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HomeMy WebLinkAboutApplicationGørfield County Com munity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 19701945-82L2 www.ga rfield-countv.com BUILÐING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercia l/M ulti-Family Demolition Manufactured Home (Single or Multi-Level) h<¿'Residential (SF, Duplex or Townhome)Reroof Accessorv Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET rNvowED ES t/t S' I (urn, Phone:3t7 _QilV4Property Owner: Mailing Address: Email Address: ê 7o él e C aPhone: /¿ø Contractor: Mailing Address: Email Address: IL ¿4 S A l¿Li )Çt '>èÒ4t¿r -Arch¡tect: Mailing Address: Email Address: OûPhone:løaEngineer: Mailing Address: Email Address: Phone Email Addressr Manufactured Home lnstaller: Mailing Address: PROJECÍ DETAIIS JobAddress: l-i3D. CAt urcc¡rTe iZA¡.lCË pR. c*eaoNp¡L€ Describe Work: 'Rorrh, Lot qA #of zvqS LT.7-o â trCr Í Property Size (Sq. Ft. or Acres):q.234ð¡of Work: Height:1t1z- Assessor's Parcel Number: sub. êa lL (o/lt I Block - Owner's Valuation Sq. Ft. of Building: Ì Remodel/Alteration AdditionClass of Work:New Garage:Attached Detached PROJECT DETAITS CONTINUED I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have ts and accurate to the best of my knowledge. /¿ t^A/ Property Owner Date CommunitySeptic: Propane Electric OtherType of Heat:Natural Gas Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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. Mult¡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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. Permit #: NOTICE ptDriveway Permit: 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 perm¡ssion to the Building Division to enter the property, described above, to ¡nspect 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 Appl¡cation, 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 OFFICIAI UsE ONLY -"¿, f r, ¿*(' .14 cc \ofoç/Zèrt ç$-.- Special Conditions: Manu. Home Fee: r.¡ lrt r.i";il,oqø.07Plan Check Feelgl. L4b 7+ Permit Fee:óz-63s./5Adiusted Valuation:-. '6e Y+.1/,Ð,î¿ 'êi,'à"ä2,"n BP No: råLR€"-'! I h¿. OWTS No: .s€TÞ1-- 1r("!Total Feesí #4^t9n,6{ Feãs Paid { lr ¿'q ü .q-t Zoning: Ê*ufa.At* Const. Type: lR.(.k_ Setbacks: ô OCC Group: tß( &æ"*%,rffi-BUITDING / PLANNING DIVISION : Signed Approval Date Gørfield County BUILDING DEPARTMENT 1,08 Eighth Streel suite 407, Glenwood Springs, CO 81601 Tel: (970) 94s-82L2 PLAN REVI EW CHECKLI ST perm it ¡,to: € LRE-/2 - 4 ^ 7/êô Building lssues Engineered Foundation Pla n n i ng lZoning lssues Property Line Setbacks Surveyed Site Plan Septic Permit and Setbacks Þ/' Grade/ToPograPhY3o% Attach Residential Plan Review List t/ subdivision Plat Notes Y æ Fire DePartment Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions *emÈ"riveway Permit La N fr t/ subdivision Plat 8 3s32¿r723?2t)7gl7t3 Description & SummarV: NA NA ØNÞ Þ/ ^^ L ıL-- -- a^rL^-1.JU îi. 5tream 5etþacKs Flood Plain Building Height oning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues i II .t I Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report K+Are Po r, oW h,rle RrrþlalyaruQ)=fzrneuz FLS {tzz x U,68 = 9/t lb4, ¡¿ oraul/ 7b7y /g = /+g{2_cjar ?îr r 32 = aL ?aF ê P/4 /1/ x /9 > 5/ l3g + uLp///s/ y /z = t4B/z ëe215á0,?b : hæp* ts rE /- t/ a!ÞsÞ/ but?'/rio7 ta/uaoÇ'a4-