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Home My WebLink AboutApplicationGarfield County Community Development Department RECEIVE❑ 108 8th Street, Suite 401 Glenwood Springs, CO 81601 01,H \ 2020 (970) 945-8212 l�t-i3 COUNrriVtww.garfieid-county.com GdVMuf10 DE ELOP N — TYPE OF C Commercial/Multi-Family BUILDING PERMIT APPLICATION Demolition jJ Manufactured Home (Single or Multi -Level) !'Residential (SF, Duplex orTownhome) !Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET QReroof INVOLVED PARTIES Property Owner: Mailing Address: Email Address: Contractor: Phone: (170) 40 141 ( rnt(GJOLC7 (,C7 (o 8 -'%-' Phone: ('7 ) f%`��1 `J7 -c7 Mailing Address: i2C Email Address: CA 7oN-e Architect: r7f-c-Jl (2-40VJ"J ;112-20tV Phone: (1 `'7 4 Mailing Address: 7J 7 clmon6 /6cPc?nch VA Car 126-0 1e 6 (4,25 Email Address: 841 u C( v z f j r o` -Lin. Engineer: �)U'atef ES@Z.,Cc t Phone: (-5, (55) Z7 C ., dil1 Mailing Address: 1 Y•jl -f y, J(1 L` k't I� Ceti+enYttct ( (0 S3C)11Z Email Address: JCtC1 e7_" t 4 CIL_ [ hSrn7'ScY) Manufactured Home Installer: Mailing Address: Email ess: Phone: ) PROJECT DETAILS Describe Work: new ' y; t -Fa Mtki low)€ (Aim r'1e9ct LoT17 Job Address: 1 6;--7 `J Oe. 1 (kdi duJ ic1 ( (7[en 0.JOct( riror7 L0 Assessor's Parcel Number: Sub. pt aro 016(A 6(A Lot ll Block 1 Owner's Valuation of Work: $ I 4(;)(3°0 Property Size (Sq. Ft. or Acres): Sq. Ft. of Building 19 2 Height: IS i S # of Floors: L'J C) Class of Work: New Remodel/Alteration k 'Addition Garage: Attached Detached PROJECT DETAILS CONTINUED Septic: Type of Heat: Driveway Permit: l IOWT5 lirtural Gas ufl tempt nPropane Dmmunity n Electric Permit #: Other NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If 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. In consideration of the issuance of the Building Permit, I agree that land 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 designer, engineer 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. Property Owner Print and Sign rOV Date OFFICIAL USE ONLY Special Conditions: ROotd 1001e+ rie, --. (pA NA) Adjusted Valuation; ' 171431.60 Plan Check Fee: �l'24 Permit Fee: Manu. H me Fee: NV, Misc. Fees: 0 T33. 07 q�D % I�. Total Fees: 2,3ro.4 1 4 es Paid: •2(v• Balance ance Due: — �) I I OWTS No: ihUt� Setbacks: b, DI AI. iv,G[ OCC Group: �� Const Type: (2G Zoning: BUILDING / PLANNING DIVISION : re 44 2/26/7.07Z J Signed Appro , I J Date PD..21,,y 1o24571tb1w7 cGarfieldCounty BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: 131-kE— 6111 Building Issues Engineered Foundation WADriveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes NV" Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. 'v/A 40# Snowload Letter — Manu. Homes N/A f Soils Report Planning/Zoning Issues Property Line Setbacks r\lfrk 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off f Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat D escription & Summary: MAik 1„Gtiti IAppw t-%AJ4 ‘8?sj 11010 (�G9i etT *A ( trot t A.9 9IA) Roi Alma Q�rnr�� arAv1 g Govwe8 rAfrtiS 1146 625 225 x 4 H."6 143/012. x 4 32.00 ISI520. I6.g7 = $ I4/475b. x 16.60 4 41 050. VaittitAtiblo 4. 177) 432.