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Home My WebLink AboutApplicationGarfield County)-bFurz=, L'{ q ô- i'ì ñ =L--'¡ ó g{i'' Õ 3r;'a,J J >tutÍ_. ::::\ l! ='"-: É=<=(93 Õ UJ lrJrJ tu É, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-8212 www.garfield-counW.com BUILDING PERMIT APPLICATION Demolition TYPE Manufactu or Multi-Level Reroofidentialor Town Unit (ADU) - MAXIMUM slZE OF SQUARE FEET -t tilvowEDPAnnES :ar v s¿) IPhone:xcloboMailing Address:65å ¿r [.\nprrcnSL¡. lc.Lrt r^\ c,,TnS-e cQ-JEmail Address: t Email phone: rEo8/o83 -7ôi 7Architect:It trrn Õ.f:rnò-\ .ià.? Malling Address: Property Owner: Mailing Address: Email Address: Phone: t bô31 io3ô-ôL{(ú-D r> (È()3- (ôãÕ oqô1- v ù Engineer: MailingAddre"t -lII E EmailAddress: Manufactured Home lnstaller: Mailing Address: EmailAddress: PRO'ECTDETAIIS Descrlbe Work: Job Address: Assessoy's Parcel Number:) I -T'? ^l L.lrl I oo.3 su¡. I\tot -3 Btock- Owne/s Valuat¡on of Work:s-6tü/æ-oo Phone: t 9lol8 do - 8lo 7 6 Phone: ( I ?roperty Slze {Sq. Ft. or Acres}:lb.fcr l@ 8tb Fl-sq. Ft. of Building: =3ÔT¿ AdditionClass of Work: Garage: fiof Detached llqrr F(øfuu II PROJECT DETAIIS CONTINUED Septic: Permit: Natural Gas Commun¡ty Electric OtherHeat¡ .j i I I Driveway Permit #: ec- l<AeC I NOTICE Authoritv. This application for a Building Permit must be signed by the owner ofthe 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' 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. Void permlt. A Bullding Permit becomes null and void if the work authorized is not commenced wlthin 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERNFICANON 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 däta subm¡tted 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 regulat¡ons 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 ebove, 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 e andl or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have ed the which is correct and accurate to the best of my knowledge. a Property Ownêr Print and Sign Date oz oFFrclAtUsEoNtY ?AlÞ. $ q5î, 3+ CKÉ l02-oa/zl lzaz? fu €ee atþarbl æ/VD/7a/1ßSpecial Conditions: Hiij"ål'n.zþqasManu. Home Fee: Ñ/¡'*qråvr ,T,VE?,2øAdiusted Valuation: t 84.7q2.37 BP No: ßvp.e.1 bt8 OWTS No: 6€PT -1Cl qFees Paid: + qsl .?q 'à7fTotal Éees:o12,qZã Zonlng: ta!R;4,L Const. Type; r.R.<Set6acks: ,d<OCC Group: l. ra. c /.ÐbfliBUil.DTNG / PLANNING DIVISION : Signed Approval Date 4- Gørfteld County BUILDING DEPARTMENT 108 E¡qhth Street, Su¡te 407, Glenwood Spt¡ngs, CO 87601 Tel: (970) 94s-8212 PLAN REVIEW C HECKLIST Permit No:ß ¿Rr- aê22- 7¿/g Building lssues yt3 / K*4 z?T-//a llrar¿? Z Z?ZZ- & ,5eff-7b/? Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes S'13313 *zrat/d&-,> Planning/Zoning lssues Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road rmpact Fees Sh/V azUa Grade/ Topography 40% //¿'' planning lssues subdivision nat 8/Ç7fQ Pqbh Whtle-b,þde,f --)' Description & Summarv: F¡w Valuation Red Line Plans/ Stamps/ Sticker ttach Conditions Application Signed Plan Reviewer to Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report /624x 714 68= /Aê)Zlb,7Z lzlg x 3z= 31r%6.* lgox /î = g)b(0.oo /2.færezZ fi /ãao FLS,J*.f// 25Ø7sl s',f K*fr (re øt I êre(7fr.7- Kltr Hb Aa /aa/ I -z-z ê ,Ð q3g,oL