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Home My WebLink AboutApplicationGørfield County REGEIVED ,,,, i]iili,u,i,i Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701e45-8212 www.ga rfi eld-cou ntv.com GARFIEL COMMUNITY D D BUILD¡NG PERMIT APPLICATION CONSTRUCÍION Com mercial/M u lti-Family Demolition Manufactured Home (Single or Multi-Level) fiesidential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES Property Owner: Mailing Address: Email Address: J û,c0( sarlh¡Phone:tzclf 9o? 6líS- I p 2 t¿ (o I t/olo San(soo'l J1)eþ 441., Q.o4 Contractor:F¿IìFT STIE5 Phoner JIo,s6] tlof Mailing Address: Email Address: Sooo cowt: lßont rt) nrrl rrt,.,n t,l rl, 6"1; I <o qJf tr,clr?r$r.t cLl-)no,J , .ot\ Architect: Phone: Mailins Address: Email Address: Engineer:Phone: I ) Mailing Address: Email Address: Manufactured Home lnstaller:Phone: Mailine Address: Email Address: PROJECf DETAIIS Describe Work:4 f lacad 9arþ4< Job Address:Co ¿I l< co 6SZ Assessor's Parcel Number:0 öo s,¡. $ttl l{Ét Lot Block _ Owner's Valuation of Work: $L Property Size (Sq. Ft. or Acres):tLg Sq. Ft. of Building 4øo Height:L5 #ofF Class of Work:tlew\Remodel/Alteration Addition Garage:Attached Detached Il OtherPropaneElectricNatural GasType of Heat X'Permit #:Driveway Permit: NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, descri or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority bed above, , signed by the Owner, must be provided with this Application. Legat Access. A Building Permit cannot be issued w¡thout 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. CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true a nd correct. I understand that the Building Division accepts the Application, along with the plans and specifications and other data subm¡tted 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 Perm¡t 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 desi ner,eer and/ or builder PROJECT DETAILS CONTINUED Septic:Community I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required which is correct and accurate to the best of my knowledge. aú Jf,0 Tott Property Owner Print and Sign Date tIü OFFICIAI USE ONtY Soecial Conditions:' 4u- altad\,4þ Liq+ o( âtùfi;ttru. Misc. Fees:ñ/APermit Fee: 442t. u>Manu, Home Fee:u/¡P.lan Check Feef zÃo,o-t usted Valuation: BP No: BtfLv,- SqKn owrs No: Nli f\ Balance Due:þ4zl.t uTotal Fees: -þlø.tn Fees Paid:6z{g ç+- Const. TVne: ¡¡q,Zoning:KOcc Group: lR¿Setbacks: þ=gþrB=þ19*10 BUITDING / PLANNING DIVISION lù DateSigned fP obt c I t7 Gørfteld County BUILDING DEPARTMENT 108 E¡ghth Street, Suite 401, Glenwood Spr¡ngs, CO 87601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST permit No: ØßV4o _t4-Vl6> Building lssues Planning/Zoning lssues 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 N/A N/Ä\ YA Descri n & Summa N/A Awqtwtw1., fu*7s"(00 ç3 V^h,ø$on', 400 x $At.oo, E%lØôo.OO P4Ã¿ lmy,t* F¿t,N/e 0,ö Whbu Å¡' )