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Home My WebLink AboutApplicationGrrÍieltl (ounl7, Community Development Depantment 108 8th street, Suite 401 Glenwood Springs, CO 81601 (s7o) 94s-821.2 www.ga-ft!qh!:(r)u11 tv. {:q nl : TYPE CONSTRUCTION Comme F*n¿"{-.. Manufa ctq¡gd f.o¡19 lSingle or N/lulti-Level) Resid g_nllg! is[ _Qup lex or Townhome) Accessory Dwelling Urrit (ArrU) - t/lAXlMUM $i.¿t"" tll x, TNVOTV€D PARTI€S Property Owner Mailing Adclress "/1r!5L Email Address:¿t/Tw Contractor: Mailing Adclress: Email Address: Architect: Mailing Address Engineer: Mailing Address: Email Address: _------ Manufactured Home lnst¿rller: Mailing Address Email Addressl --._-_-- , PROJECT DFTAITS t ¿1 Ts trþ\ Job Address:4 Assessor's ParceT Numl¡er Sub.Lrt Owner's Valuation of Work:{.t"dl Sq. Ft. of Euilding: F{eight: Class of Work:EVJ Demolition Reroof ü L¿-t¡tr¿lLl nuu-'lu,CÕ $ .t I 2* Phone: ÛOO SQUARE FEET P\T lueJ* t*lLw^N b I l) Email Address: --.._-_---_ Phone: Phone: Phonel Fhone: Workbe !'¡a i k Addition oetachà¿Garage l\tt¿rched Itl Rern o r:i er l/4.Ìi i:t'ati o n ,þn{ {u¡,* 'PÊOJf CT ÞETAltS CONTI{ì¡ UID Septic Type of Heat:Natural Gas the requG-¿- ired inforrnation )nøl¿a¡r ß.".. Property Owner Print and Sign oFflclAt usÊ oNl.Y Special Conditions: Propane Comrnunitv Electric Other Driveway Permit: xempt I hereby certify that I have read this Application and that the information con understand that the Builrlirrg Division accepts the Appliciition, along with the tairred above is true and correct. I plans and specifications and other ¿4¿--,' Permit #: Authoritv.This application for a Builcling Permit must be signed bythe Owner of the property, described above, or an authc rized agent. lf the signature below is not thaì: of the Owner, a separate letter of authority, signed by the Owner, must be provicled r¡rith this Application legal Access. ABuildingPermitcannotbeissueci withÚutproof of legal andadequateaccesstothepropertyfor purposes of inspections by the Building Division. Other permits. Multiple separate permíts may be rt:quired: (L) 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 Perrmit becornes null ancl void if the work authorized is not commenced within 180 days of the date of issuance ancl if work is :;uspended or ¿rbandoned for a period of 180 days after commencement. data submitted by me or on mV behalf (submittals), b.as;erd rlpon my certification as to accuracy. Assuming completeness of the subnrittalr; and approval of this Appi¡cation, a Building Permit will be issued granting permission to me, as Orffnt¡r, to construct the structr.rre(s) and facilities detailed on the submittals reviewed by the Building Division. ln consideration of the issuance of :he Building Permit, lagree that I and my agents will comply with provisions of any federal, state or local lau, 'egulating the work and the Garfield County Building Code,OWTSregulationsandapplicablelanduseregulatirns(CcluntyRegulation(s)). lacknowledgethatthe Building pernrit nray be sur:;pended or revoked, uporr ircltice frorn the €ounty, if tlre location, construction or use of the structure(s) and Íacility(iesi, clescriberi above, ar,¡ '; rtt in compliance with County Regulation(s) or any other applicable law. I hereby grant permission 1:o the BuilC ing Dirrrsior to ent -'í lhe property, described above, to inspect the work. I further acknowledge that l:he issuarrc,: of the Builcling Prr."nit does not prevent the Building Official from: (1) requiring the correction of errors in the submittals, if anr;, discoverred after issuance; or (2) stopping construction or use of the structure{s} or facility(ies) if si;rl" is in violation of County Regulation(s) or any other applicable law. Review of this l\p¡rlication, inc!uriin'¡ ,s¡.¡þr'iir{31s, and inspections of the work by the Building Division do not constitute arì a.ceptance of responsihilit,, rr lial:ility by the Counly of errors, omissions or discrepancies. As the Owner, I ackno,vleclgc that r::;porriibility fc,r compliance with federal, state and local laws and County Regulations rest w th ffi,1 âr'ìcl rni, ;rutlrorize'1 1g3nts, including without limitation my architect er, en gi neer and/ or btlilder I hereby acknowle(lge thal: I havr: r'ead ând t¡n¿Jlrsta'r ,i the Notice and Certification above, as well as, have urhich is þ /'i-, c,Jrre(.+- ar,d -,1:r.urate 1:o the best of my knowledge 8 -a9.,) tta / Date Perflit FEe 6 Misc. Fees:,/v/ftManu. Home Fee: NhPlirn Check Fr:e t I â3.3tAdiusted Valuation:' l5- ooa OWTS Ño:'--N/frBP No: 6rco-G?sl'i3Ealanee 26/,Fé 4 Tota á 7on L{:únr;t. Type {l ,71 Fees Paid Ct(!Ë GrcupSetbacks: 5b s: BU ILDING / Fl-Af\l F¡ ¡ lt{G Ðl'úlsll}l.l ,!,igneci Á,¡iProtrat Date NOTE: lf any required infclrmat:ion rs missing, delays in issuing the permit are to be expected. lf determined by the Building r]ffi,:ial that aclditiorral information is necessary to review the application and/or plans for compliance, th,: application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a t'lan Review fee at time of application submittal. The Permit Fee, as well as any Road lmpact fees vrill be collected when the pennit is issued. The permit application must be signed by tlre owner or by a person having written authority from the owner to act as their representative. I hereby acknowledge t ha,ve reãcl, undelstancl, and will ¡¡bide with the requirements of this --cheqklist..þL/¿ i4. l+"nda¿.¿"'à"&l J¿ Lnota-aer 4 .zo -2,üz) Property Owner Print anci Sìigrt Date Gørfield County BUILDING DEPARTMENT 708 Eighth Street, Su¡te 407, Glenwood Spr¡ngs, CO 81607 Tel: (970) 945-8212 PLAN RE VIEW CHECKLIST Perrnit No:EtU-04-2/-ú7ø5 Building lssues Pl a n n i n g /Toning 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 brnp/ræ þfl4 LttDc)fr.ble 74ul B, Descnípt ion & Surnmarv a/>sÞ/la,da7 ra/a¿ilrn = Û1m'4