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HomeMy WebLinkAboutApplication>bFulz=' i ãO-. i ¿^'.i o: C)Eú{".¡ o H '¡r =-..) LL =ú.=<=(ã; fl UJ u¡ O tu ú, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 ltg7ol945-82t2 www.ga rfi eld-countv.com Gørfield County BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Demolitionulti-FamiCom Manufactured Home or Multi-Level) Reroofor TownhomentialDu Accessory Dwelli DU) - MAXIMUM SIZE OF SQUARE FEETUnit INVOTVED PARTIES Phone: ?z'pt É/? Va7ea Email Address: Property Owner: Mailing Address: ,1\l /1¿ tÀIL 7t/\TT Phone:,47o,371-ß1tContractor: Mailing Address: Email Address: Architect: Mailing Address: Email Address: Phone: 671 t î63 ^ 3123 CI {l<to î h'\- L fn Mailing Address: Email Address: Engineer: PhoneManufactured Home lnstaller Mailing Address Email Address: PROJECÍ DETAILS Sub. lot - Block Describe Work:<-,l-¿íD 3 03 Height:'/"-"tç /nçn ß*;l) Property Size (Sq. Ft. or Acres): f of Floors: Owner's Valuation of Work: $ Sq. Ft. of Building Assessor's Parcel Number Job Address: Additionl/AlterationReEWClass of Work: DetachedAttachedGarage: l Septic: Type of Heat:Othe r PROJECf DETAITS CONTINUED Natural Gas Propane^f Þl Community E lcctric Driveway Permit: I-- FR"*n,Permit #: NOTICE ication 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. Lesal Access. A Building Perm¡t 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 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. AuthoriW. This appl CERTIFICATION ave 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 Garfielcl Cor¡nty Builcling 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 submittals, and ìnspections 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 designer, engineer and/ or builder, I hereby certify that I h I hereby acknowledge that I have and understand the Notice and Certification above, as well as, have provided the req ich is correct and accurate to the best of my knowledge. 6 2-.")- Property Owner Sign Date oFFrcrAtusEoNty PAIÞ, i 324r,95 e.e./zozziFÞ Special Cond¡t¡onsi ØrlbtnaA/6 Adiusted Valuation: ,4\NOod Plan Check Fee: þ.a2L.63 Permit Fee:$îoz,75 Manu. Home Fee:xla Misc. Fees: ^//4TotalFees: þ g2g .8e Fees Paid: * 32C.53 Balance Due: -þtu2.ú BP No: ftRe-É?5 OWTS Ño: r.l/¿-setbacyø OCC Group: ¡. ß. (..Const. Type: l.ß.c, Zoning: RIJRAL fliil'9-,?Z Date BUTLDTNG / PTANNtNG DtVtStON : Signed Approval I Gørfield Coanf¡ BUILDING DEPARTMENT 108 Eighth Street, Su¡te 407, Glenwood Springs, CO 87607 Tel: (970) 945-8212 PLAN REVIEW CHECK LIST BtRs-Ò7-z?7áAéPenmit No: Building lssues Pla nning/Zon ing lssues Rur?,+L dhþiû ./ / soits Repgrt ,20Øpqf /o?Ð 2a/erÇure4 tloas,f. wund|h'oîe¿ .=brz.1u j*uJe/6arn Engineered Foundation Driveway Permit Surveyed Site Plan 4tßoaprcpØrLl Septic Permit'a nd letbacks / Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach conditions fuin{_ Application Signed Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat N4 N/A un¿oú. tæle tq78 erætpþlrrthetbs*ban/< Desc ion & Surnm luaax û24 Juø, oØ a4thsþ{ /r, //r7r tt¿ /uahh 8-l-zz *nale/ otlner /'a æn42rn bwl/rizg ate()rá.