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Home My WebLink AboutApplication>bt- ulZ=â r¡-¿^; sËjri oHJ> l¡J l- : r Ë= t ú,=<=(9E ou ¡ ¡¡Jol¡lÉ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82t2 www.ga rfi eld-countv.com Gørfield County BUILDING PERM¡T APPLICATION D3TYPE OI CONSTRUCÍION Commercial/M ulti-Family Demolition Manufactured Home (Single or Multi-Level) Þ Íesidential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET ¡NVOIVED PARTIE Property Owner: Mailing Address: ü 3Ãn4vÚL ,Phone:(qho) 3t q - 86v7 -þ+q P,o ¡3Ø( eçL g,lt eJ), 8/G-te Email Address:&t)u q t contractor: \4¡aÉ *-< (Lttvl Phone: Mailing Address Email Address: Arch¡tect: 9A t'46 tg ALr¡vé Phone: f I Mailing Address: Email Address: Engineer:phone: ßWt Arll-0q00 Mailing Address: Email Address: Manufactured Home lnstaller:Phone Mailing Address: Email Address: PROJECT DETAITS Describework: NÚd 3t¡,¡bLe l*¡ailu êeSt Dé:PuÉ robAddress¡ ß.t'tz Y\ìuort SOßoturìg!¡¿ lot ttl 7RÞ e nrnrp Ø) Assessor's Parcel Number: R &tlfP éÞ ¡ll,nt¡)ê SubÐt v is¡oJ pl t+t Æ-fztçcrJeÞ, sut. Avt z tl/lì¡¿of, it¿ßlv¿ì<,6^Àot / Block- Owner's Valuation of Work:ts ù Property Size (Sq. Ft. or Acres):q,?y9 Sq. Ft. of Building:lt V08 Height: l l '- to" s of Froors .4-<ñ, Class of Work:w-Remodel/Alteration Addition Garage:Detached qqB -8226 ?t s,lr cP, g,t Gtz PROJECÍ DETAITS UED Sept¡c:Community rmit #: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of 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. 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 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 Build¡ng 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 er 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. lþ-".? (-./ Print and Sign AL * ()ú *Jl Date 11, Electric OtherType of Heat:Natural Gas pane >x.il.'tDriveway Permit: Exempt a 821.1ùt cc ëb/o1/zoz-roFFrc|At usE oNrY ?d Special Conditions: Permit Fee:í/,44V,35 Manu. Home Fee:*/x Misc. Fees: - 'RIFß"øÐt=$t;lPlan Check Fee: #q40,'78 BP No: BLRE. 6813 OWTS Ño: "t s€pr - g&q+i"öäîl'rr tiw:å: nTotal Fáes: {z3gß, t3 Const. Type3 lôc- Zoning: ÈuÊAL t"'oËl¿-OCC Group:tÈr b-2441BUttDtNG / PIANNING DIVISION Signed Approval LØr-., Dete vz Gørfteld County BUILDING DEPARTMENT L08 Eighth Street, Suite 407,olenwood Springs, CO 87601 Tel: (970) 945-8272 PLAN REVI EW CHEC KLIST Permit No: t3LRE-Oh2l- 6Ø ?.7 Building lssues t/ (r/ (,/ Plan n ing / Zoning lssues 6RDbÐd?_ ftPf:þtÇ(teptic perm it a nd setbacks r./-Grade/ Topography 30% þok*9) Attach Residential Plan Review List vEb / tuoarvision Plat Notes Engineered Foundation Driveway Permit Surveyed Site Plan 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 l-- rend YÞ /- tl Property Line Setbacks 30ft.Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat tvt+ / {/ qæ6sf-l Description & S¡.rmrnarv: Kl tr (s,ø,Þ)6bzzt u/ soits Reporr æ\leù oryhtl¿rqniyd t1ØFP t' trtÉ c qoJl "lø t108x74,bï=+ìryfiJ,W 58Øx 3z=þ ñb6b,Ø l4lo x l( =¡ à,øze,æ crafll nog X tg =+50,7++,m a{uoledbuild¡ryud,,el tryLØ,t14 NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf determined by the Building Official that additional information is necessary to review the application 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 lmpact 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. (Final/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. É€a¿ 8,.> ì z- er Print and Sign ob-a6- Ål Date