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Home My WebLink AboutApplicationGørfuld County Community Development Department 108 8th Street, Suite 401 RËCElVEtlenwood springs, co 81601 sEP 1 o 2ots**-.(:l,ofl"?ÍI:,'11.."," GARFIELD COUNTY OOMMU BUILDING PERMIT APPTICATION t+t¡ËËdËËöËSrRucrron Commercial/M u lti-Familv Demol¡tion Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOIVED PARTIES Property owner: R'¡¿r^.".\ Cro'nu¡r'll Phone: 141Ð ¡ 3pq ' v(;¡Lt Mailing Address: Email Address: ?o Éitt Contractor: ,5 Phone: (øO\ ) (oLt5 - Z511{ Mailing Address: Ltt L9- ZLs â \ Email Address:Ð Architect:Phone: I I Mailing Address: Email Address: Engineer:Phone: Mailing Address: Email Address: Manufactured Home lnstaller:Phone: ( ) Mailing Address: Email Address: Describe Work: JobAddress: 'fB D Assessor's Parcel Number sub. Ançt '-.' (9t-cl^¿rÅ Iot Block Owner's Valuation of Work:Property Size (Sq. Ft. or Acres): Sq. Ft. of Building:'12A Heightr lÉi'< ¡l #of Class of Work:New Remodel/Alteration Addition Garage:Attached v Detached PROJECT DETAITS DETAITS CONTINUED Septic:Community Electric Permit #: NOTICE 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. 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. 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, engineer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have the required information which is correct and accurate to the best of my knowledge. lllot n Property Print and Sign Date Ir Propane OtherType of Heat:Natural Gas Driveway Permit: pt ÐlOFFIC¡AL USE ONtY Special Conditions:{ a Adjusted Valuation: +a7,M0.00 äïlir;i"'P-ermit Fee:+Tn.2>Manu, Home Fee:N\n"Misc. Fees.rO Balance Due:$zn.zb BP No:' ßLDtr-=O/n\ OWTS No: r,.\ I À Total Fées: a bzz.4t-iiiii.at Setbacks: Fle= 2ø.I'Io OCC Grouo:ìso,Const. Tvoe:T?0.zp|.iñs: BUITDING / PTANNING DIVISION : Signed Approval tÒftbfk L Date Gurfield County BUILDING DEPARTMENT 708 Eighth Street, ,u¡te 401, Glenwood Springs, CO 81607 Tel: (970) 94s-8272 PLAN REVIEW C HECKLIST Permit No: BLFV-04'14'%bl Building lssues Planning/Zoning lssues x N/, V N/A I Application Signed 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 ì,yL t t/d Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat x/d Description & Summarv: Al",¿ø- ãr,rølttt/U R/ 24 xfu*72ô * W\,v*l'ton "12ox 4v2.Ø - +21O4o,oo l?Ø.¿, lft,tf¿Á =N/A NO H¡øhbtc. Ar¿/\ Plan Reviewer to Sign Application Parcel/schedule No. 40# Snowload Letter - Manu. Homes x Soils Report