ/e N/A 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 Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manu. Homes Soils Report Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat VA ¡t/n Ve Descriotion & Summa VAtrvu,tt 0tn '. l, o o6 Y +1+. û4 - e37þØ0. o0