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HomeMy WebLinkAboutApplicationGurfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 www.garfield-cou ntv.com BUILDING PERM¡T APPLICATION WPE OF CONSTRUCT¡ON Commercial/Multi-Family Demolit¡on Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PART¡ES t dtw \þ Phone:812,"t14-xöon Email Address: Property Owner: Mailing Address: ?t1 .Phone:{oTr0 0 0 Contractor: Mailing Address: Email Address: Cht t\ L a@ Phone: rîft ) ?0 q:Ú&72- Arch¡tect: Mailing Address: Email Address: Phone:t?'i1, M- 0b?4Engineer: Mailing Address: Email Address: PhoneManufactured Home Installer: Mailing Address: Email Address: PROJECT DETAITS $z \.as kc U,ùJ,l d\f\ 23q50\¿0 \m3 Work: tE7 Z9Ð-,82- Property size (sq. Ft. or Acres): f of Floors zIr ¡-ot 3 Btock Owner's Valuation of Work: Sub. Assessor's Parcel Number: Job Address: sq. Ft. or Buirding: 40tZ . 00 Height:22\ - (AdditionNewftflemodel/Alteration ìClass of Work: DetachedGarage:Attached v 0e p0l/0ñeà \ Septic: OtherElectricPropane PROJECT DËTAIIS CONTINUED Community Natural GasType of Heat: ExemptDriveway Permit: 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 ¡nspections by the Building Division. Other permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (gþnot¡ìer permit required for use on the property ¡dentified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Perm¡t. Voidpermit. ABuildingpermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. Permit #: NOTICE AuthoriW, This application for a Building Permit must be or an authorized agent. lf the signature below ¡s not that signed by the Owner of the property, described above, of the Owner, a separate letter of authority, signed by CERTIFICATION nd that the information contained above is true and correct. I 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 Perm¡t 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 Bu¡ld¡ng 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 submìttals, and inspections of the work by the Building Division do not const¡tute 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 limÌtation my architect I hereby certify that I have read this Application a understand that the Building Division accepts the d neer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the requi red information which is correct and accurate to the best of my knowledge. 2L Property Owner Pr¡nt and S¡gn Date Misc.Manu. H Fee: ôæ âþtzôl4e/ØN> .2t c.c.tD. 66 I ffta\l< z7è ?-OFFICIAT USE ONLY Special Cogd'ffiat' BP No: 1 ñ ce Due:5sIii'¿li:r' Zon sConst. ïype: r. B. C. OCC Group 8lTotal L 0tùr44tBUTtDING / PLANNIN6 DIVISION Signed Approval Date Gør.fteld County BUILDING ÐEPARTMENT 108 E¡ghth Street, Suite 401, Glenwood Spr¡ngs, CO 81601 Tel: (970) 94s-8272 PLAN REVI E W CHECKL rsT OLRh06-22-760/Permit No: Building lssues -/ EngineeredFoundation Planning /Zoning lssues t eØtoriveway Permit -k surveyed site Plan Ø ,"rr(Æ^dsetbacks W;7 -/ Þ/ / N/A -/ Property Line Setbacks Zoning Sign-Off Planning lssues Subdivision Plat 3û ft. Stream Setbacks Flood Plain aM a/''t''ørV'-""'å);f-W"fþr* Building Height Grade/ TopograPhY 30% -r'- Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Red Line Plans/ StamPs/ Sticker Attach conditions pr ínf Application Signed Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter - Manu' Homes Soils Report u Road lmoact Fees r . <6a2u* tv,tntr7zþrs Grade/ T(pographV 40% a?77Ø Descri otion & Su mmarv: âubmt,tle/ valnah'tz^itgT z/a,62^