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HomeMy WebLinkAboutApplicationGarfi,eld County>iFlrl2Z 8doHJ>- I¡J L -2l.l- -É,=<=o3 Ê ;.:l¡l r::'1;ì E r,ri. o t::'" lll .:) É, 9,,rr1r-'\ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 8L601 (970194s-82L2 www.garfield-cou ntv.com Accesso Dwell Unit (ADU)- MAXIMUM slzE oF s FEET Com mercial/Multi-Family Demolition Manufactured Home (Sinele or Multi-Level) Residential (SF, Duplex or Townhome)Reroof ¡rtlflrt vEI, rÊtfrItcat property owner: Êlþt:gtl t* ts t+t.t l+A ¡l f l ,4 p't lPhone: tfr2-l 3"7 f - 7/ c-> 7 ,a _5 gt k¡ Mailing Address l-le^ u^,¿rdt é Emaíl Address:l.(o tondcì() J ( ù VlartI ¿ù [¿ 5crF Phone¡ ( )Contractor: Mailing Address Email Address: #rÊ Phone: I )Architect: Mailing Address Email Address: fza .LL (¿/ ,;-r I '7 7o r'r"'¿t-']n 5 @e¿ 'r 5, t , PhoneEngineen . 'lC, tu) \Mailing Address Email Address: Phone: (_)Manufactured Home Installer: Mailing Address Ernail Address: e Ç g'' g c:" FrDescribe Work: fiM< Le Job Address: - 3S I ca Glenwoo.( S f tf\t Assessor's Parcel Number:73qs oî Òo Ò6 ì fCÚ-¿ 816ô I Block _ Property Size (Sq. Ft. or Acresf /,89 fr¿ # of Floors: Z Sub. Owner's Valuation of Work: 5q. Ft. of Building: Class of Work Lot 9eô t, Addition \/ Garage:Attached htl emodel/Alteration Detached Septlc:Comrnunity SltaturalGas Propane cIÍ*¡l".tri OtherType of Heat: Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, 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 perm¡ts may be required: (1) State Electrical Perm¡t, (2) County OWTS Permit, (3) another permít 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 commeRcement. 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 Applicat¡on, along with the plans and specifications and other data submitted by me oron 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 regulatíons (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 lssuance 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) íf 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 authorízed agents, including without limitation my architect Perrnit #:Driveway ffthesignaturstelo\/ is notlhat ofthe O$¡ner, I,neer and/ or builderd - I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required which and accurate to the best of my knowledge. 1?- Property and Sign Date ôo Soecial Conditions:rPeçra'Lunqrrr"rrs; see a\Laúecl tNÞtnoA/S 0F pEKrnlT Adiusted Valuation:tzaLloó,lb Plan Check Fee:ffitz.w Permit Fee:, -#ßz,tb Manu. Home Fee: ¡tlx Misc. Fees: Rtvø-rz> öt,qfl Total Fees: #zQs.55 Fees Paid:t lr1,et Balance Due: r ö tovv,Tr BP No: BLß¡€-12.6a OWTS No: 9,"T-1ú+ Const. Type: r. ß.c, Zoningr alsSetbacks:NIA OCC Groupr t. fe.c, t-4-ZaZlBUIIDING / PLANNINC DIVISION : Signed Approval I , Date Garfield Coanty BUILDING DEPARTMENT 708 Eighth Street, Suite 407, Glenwood Spr¡ngs, CO 87607 Tel: (970) 945-8212 PLAN R EVI EW HEC LI T Permit Noz &JzE=- fuZl-7Zbz Building lssues 4ttuahtus b flør a'ô"te t/Eneineered Foundationàr,*/ K"t/ar/ef/er Driveúav Permitä;tþri;|È'M'zØ'/7 Surveyed 9lte Plan Septic Permit and Setbacks Grade/ ToPograPhY 30% Rttach Residential Plan Review List V Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditionstf Pla n n ing I Zoning lssues ,/Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Grade/ TopographY 40% Planning lssues Subdivision Plat RoadrmpactFees WØ>U) tn mtw vbowÅ,ç -âeeaørrr Descri otion & Sum marv: r jis¡btÞ êtßtr-648'æy? t/ þ. 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