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Home My WebLink AboutApplicationGørftcld County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 lsTore4s-82L2 www.garfield-countv.com BUILDING PERMIT APPLICATION I Com mercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) ><Residential (SF, Duplex or Townhome)Reroof Accessory Dwellíng Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET Phone: tlz2 ¡ 6t8. gZç8 ¿ Â lv/l^ft .Sfl"-c o EmailAddress: Property Owner: Mailing Address: O'J Yt-ê-f PhoneContractor: Mailing Address: EmailAddress: Architect: Phone: Mailing Address: EmailAddress: ¡to I t Phone:(9Zo¡i¿s - I6qsEngineer: Mailing Address: Email Address Assessor's Parcef Number: 239f(917 I 0CIO l fLtr*, A¡/f PU fi rot 5 Brock- Phone: (_) ì*1"I êt4Describe Work: a3¿'Lo: l¿ r 3ô,774 o-f o Height: Owner's Valuation of Work: $ ¿ I aclu- Manufactured Home lnstaller: Property Size (Sq. Ft. or Acres): 17'-(""Sq. Ft. of Building:1Äo Sub. í fQJJob Address: Mailing Address: Email Address: # of Floors: / xClass of Work:New Remodel/Alteration Addition Garage:ched (Detached PROJECT DETAITS CONTINUED Septic Community Type of Heat: RNaturalGas Propane Electric Other Driveway Permit:lRrxemot Permit # NOTICE Authority. This application for a Building Permit must be signed bythe 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. leqal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Divisíon. 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 1"80 days after commencement. CERT¡FICATION 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 (subm¡ttals), 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 land 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 information which is correct and accurate to the best of my knowledge. z0¿,2- Property Owner Print and Sign Date oFFrcrArusEoNr.y ?^r¡. 1 Tqs,lo c,c. oE/o¿/¿ozz-p*> Special Conditions: 6ee abbaM, ØN>lflOMS Adiusted Valuation:3l,Z20,oo Plan Check Fee: 4q.qb Permit Fee:ü4r.25 Manu. Home Fee:x/r Mísc, Fees: N/A Total Éees: ø12,2t Fees Paid: * zqg,lD Balance Due:. 5lB, 5t BP No: BL[.E 13b7 OWTS No: sePl-?s10 Setbacks: ù)NT>. OCC Group:l, R. C Const. Type: l. E_. <. Zoning: P.U. D. Ul',e'Ü'LL Date BUtLDtNG / PLANNING DIVISTON : Signed Approval Garfield County BUILDNG DEPARTMENT 108 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 8L601 Tel: (970) 945-8272 PL^AN REVIEW CHECKLIST Permit No: 6tXg -0ð-2-reb1 Building lssues -/ EngineeredFoundation ñn Planning/Zoning lssues Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat solzLtl Girr" nq7) ,t Description & Summa NADriveway Permit Surveyed Site Plano32--73@ ptic ermit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List ,- Subdivision Plat Notes Fire Department Review Valuation Determ ination/ Fees Red Line Plans/ Stamps/ Sticker Atrach Conditions cÐü\d OU!T=¡ Application NA Soils 4.r4 Plan Reviewer to Sign Application Parcel/ Schedule No. C ' QJ 40# Snowload Letter - Manu. Homes ^r. î øo sf x 32 ={ Øt72n,oô crld wt{xlT= 3/bæ,æ #3t 32o,oa r{A a Scope tbelached workelvpftoil*/ w0 ho 9û6 boíle7 I lranþ