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HomeMy WebLinkAboutApplicationCommunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION _ n Commercial/Multi-Family Manufactured Home (Single or Multi -Level) 1--J Residential (SF, Duplex or Townhome) n Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET Demolition INVOLVED PARTIES l` ,/ /', -' / -j Property Owner: �/211,1�l 1'aMd I/ /(1,' Phone: (7rf F� )Y//L3 1 Mailing Address: f C1d On:ha rd, (aV 64)11 610-e Ste Z3 A Email Address: , awaits,' g#7101 /7 • ecYkr Contractor: Nueav4 tUn'r I1 Pool( Phone: ( ) 31— 5 3 Mailing Address: 3f f .]�� f�q_r f i) Dem/6- Email Address: 2O72-3 Architect: Phone: ( Mailing Address: Email Address: Engineer: eime It it Pp M Phone: ( ) Mailing Address: Email Address: Manufactured Home Installer: Phone: ( ) Mailing Address: Email Address: PROJECT DETAILS Describe Work: % /x 2_6' f) B/ . ,CPa- c-Gi-e Job Address: /`a aid 69i'fr r ()a yketh ( S/613 'am -Assessor's Parcel Number: Sub. Lot Block �1 r 53- Owner's Valuation of Work: $ T7 d, old . 0_ Property Size (Sq. Ft. or Acres): act Sq. Ft. of Building. Height: # of Floors: Class of Work: New Remodel/Alteration Addition Garage: Attached Detached PROJECT DETAILS CONTINUED Septic: DDWTS Type of Heat: ❑Natural Gas Driveway Exempt Permit: I❑ Propane I l Community Electric riOther ❑ Permit #: NOTICE -T— 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 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 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. Proper Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: �1 of ei Wgt oco K4RI'rms. Adjusted Valuation: 1V) a�o.o�o Plan Check Fee: �oy.3� P r it Fee: �3.55 Manu. Home Fee: N/ Misc. Fees: �/ T tal Fees: * 1104 ��e ees Paid: t I one. g� lance Due: Vance BP No: OWTS No: FliV ,� (094 te j/A., igie*� S0 Ib OCC Group: IRC Const Type: /� Zoning: ��pfrc to BUILDING / PLANNING DIVISION : ` ' 1 4 0 Signed Approval Date 1074.W,CCJ R0!Z2!2 'Ln \ L, Garfield County 1 BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW (HECKLIST Permit No: $1g�-10 --0- (o516 Building Issues Planning/Zoning Issues Engineered Foundation WA Driveway Permit Surveyed Site Plan A Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List WA Subdivision Plat Notes IVA Fire Department Review Valuation Determination/ Fees l Property Line Setbacks NA 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Description & Summary: ! Plan Reviewer to Sign Application 1 MAN" Ih fp-0 f1 I pa! + tot, , Parcel/ Schedule No. MN 1O 1 " 43416) aW • (. i41142) IVA 40# Snowload Letter — Manu. Homes Soils Report