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Home My WebLink AboutApplicationl-z J ==o(J F", ¿.30(J o ul l¡- É, o (f l¡J l¡Jol¡l É, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 leTol s4s-82t2 www.,rarfleld-cou TYPEOF Gøryfield CoanÍy BUITDING PERMIT APPLICATION DemolitionE Commercial/Multi-Family E Manufactured Home (Single or Multi-Level) ReroofEl Residential (SF, Duplex or Townhome) Property Owner: Mailing Address: Email Address: Scr{-{ Lf-¿'xÊrNra è *urSEll Sht ts .-l\ @ *'*e Lo ûa Phone: ( bzgl LoZ - ùtöL *;'r^t'; '? o 'tsole 73 \-'! Ci-v'¡ S C:t: 8't bÕ L b,t , tJøn¡F4&¡.-1 (¡r,o cr-Lrr. phone: ( l't.s ) dt .t5- 'l5t]¿ 'i -r Fo 6) å"*t r"l Cqr rÈ\ d.l't\ , Cipår-r Contractor: Mailing Address: Email Address: tô q. D gctr.r.t G.c.,ruPb'"NÅ. ñC"r'a¡o¡Phone: t ¿ltol cIvS --rsnb % \r lA+1^ Çf,¿C, g-f f-r'l3 (cc rlbr I Architect: Mailing Address: Email Address: Cepo f' bol> G.c,üÇ n in¡-\ Cirl.)EI'TZ;r-l C(3 Þbt) ËEngineer: Mailing Address Email Address: Phone:( ¿ì-Zo) 145 * lqoÉ, '{ C-Lrô S Manufactured Home Mailing Address: Email Address: Describe Work: 2. %'lct a¿rrS ¿6q 3 tt(\É cL oO ôCIô Z I B '., ¡ r- \ nJ E ¡- K .,ß FfZ_t t] ¿JN¡ ü-\r"J ko rutË DÊ-- ô,oJ*ìS CÕ iftuOt¡tso ÆEr€r-] e5 zo1 oGq Lot É Job Address: Assessor's Parcel Number: Height:Sq. Ft. of Building:7 V,z'î qL Property Size (Sq. Ft. or Acres) "- #of Owner's Valuation of Work: Sub. 'Y Block i+ I nepair | | Move/nelocationZ(ruew I Alteration LJRddit¡onClass of Work: PROJECT DETAILS CONTINUED Septic:OWTS Community Driveway Permit Exempt Permit #: NOTICE Authoritv. This application for a Building Permit must bc signcd by thc Owncr of thc propcrty, dcscribed abovc, oran authorized agent. lf thesignature below is notthatof the Owner, a separate letterof authority, signed by the Owner, must be provided with this Application. Lesal 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. Multi ple 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 acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required is correct and accurate to the best of kn Owner and Date Type of Heat:Natural Gas U Propane Electric lÀl Other 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. ln consideration of the issuance of the Building Permit, lagreethat land myagentswill complywith provisions of anyfederal, state or local law regulatingthe 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 d frÊ neer and/ or builder oFFrcrAr usE oNLy Pd ¡ f l{ll,I8 êc o.SAt lZoZt Special Conditions: Valuation 37b,00 A{justed 6zto^ Fee: E8 Check 4t3. Plan,t/,Permit Fee: f z" tTs.35 Manu home Fee: N/A Misc Fees: 'Rlr = "60,Ø' Total Feés: 4 e"ãg?,36 Fees Paid: f lr r t.t!Balance Due:é2,ft9,ı6 tstßE -68t|+BP No: H/r OWTS No: setbdcks: lb_OCC Group:/Rc Const Tvoe:/ È-e Zoning: "vÞ ü¿e//, øM 5'27-z/ Gørfield County BUILDING DEPARTMENT 108 Eighth Street, Su¡te 407, Glenwood Springs, CO 87607 Tel: (970) 945-8212 PLAN R EVI EW C HECKLIST Permit ¡,to: 64Fú*Z/- óÔ 4 Building lssues r' Engineered Foundation Planning/Zoning lssues (/ ry 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. Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Grade/ Topography 40% Planning lssues Subdivision Plat Road rmpact Fees e4emlt 'h ø/ A/* NK Nft l/ L/ L' t/ N+ 40# snowload Letter- Manu. Homes L'/ soils Report t(vm ar ?þ-:7-b4¿l 3, ooopef, 3b"{ro9* Description & Summary Qr:" 4o,00t' Ftß Zloosl x74, bØ= crut)l 21Øsft tg = lneþ¡ 3L= 372sþ x ß = '177*x tL= L/ r gûr, cPld uePlà 4 ztb,gyz,oo 52r2oo,o0 2116btl ,oo 6rbîb,oo 51244'ø ")} b,nilrt ,/År,^e : +3t0 ?47b,@ and/or plans for compliance, the application may be placed on hold untilthe required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Road Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Fínal/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand and will abide by the requirements of this checklist. t.t' L Owner Print Date