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HomeMy WebLinkAboutApplicationGarfield County>uFLUz= .i 8üí:it O HJ> r,u h .' l¡-a)'. :. É,:p<F L9 ì-: flu¡ tuo UJ É, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (s7ol e4s-82L2 www.ga rfield-cou ntv.com Commercial/M u lti-Fami Demolition Dwell Unit . MAXIMUM SIZE OF 1,OOO SQUARE FEET Property o*n.rr,fl/i(o + llãssìra R ee Phone: tQl0 I 37q - /,,f5 O Í grùo:"sùa _-Ç83- Mailing Address: Email Address: s I I Contractor:"/Y:ko P,, o Phone::? r?-dgsô Mailing Address: Email Address: 6ut A-CL ftQut-o.s4 f cs u)es f o 'L¿. qef Architect:Phone: €lO I l9q -SøS y Mailing Address: Email Address: Engineer:Yte{tllï tw4-osno Mailing Address: EmailAddress: Manufactured Home lnstaller:Phone: I Mailing Address: Email Address: Describe workr 3 t kÇo twt ncsì+e4f ù 6,!- ho,-n e.- S Job Address:.rl Assessor's Parcel Number: I3I f /ô,ô9o 75 Sub.øt 75 Brock-- Owner's Valuation of Work: $Property Size (Sq. Ft. or Acres): Jz-ù/--oç¡es Sq. Ft. of Building:Height: Class of Work Addition t ( a Residential or TownhomF, DU nufactured Home eor Reroof rl Garage: 0 a- Remodel/Alteration #of Detached DETAIIS CONTINUED Community Type of Heat:atural Gas Propane Electric Other Driveway Permit: mpt NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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. ln 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 e neer a 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. 5-- /7 -2t Property Owner Print and Sign Date Permit # OFFICIAL USE ON[Y Special Conditions: Adiusted Valuation:*iqry,aÐ og Plan Check Fee: 6l"zqz,8b Permit Fee:i t-QQO,6-6 Manu. Home Fee: ¡t/; Misc. Fees:. Rltr= $1.399,70 Total Fóes: Ç s^zgLlH Fees Paid: $ ¡er s.t¿ Balance Due: +Lqqr)"56 BP No: BLfae - oSt l OWTS No: Cor'tuv N lly Const. Type: tl¿3 Zoning:?uÞSetbacks:¡ . . .ü)ndtt0n OCC Group: taß BUILDING / PTANNING DIVISION Signed Approval Date {,-?-21 Garfield County BUILDING DEPARTMENT 108 Eighth Street, su¡te 407, Glenwood Spríngs' CO 81607 Tel: (970) 945-8212 P N REVIE W CHE CKLIST permit no: ßLRl- 0l- 2l - bøb I Pl a n n i ng I Zoning lssues aNr ues Engineered Foundation r Ñ4.- se ptic Permit and Setbacks Pt+ + Bui e ,üA ,r/ l. t- t/ N k sl,lelJer- ¡(-zoÐ)AIA Ftood Plain t/ IIJft Property Line Setbacks 30 ft. Stream Setbacks Building Height Zoning Sign-Off Road lmpact Fe þel.,Vtrtv) NA Grade/ropography 30% SW L./Attach Residential Plan Review List^ 360bs,1, subdivision ptat Notes e <fbO0fl) Fire Department Review fl0T,9, Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions t/N k Grade/ Topography 40% r/ Planning lssues Subdivision Plat 746q?5 Description & Summarv:Application Signed Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter - Manu. 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