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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfieid-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION n Commercial/Multi-Family 0 Manufactured Home (single or Multi -Level) Residential (SF, Duplex or Townhome) '�i:1'w'„[.J�•�=-YT_ .:.y:. .1. _5 .v7ll L .-• Demolition Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES Property Owner: MA 6 Mailing Address:421 'rd ll*Iii WS 1 a1b0i Email Address: 1iii11i1 V ne I ��� .t Phone: ( _) v'J) ` I1 V V vv OOrr��Q t'3rC� I . c w Contractor: MOVkN` t ei 2 cOAcV Phone: ( 10) �� U ' Mailing Address: 2-UIii W'"' Email Address: ItiVki'V'Ze. ri:t1tr• CAM Architect: Mailing Address: Email Address: G t&skCjS1\4. Phone:( 70) TX `'4432 t512 t Ji e Sle G to. gilool Engineer: MAIRA9144 Mailing Address: Email Address: Phone: aUa¢A. laew�! on e dwimen- thijrn&O. 10) ig4-0370 Cern Manufactured Home Installer: Phone: Mailing Address: Email Address: ) PROJECT DETAILS Describe Work: toliStVACZ_ Job Address: -322 p1Kt '4S lb Qt`" w �I ✓0` Assessor's Parcel Number: 9-34 3o'11Ob OO Sub. tffiln I'} S rii3• Lot bb Block r -r-111/1 y oo 0 r 011 Property ySize (Sq. Ft. or Acres): + AGOwner's Valuation of Work: $ 9,7t Sq. Ft. of Building: 3557 % .00 Height:O 1 J • 1 Z -i' V # of Floors: 3 Class of Work:New ElRemodel/Alteration Addition Garage: Attached Detached r. "119NENEW.WRIMML.- • Septic: ,DDWiS Community T of Heat: J�Natura! Gas [�j Propane n Electric El Other 1 �, J k 1 i I DrivewayExempt , ❑ Permit P: _ Permit: s / r•.T1Cts _ i6gth9Ay. This application for a Building Permit must be signed by the Owner of the property, described above, jor an autttorired agent. tt the signature tallow Is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Apptitatiun. 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 Permfip. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit. I(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 yold Pgr-mit, 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 1 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 4' permissiDo to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. In cpnsideration 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, OWES 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(les), described above. are not Incompliance 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 laciiityiies) if such is in violation or County Reguiation(sj 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, l 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 and/ or builders _ I hereby acknowledge that f 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 knowledp. PropertVOIrmer Printlarid SAL USE ON[Y Special Conditions: justed Valuatiot;: Total Fees: 031-2&.491 Si 6FAuc1 Purr Check Fee: 41�P ,'T4 ils2i1d6. l4� Group: IR& I O"4 l . - f ( gtA) Pgrmit Fee: Manu. Home Fee: Misc. Fees: 1�R73,'T5 1�/A 493301 Balance pup: BP OWTS No: $7100.1 -b� '1 Duni G 'Gti Setbacks:Occ Const. Type:IRC zoning': BthLDiN€ / PtANNING DIVtStON ; Signed Apprnvai ic-D r6;«, 01245/2070 Afil-19Z0 Date riCGarfield County BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: B1.12S-0-20-074v Building Issues Engineered Foundation NA Driveway Permit Surveyed Site Plan N/A Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes WA 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 / N/A Planning/Zoning Issues %vvuottkiktArm 325 x 474.c4 r 2,416,SIO. x 32. bb = 15) f740. 50 x Ig oto = Ia, ago. &6Wi;4I, c k(rrrdi N/A Property Line Setbacks 30 ft. Stream Setbacks N/A Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues / Subdivision Plat Description & Summary: (.OWruv 14v ( Mm' L.M.I Urptv Lit I Rc gi v w lot I i3Gb Gds 3/37-, Roo4 Irn t F'.14/ (L9 lawgIA) 4 27.41 ). 4133 oa