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HomeMy WebLinkAboutApplication>EFurz.= sË OHJ> r¡J t l!=lÉ.2, óã ffNsR ûcDo"*UJ æ.É"ä Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82L2 www.sarf¡eld-countv.com Garficld County BUILDING PERMIT APPLICATION @ DemolitionCommercial/Multi-Fami ly Manufactured Home (Sinele or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Áccessory Dwelline Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET I I ¡f 'ì !ll r, ir.í¡l ¡\ l-: jt I I l{ il f r li r i [ "l r.) r ù v h.n-ro ete Leo. cÐA ,lt (^i^bo/Phone: t'l?o,l 4'tt - f 7''{â. Email Address: (tv¿s:/t- (o ç16f," Property Owner: Mailing Address: Mailing Address: Email Address: Phone: (_)Contractor: )l{¿., sþon c. B-t,'. S, p e lv ,'LL(Phone: ( )Architect: Mailing Address: Email Address: Engineer: Phone: Mailing Address: Email Address: Mailing Address: Email Address: ,. Describe Work: s; lfft /ø ^fl t gò A c) d of Phone:( eI A-?3.f lcsf o l0 Property Size (Sq. Ft. or Acres):It x 4'(' 2.el kt Manufactured Home lnstaller: owner's Valuation of Work: Sub. Assessol's Parcel Number: Job Address: sq. Ft. of Buildlng: 'S ? f, S*1 Heisht: Lot I cl Btock X Remodel/Altérãtión AdditionClass of Work:New (DetachedAttachedGarage CommunitySeptic:k OtherPropane Ä/A El ectricType of Heat:llNaturalGas Driveway Permit: Permit #: 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. 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 Division. Other Perm¡ts. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property ident¡fied 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. 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 (2l'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 er ran 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. Property Owner Pri and ¿/ - /l- zo ax Date see a#â úed e2/1/b / ryAlLqSpecial Conditions: *""ñ7ftPermit Fee: . -612,v5 Manu. Home Fee:u/eAdiusted Valuation:- .zt- çb4.oo Plan Check Fce: à33.o? OWTS Ño: ¡,1/t Balance Due: -6tZ,F BP No: Bt Æ-71boTota'-;Vs:,rl Fees Paid: *33r,oz Zoning:R,un¡lConst. Type: l. R.C . Setbacks:oCC Group: I pC 5-A-22BUILDING / PLANNING DIVISION : Signed Approval Date ,M Gørfield CounQ BUILDING DEPARTMENT 708 E¡ghth Street, Suíte 407, Glenwood Springs, CO 81607 Tel: (970) 945-8272 PLAN REV IEW c HECKLIST Permit xot B LRF-O4-22-746O Building lssues 7f/CI A eå,naÅle-d cu:rt¿r 5^//-ZZ- o€F." 5bucløre u5e4 Pl a n n i ng / Toning lssues Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit 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 Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manu' Homes soirs Report O/41-úA/A Property Line Setbacks 3û ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees N/4 rsvhx Z+j sEgbr/,ôo Grade/ Topography 40% ning lssues Subdivision Plat Ðescri ntion & Su nìtnarv: 7 adlhokl br,//rQ " lno/aa.hin Pn'vale l,lþ ?rltbonufreerp/a*teþ hlà SJorq îÐ 0rl