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Home My WebLink AboutApplicationGarfield County BUILDING PERMIT APPLICATIONCommunity Development Department 108 8th Street, Suite 401. Glenwood Springs, CO 81601 l970l94s-82t2 www.garfield-countv.com \\t\\s?$\1 E Commercial/Multi-Family l--l Demolition E Manufactured Home (Single or Multi-Level) ìFþ Residential (SF, Duplex or Townhome)fl Reroof Property Owner: Mailing Address: Email Address: a I ê rî?cs L5 ÞeÉ,ror $,u¡sÇ Doß) Zj (ı VÁtAoo.¿or-.\- Phone:3or '- 3q 8b Phone:Contractor: Mailing Address: Email Address: Phone: ( ) Email Address: MailingAddress: Architect: .r'! p N IJ\ Phone: Mailing Address: Email Address: Engineer: Describeworn 2A' x 4ö' g¡^oP l7' uJA¡-LS 5 fl t.øeç Phone AAJ t e.L Iot Height:Sq. Ft. of Building:gÞo 5,1', ((*7 ? lq"öcröOwne/s Valuation of Work: tJl Block f of Floors: I PropertySize (Sq. Ft. orAcres) Sub. Manufactured Home lnstaller: Assessol's Parcel Number: Job Address: Mailing Address: Email Address: Class of Work:E("," llJAlteration l-J Rdd¡t¡on ll Repair | | Move/Relocation Garage:!Rttached flDetached Community PROJECf DETAII.s CONTINU ED Septic:OWTS Type of Heat:Natural Gas ll Propane Electric l_lo*rer I lrxempt ll Permit #:Driveway Perm¡t: NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, 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. 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days 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 Bu¡lding 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 d e neer an 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. 1)o¿t"-* Property Owner Print and Sign rÞ )oru 'L " 2ør¡ Date OFFICIAI- USE ONIY Special Conditions: Plan Check Fee4 %ôo.ryt Perm¡t Fee:443t.b5 Manu home Fee:Misc Fees:Adiusted Valuation:4 2ø,Ooo.æ Balance Due:øØ<.+tTotal Fees: Q7 t2.zz Fees Paid: -lrk Kl BP Nol ..- À ^Ttk(.'Hrvt OWTS No:T_ Setbacks: FlF"2þ,1= lo oCCGroup: IRC ConstType: IRC Zoning:? BUTLDTNG / Pr-ANNTNG DTVISTON Signed Approval Date \rï'g\ , L'\T Courtfy Buildins.l Zonins.Plan Review Checklist Permit Number:lTçe'o{c'11- 414 Buildine ry*nt?Planni Zoni Property Line Setbacks 30 ft. Stream SetbacksDriveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review '/ Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APP|ication Parcel/Schedule No. f/A 40#snowload Letter-Manu. Homes X soils Report Engi neered Foundati N/^N/A N/a Flood Plain Building Height / Zoning Sign-off tlA NA Road lmpact Fees '/ Grade/ Topography 40% Planning lssues Subdivision Plat General Comments: Øk ?avn/Gatuq*: þx þO = lftØ * Valw*'on 'I)2æ/921.=426pØ. fu^À ^ør¡ fas,'"-N/Ã fu-^* WtaH¿ 4F)