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HomeMy WebLinkAboutApplication!l-í-ãz,E":-¡ - cL r.r gË .-_{i Õ Hr"'-.! J >-ulb '.r L¡r -'ft *.2{EUU o l¡J à UJ() UJÉ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82L2 www.garf¡eld-countv.com Garfuld County BUILDING PERMIT APPLICATION @ Manufactured Home (single or Multi-Level) ReroofResidential (SF, Duplex or Town home) Accesso Dwell Unit DU) - MÆ(IMUM SIZE OF 1,000 SqUARE FEET TYPE OF CONSTßUCÍION Commercia ?þ u Demolition INVOTVED PARTIES Property Owner: Mailing Address: Email Address:cf s Manufactured Home lnstaller: PRO¡ECrDgÍAl[s Describe Work:s aø clct ft¿¡rp Job Address Assessor's Parcel Number: sub. 6 narttanrç Sub . \rYtn-*io,{'Lot Owner'E Valuation of Work¡s '?r. çc,ó e- Phone: Phone: Mailing Address: Email Address: n'U*.7ü r*e*? fæ ,1" IS Block Property Size (Sq" Ft. or Ares):(s,8? (?J-S Casflc- e ø/ esEmail Address: t Contractor: Ciern e Phone Mailing Add f'flu Phone: lro t ç€@ 7et) ,r Architect: Mailing Address Email Address: \,rer /tsh*úel Phone: (.æI C Engineer: Mailing Address Email Address: RemodeUAlteration r,lnaoitionNewClass of Work: EdetachedAttachedGarage: Sq. Ft. of Building:Height:# of Floors: ? 6,ö,/ fF Prooane. f.{ /^ElectricType of Heat:Natural Gas Driveway Permlt: r PROJECT DTTA|$CONüNUED Septic:F$/À Cornrnunity Other Permit #: NOTICE Authoritv. This application for a Building Perrnit must be signed by the Owner of the propertr¡, describecl above, or an authorized agent. lfthe signature below is notthat ofthe Owner, a separate letter ofauthority, signed by the Owner, must be provided with this Application. legal Access. A Building Permit cannot be issued without proof of legal and adeguate access to the property for purposes of inspections by the Building Division. Other Perm¡ts. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, i3i another perrnit required for use on the property identified above, e.g. State or County Highwayl Rsad 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 comrnencement. 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 clata sr¡bmitted by me or on my behalf {submittals}, based upon my certification as to accl¡racy. Assttming 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 Perrnit does not prevent the Euilding 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 const¡tute 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 d ccr or buiidar I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided which is corect and accurate to the best of my knowledge. &lzØ/æz Owner Print and Sign Date ¡{/¡ oFrlclAtusEoNtY PAtD $Zlq.ot cK.rts 5¿5t z1/z:ozL éh,*ôg Special Conditions: me Fee:Misc. æuÞee-t atba úed 31 .2tPlan Check Fee: ol Permit Fee:Manu, Nlz Balance Ðue: t gøz.zs BrRE* 17îtBP No:OWTS No: ¡l /e Totl Fees; { î7c,zc Fees Paid: * a?.1. or Const. Type: t.R,.( Zoning: ßurqAL Setbacks OC€ Group:r.t.(. BUTLD|NG / PLANNING DlVlSlON : Signed Approval I Date Gørfield County BUILD,NG ÐEPARTMENî 1o8 E¡ghth Street, Suite 401, Glenwood Springs, Ca 8160j Tel: (97a) s-8212 PLAN REVI EW CHECKLIST Permit No: 8LÆ -O9-22-V83 Building lssues Pla n ning/Zoning lssues I Engíneered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Property Line Setbacks 30 ft. Stream Setbacks Flood Plaín Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Grade/ Topography 30% Attach Residential Plan Review Listçr+J7..f,1 Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees // Red Line Plan s/ Stampsl Sticker Anach conditions PR/^/f Application Signed Plan Reviewer to Sign Application NA 40# Snowload Letter - Manu. Homes Soils Report I Kf - ,s N ( no ì"tc.rÎê43C Description & Summarv: /A í"l,v,rn3 "FÐ /VA 244s.{ shm.1e x $2{= 7 ar¿ 8og s.f. carfortx ftg= 454 a/aeÞ/ baùáþ z/bao ú 4wÊolehhole I