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Home My WebLink AboutApplicationGørfteld County -F-z :='r (Ljg .ulJ> ^ ¡l¡JÕJ>uJt -2U-=ú,=<EOE fl IU l¡¡() l¡lÉ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 94s-8212 www.garfield-cou ntv.com Manufactured Home lnstaller: Phone: PROJECT DETAII.S Mailing Address: Email Address: Describe Work: Job Address:3o Assessor's Parcel Number:2 4o7- os4- oo- Sub.Lot Þ b,^tl fu' o Block _ owne/sValuation of Work: 5 Zæ/N,@O Propertysize (Sq. Ft. orAcres): 37 ac re<, 5q. Ft. of Building:loæ Height:7ô #ofF Class of Work:ew ¡tion BUILDING PERMIT APPLICATION ÞlTYPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home (single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Dwell Unit (ADU)- MAXIMUM SIZE OF 1,OOO SQUARE FEET |Î.¡\TOwED PAßTIES /L Ceut I Phone:fl7o t74B'lzsç Email Address: Property Owner: Mailing Address: Caat4 Contractor:/'( o I ?.-)*" Mailing Address: Email Address: Phone: n?O 1148- nS{ lQt Ð Phone: t1þ l3 - SozoArchitect: Mailing Address: Email Address: S+.,^c+n ¿S o Engineer:5;lr".T^n Phone: t77O I 1l6q Mailing Address: Email Address: Garage:Attached Remodel/Alteration Detached i PROJECT DETAITS CONT¡NUED - - -..-t Septic:Community Type of Heat:atural Gas Propane Electric Other Driveway Permit: Exempt NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelow¡snotthatoftheOwner,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. CERTlFICATION 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. Assumíng completeness of the submittals and approval of tl'ris 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 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 (21stopping 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 ,en 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. Property Owner Print and Sign Date X[Permit #: æ OFFICIAL USE ONtY Al .f!o¿l !F cc ssy'oat Special Conditions: Adiusted Valuation:- 4202. bØ.æ Plan Check Fee: þt.a?I.øb 'ïi'àV¿,øs Manu. Home Fee N/* Misc. Fees: ¡räi?is,s.>)= #4 Total Fóes: +L,,nql,4l $î'6i..t nce Due:06 BP No: -8rß6- CEEz OWTS No: sEpr - CEs 3 Setbac(s: .OL OCC 6roup:Í.QC. t Const. Type:'1(2(-Zoning: ? uo b,hru ß4PzlBUITDING / PTANNING DIVISION : Signed Approval Date l" Garfield County BUILDING DEPARfiMENT 108 E¡ghth Street, Suite 407, Glenwood Springs, CO 87601 Tel: (970) 945-8212 PLAN REVIE WC HECKLIST Permit ¡,to: SLRF-ô5-2/ -Ø52- clZrT-Ol-Zl-æ53 Building lssues rrj+ Engineered Foundation Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Planning/Zoning lssues LÞR t/ t- Property L¡ne 30 ft. Stream Setbacks Flood Plain Building Height ''/ Zoning Sign-off Road rmpact Fees YE5 l/ Grad e/ Topography ao% /4 t/Planning lssues Subdivision Plat Description & Summarv: 4, Drivewav Permit ØRFZI -Þ4qru7ilfl6-/-2/ Surveyed Site Plan yFS Septic permit and setback' CO/{D ,/ Grade/Topogrqphy 30% y'4 ./ P49a/s r10a€ ta Attach Residential Plan Review List Red Line Plans/ Stamps/ Sticker t I Attach conditions ? 'f?f!/e/ sta/ r ftg,dØØ t/ soits Report ^il: burláh7 ra/ue =#Uz bw,oo Application Signed plan Reviewer to Sign Application f¿5, Parcel/ Schedule No. / Und ^ 4o# snowload Letter- Manu. Wù ww7 loaasfx U, A6= {21 bil,oo f,,oahdI x . 32, = i I ZKt7Ø,0o = $qgu,gL f'H:w-vrlt IRevi*eÅ,Kffiúf:*. Reæ i ved leller {nm owner e*rq"essi ry pri/ y^2 sidpa&, + pnrv ak' lya3e hobb4 aruu Ð KtF(s,B,b) : Gørrteld County Publìc Heulth 195 w. 14tr street Rifle, CO 81650 p7al62s-szaa 2014 Blake Avenue Glenwood Springs, CO 81601 lpTals4s-66L4 OWTS PERMIT APPIICATION TVPE OF SYSTEM COilSTßU€TION E[ New lnstallatÍon BUITD'NG USAGETYPE E Dwelling t Transient üse fl Comm./lndustrial Was an effort made to connect to the Community Sewe¡ System;Yr,s t-F {"pr!' f n- ñãn-oomettic E Other Describe tqzà lidA: t1!< Emaif Addres¡: MaillngAddress:7o. tsø,t EmallAddres¡: t1'7ö t745-S?¿s;Z s#.al MailingAddress: Emall Addres¡:¿ler;r6-shU--?aw PRO'ECT IOCAT¡OII A¡t¡Þ DESCR¡gIION Job Add¡e¡sl Assesso/s Parcel z Building or Service Wp"rßdSiÅen+|oll *Bedrooms: Z GarbageDlsposallvl$-L - Ir¡stance to tìlearest Comr¡uniry Sewer System:5¿¡r I l¡s Potable Water Source & Type Well Sprlng El Stream or cre€k E Cl¡tern Wðter Syitem Name Garfield County Public Health Ðepartment - working to promote health and prevent disease CERTIFICATION _--l I Aopficant acknowledges that the completeness of the application is condítional upon such further,, ;i#Ëröää-;äã¡iî*uiË:is ãna réports as may.be r'ebuired by thelocal health department to be rnade and furnished ov tîËãäıliJá-"i ã?-uv *'ç roãál rtãair'Ë-¿epariment foi puipose of the evaluation of liËä;ìËriËil;;ã rti"Ë;í'il;äIiñ4 pår".r''J is subiecr to srich terms and conditions as deemed necessarv to inrure .o,¡pi'',å',üä*it¡'il-rÄr unã-reeulãiloÀs rnade,.information and reports submitted ffi!ff.îi,'#JËq¡î"ã tåiT rî¡'fñi"ã Uv itre aþËticant are or will be represented to be true and corecr to the best ø,írri=oir¡ã-åää'ãi,¿ '¡åriãränd aie designed ts be rél¡ed on bv the local deparrmenr of hearth in'"îäi,iåliñäihã same ror Ëurposãrãi¡lluiñe tt'e.permit appÍ¡e.d Íqr herein' I ;';{ftî'ñå;;itäiäïÉàt ;;; iJ;iiì;"Ïi"n s¡ ¡¡¡5¡sþreientãtion may-resurt in the denial of the aoorication or revocat¡ono#åï;'åämid;ätä hñ.Ëd ulon sai¿ a'pplication and legal actionlor perjurv ai þrovided bY law. I hereby acknowledge that I have read and understand the Notice and Certiffcation above as well as haue provided the requlred fnformation which is correct and âccufãte to the best of my knowledge' f/,t/zaz t Property Owner Print and Sign Date ee-LOFFICIAT USE ONLY ?1. Speclãl Cond¡t¡ons: Fees Pafd:* t¿3.sTotal Fees: $le oöPermft Feei ttt,9,sg Balancê Due:tlssued-¿ oWTSPêrmit: 5€?T -ç'sßBuilding Permit fsrPE- Slgned APProval Garfleld County Public Health D€pãrtment: Dete r<tr c)7/41i,q ri,r:,.,ir,',.i