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Home My WebLink AboutApplicationGurfield County R.E C Ë ¡\ff pmunity Development Department 108 8th Street, Suite 401 ,'';ri'' .-,,îi5,iFlRf,?,ïfffi BUILDING PERMIT APPLICATION Com mercial/Multi- Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwel Unit - MAXTMUM S|ZE OF 1,000 SQUARE FEET PARTIES Property Owner: Mailing Address: Email Address: Phone: 6otb* /s Describe Work: Phone: þ 33Contractor: Co ctMailing Address: Email Address: Phone: t t Architect: Mailing Address Email Address: Phone:fl7o t t^)+tW trz I Engineer: Mailing Address EmailAddress: .irhnoâ Sqfh - ìnc,hm Phone: PROJECT DETAIIS Manufactu red Home lnstaller: Mailing Address: Email Address: \New Attached Detached Job Address:b Ò Assessol's Parcel Number:3 39St¡t{ot oJt sub. T¿\\cr Çnvqe rot I I Bbck- 0 Owne/s Valuation Sq. Ft. of Building: Class of Work: Height:2ô' of Work:4{0 mo 7qçu Property Size (Sq. Ft. or Acres): l,n .187 Garage: Remodel/Alteration #of Addition I pn-o¡rcr oeiÀr È coñnñùso ISepticCommunity of Heat:Natural Gas Propane Electric Other Driveway Pe¡pftl Permit #: 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. LesalAccess. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor 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 perrnit 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 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 designer, engineer and/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required ich is correct and accurate to the best of my knowledge. 08 0 2 ö7t Property Owner Print nd Date oFFrclAL USE ONLY Pd ôE? LL.st cKdl I rZ 3 LI R, tu4FtevÌ Special Conditions: Adjusted Valuation:nç 2lb PIE¡4 Check Fee: 1 22. ãg Permit Fee: )4/q. 31 Home Fee: /s Manu. N Misc. Fees:. Q t4-14 Total Fees: I 234'. I3 Fees Paid $ 1¿a,st Balance Due: /4tq. 3s BP No: Bun€-1ozs OWTS No: (o¡rq eN trY Setbacks:OCC Group: tßc Const, Type: ^. llLC Zoning: R.u R,4 L BUTLDtNG / PLANNTNG DTVTSTON : g jq-zÇ''-l Date Garfield County BUILDING DEPARTMENT 108 Eighth Street Suite 407, Glenwood Spr¡ngs, CO 81601 Tel: (970) 94s-8212 PLAN REVIE W CHECK L rsT Permit No:b'nf 7ot6 Building lssues Planning/Zoning lssues Engineered Foundation Permit Surveyed Site Plan Septic Permit and Setbac ù.r l/, A xgtlw*?Ð,L lan Review List Property Line Setbacks 30 ft. Stream Setbacks Frood Ptain q FJ-rÐ Cr+z' Building Height ¿ P Oo(¿- å3Lae Q.,O- \^4 re 30% ivision Plat Notes Department Review ation Determination/ Fees ne Plans/ Stamps/ Sticker h Conditions n Signed Zon Sign-Off d lmpact Fees Grade/ Topography 40% Planning lssues sion Platu Plan Parcel/ Sched r to Sign APPlication ule No.e¿ û+r I ?Yò t¿ Ç¡.lÐrc1', lbLr 0þ, 70Ð z31b ç lTs, zlç 3Lz 40# Snowload Letter - Manu' Homes ,/ '/soils Report /8