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Home My WebLink AboutApplicationGørfield County >-tr þ- ulzE+CL r 8ËoH'" J>-, rub . Ì U_=:.i ú,= óã nlu t¡lo t¡.| ú. Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 19701945-82L2 www. ga rfi eld-countv.com @ BUILD¡NG PERMIT APPLICATION WPE OF CONSTRUCTION Commercial/M ulti-Family Demolition Manufactured Home (Single or Multi-Level) Residential Du or Townhom Reroof Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,OOO SQUARE FEET INVOTVED PARTIËS propertyowner: ÐRÚ ¿nON}ùÐ ytf r-t-EE phone: q,ó 5?5 -06"ç MairingAddress: -7q GÕLÐÉÚ €TO$Ë Dg- CÊPßOÑDP'€,CO E tá2.5 Email Address:ÐÊlu t€.L, n ILL€?aCßRE ^ CO YI Contractor:DNÀJ G RUË-N ÊFÇ,LDT Phone: ñþ ñ17- bS65 Mailing Address:P"c. ß ax lq (d ßþ5nL] , rc Et bzt Email Address:DR,U ä G RII€-XIËFËLDT. CC¡ Architect:PÍITPICK' G . R,I ç.FS Phone:b5¡s+3-lcc?o Mailing Address:?ãsò 1r-tf fìuË- E_,.5Û t-rL 3Os Email Address:'TT3ñ N\ÑÊ ÕPËLÈ ð H Ë . CÕ1"{. Engineer:R ftKO('SK (^nrLLÊÊD Phone qb3- Mailing Address:?\? UßGUæO RS. CR RBO}.JÐI}LC, CO BI b73 Email Address:âLU\Ð å soPets. L)Ël Manufactured Home lnstaller:Phone: ( ) Mailing Address: Email Address: PROJECT DETAITS Describe Work:eoNlst¡RÙCr\aD cF ñ€uj S .f.È uJ r-rt{ HÉT) Job Address:4.\ -t-rl-uc,o cT'. cnÈßoì{DÊLË-,gl 3 Assessor's Parcel Number ?s?3 - lq 4-ol*a+5 Sub.S ø, 4l Btock -* Owner's Valuation of Work:Property 5t' Size (Sq. Ft. or Acres):,31 Sq. Ft. of Building:3,b3?-Height:?+'# of Floors: I Class of Work:B"*Remodel/Alteration Addition Garage:Detached )<lctll Electric OtherType of Heat:llXNaturateas Propane PROJECT DETAITS CONTINUED Septic:nity Driveway Permit: NOTICE Authoriw. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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. 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 andvoidiftheworkauthorizedisnotcommencedwithinlS0days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I hereby acknowledge that I have read and understa Notice and Certification above, as well as, have provided the required information to the best of my knowledge. Frxemnt ù Property Owner Print and Sign Permit #: B zzil Date 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 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 desi e ineer and/ or builder oFFtctArusEoNry pAlÞ,* tr3ET.S¿ cK.rt nt3 øày't/zo"¿é9* se¿> 4¿.h ê/?d a/vb / n o/l/sSpecial Conditions: Manu. Home Feel r.l/lt #bt?Vz.oo gEPlan Check Fee¿ # t-284-eø Permit Fee: -JÞ-.lfrg,seêy;i'På'Ëv¿ BP No: gLRg-11s2' owfs rrlo: ( o^râ4v ,lr tftFees Paid + t,3r{.81' Balance Due: #2, /30,66Total4t Zoning: P.tr. b. Const. Type: l.ß.C.*flfiìilD OCC Group t.Fl.c. Q-7-Zz(,¿,ù,}?A Signed Approval BUILDING / PLANNING DIVISION I Date Gørfield County BUILD'NG DEPARTMENT 708 E¡ghth strcet, Suite 401, Glenwood Springs, Ca 81607 Tel: (97o) 945-8212 PLAN REVIEW CHECKLIST Permit No: øæFOø22-7752 Building lssues Planning/Zoning lssues PU> ølerrlPÞ ---f-- N/A tlA ANP AIVÞ ¿/ Ysç 5/6qbê Descri Engineered Foundation Driveway Permit Surveyed Site Plan Septíc Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review Líst Subdívision Plat Notes5/êqê6 Fire Deoartment Review hou,r,ø <b?4#/vt *KF? Valuation Determínationf Fees Red Line Plans/ Stamps/ Stícker Attach conditions /Rt Nf Application Signed Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees EB¿> Grade/ Topography 40% Planning lssues Subdivision Plat m Ktr E.B.>. = A/A 40# snowtoad Letter- Manu. Homes Ftg "7ê72 )L 7'bg = 27t 232 7ê .!æ ó25 x 32 -f/d ó3/x /g = //2v5g,0o Plan Revíewer to Sign Application Parcellschedule No. Soils Report Kumar l8-7-ôØ 3.eoopcf ap* ia/a fuql',;oi inj*,uJ. / €í*fl,7/ad. Pf-*racþno/Zrq. jaec. desúa$r \ ' 2r aøÉPeolh.?rf) ëz 7A7. oa Uoç 5ø7badùcþ{ /r,/dhar va/kalrú I