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Home My WebLink AboutApplication>-bFruz'=0 ?-Li ÐRg iji 8úü ôH H J@ dË& Ë; þ=<=('ö Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 www.Farfield-cou ntv.com Gørfield County BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION Com mercial/M u lti-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET INVOIVED PARTIES Property Owner: Mailing Address: Email Address:(> >O 7 470 ¿ts(,6d11 Email Address: Mailing Address: Contractor: c LocftArch¡tect: Mailing Address: Email Address: ê-Phone:7oL.q Engineer: Mailing Address: Email Address: Mailing Address: Email Address: Phone: ( )Manufactured Home lnstaller PROJECT DETAIIS Sub. lot - Block Describe Work: 2,bq,l "a 14 e w. Ot)7- V^V- Owner's Valuation Sq. Ft. of Building: ú¿a Ft. or Acres):of Work: S tf 3 Assessor's Parcel Number: Job Address: Remodel/Alteration AdditionClass of Work:New Detached\AttachedGarage: lc PROJECT DETAILS CONTINUED CommunitySeptic: Electric OtherType of Heat: lNaturalGas Propane Permit #:Driveway Permit: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Lesal 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 andvoidiftheworkauthorizedisnotcommencedwithinlS0days 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 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 w¡th 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 r and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the requ rmation which is correct and accurate to the best of my knowledge. Lt) P Owner Print and Sign Date oFFrcrArusEoNry ?}'¡tD. å 2,ltt(¿ c.c. aîlø/ztzz ¿þã oee atta¿hd ØMÞITAN€Special Conditions: Plan Check Fee:z. ttJS,lb Perm¡t Fee: .- -i,4lÐ,-zb Manu. Home Fee:u/*Itjo,fuFEtsMisc. Fees:Adiusted Valuation: 517--7/n. ¿l¿ OWTS No: s€Pr.1gtlFe6s Paid: ç 2, ¡{ s.lô Báfance Due7,fu,'25 BP No: gvß;enrzLTotal Ffes: .. 5,4t15,',l| Const. Type:l.e. c Zoning:ÈvP^,kSetblcks:o orruro"rl RC, ' Signed Approval BUITDING / PLANNING DIVISION :b-V-', Dete ßtil,f Gørfie{d Crtwrø$t BUILDING DEPARTMENT 708 E¡ghth Street, Su¡te 401, Glenwood Springs, CO 87601 Tel: (970) 945-8272 PLAN R EVIE W CHE CKLIST Permit No: B:R€-06-Z?7 6% Pl an n in g /Zoning lssues LBuilding lssues Engineered Foundation Driveway Permit Surveved Site Plan ^etrT--7527Septic Permit and Setbacks Grade/Topography 30% LMlnt ! ^*É*ff,m{,rcm# Subdivision Flat Nlotes Fire Department Review Valuation Determination/ Fees Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manu. Homes 9r*tVa, Property Line Setbacks 3û ft. Stream Set-backs Flood Plain i Building Height Zoning Sign-Off Road lmpact Fees Gradel TopograPhY 40% Planning lssues Subdivision Plat -''/ -/ YØ ¿/ Red Line Plans/ stamPs/ sticker Attach Conditions Ar EB.Þ:-êz 3 Descri ptio n & Summarv: FLS 1706 x7/, 6ø = A5bVb1,q0 crwrl clzo,x tØ b1Õ.æ8(t c qdr t7z7 kaLJ 42t4ø4,Ú oo NA ü PH N-ü"{ ü[-H Sti û t..$ Fì H F]Û lt'T' ¡ I.:] l"'li.ri,¿ ii å nL:Ll ¡ii lriür.-lTl þ,iii .plol l4gb x lB 2 2b,74t,Ðnrld 707 x tL 5l3rzo7,(o ilili¡''i';{ ;'i ii-ll'¡ ?ã irii; i: dàitsÌeÅ " buildín1 vûl # ar\. I 4elo