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HomeMy WebLinkAboutApplicationGar.field County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (s7ol94s-8212 www.garf ield-cou nty.com TYPE OF CONSTRUCTION Commercial/M ulti-Family Manufactured Home (Single or Multi-Level (,r'\ il i ) iEo emolition Reroofidential(SF, Duplex or Townhome) Accessory Dwel!!ng U¡j! (nOUl wt,AxllvlUM Sl4E OF 1,000 SQUARE FEET BUILDING PERMIT APPLICATION INVOTVED PARTIES Property Owner: Mailing Address: Email Address r^ f,7 Phone:rl7ot ?êS*6/þ o a s/6 5 r ^v oç contractor:BA rê^, l'\ ,* * w ãQ.--Phone: r?lo¡ 3tÎ- - 51ll Mailing Address 76 q Lt pcoLp ,4u,2 C u-øontcr-r . Cô I (6?3 Email Address:C 7a 7¿6 ô lá Architect: Mailing Address Email Address: 3rn Ka-S S', q € a a-r-c. Qo rtn J Engineer Phone: ( ) Mailing Address Email Address: Manufactured Home lnstaller: Mailing Address Email Address Phone PROJECT DETAITS Describe Work:¿L VtAôo e*t S s tN TÞ CO¡L ê Job Address /8 o Assessor's Parcel Number d 31 3eL?2-too su¡. Dor¡¿ Ger¡rr+^l Lot I elo.L Owner's Valuation of Work: E*, sr,,*cucn¡,<o t4S 7þ I Property Size (Sq. Ft. or Acres): Sq. Ft. of Building:9¿¿/ Class of Work:New # of Floors l Addition Garage:ched ,3 4 Height: l/Alteration Detached PROJECT DETAI[S CONTINUED Community Type of Heat:Natural Gas Propane lÇf*rectric ig.otn"'" Driveway Permit: Exempt NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, orattauthorizedagent. lIthesigrral-ure[.relowisnul-tllal"oIl-heOwner,asepariJtelel"l"eruf aul"Irt-rrity,sig,rredby 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 andvoidiftheworkauthorizedisnotcommencedwithinL30days 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 undeistand 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.acçuracy. Assuming completeness of the submittals and approval of this Application, a Builcling Permit will be issued granting permission to mc, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division' ln corrsideration of the issuance of the Building Perm¡t, I agree that I and my agents will comply with provisions of any federal, state or local law regulat¡ng the work and the Garfield County Building Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Perm¡t 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 anV other applicable law. lherebygrant permission tothe Building Division to enterthe property, described above, to inspectthe work. I further acknowledge that the issuatrce of the Building Perrnit does not prevent the Buildirrg Official frorrr: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construct¡on or use ofthe 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 responsihility or liability by the Cor.rnty of errors, omissions or discrepancies. AstheOwner, lacknowledgethatresponsibilityforcompliancewithfederal,stateandlocal laws and County Regulations rest with me and my authorized agents, including without limitation my architect designer, engineer andl 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 m Permit #: v5 e< Property Owner Print and Sign Date Septic: oFFrcrArusE oNry pAl D. f 313,t{o c.c. ôt/6t /zczz éÅ"* Special Conditions: ,ièäùe/a/pnV ¿lse 6Fp < Adiusted Valuation72.7¿b Plan Check Fee 3t3.'[o Perm¡t Fee: -r+92^tb Manu. Home Fe6: N/t Misc.^Sfr:NiA mìn;rnúí '*^tl"fti. gg Feest3 Pa 3 {o "ifuiir6 BP No: tsLR.€' -1qqg o\ ITs No: ¡.t /s Setbacks:no alzza2,orroroul,p/-Const. Type:l.B.c.Zoning: RvE.A L( BUtLDtNG / PLANNTNG DtVtStON /r/),6-2bz Date f Signed Approval Gøffield Cowrtryr BUILDING DEPARTMENT L08 E¡ghth streel Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN R EVNEW C HECKLIST Permit No:8tree5-Z-74?? Building lssues Pl a n n i ng/Zoning lssues tu_Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Nlotes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manu' Homes Soils Report Property Line Setbacks 3û ft'. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Grade/ TopograPhY 40% Planning lssues Subdivision Plat ll/fr Road rmpact Fees mtbtb¿a9 Descri ion & Summ eabruÆl tra/aah'ùz* ôe6þ.VrreàrÞ- *?7a/./ €*ofu/r/ensrthg &-t 6trP (a¿" <roØ f"n R*/, a44a"o åot-6/RÐ 'tI