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Home My WebLink AboutApplication?EF- rilz,=.3* 3Ë"," oHJ>-. t¡Jh'ir u_=¿.i't, ú,= óã Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 www.Êa rfield-countv.com Gørficld County BUILDING PERMIT APPLICATION TYPE OF CONSTRUCNON Commercial/M u lti-Family Demolition Manufactured Home (Single or Multi-Level)x Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES t&r/tÅ.'4 6t*ær+zal¿ qþT Fßc) Phone: ltt7A ¡ Åzq ASa</Property Owner: Mailing Address:lL7 À{r.6K¡MM¡ut R.D. Aso6rù co gl;Í/ Email Address:gTi?l.i t^6V ,5lr(€et+lg¿ @ C U¿.¡L_ or CÕl_l contractor: 3A t) ,* 'b4 Q r:f Phone: Mailing Address: Email i-c0Ê z-"þÃt)v '98? @ Çu¿41r, côM Architect:ilrÊtrF ;rÕ ffû{rÕf\s Phone: Mailing Address:ô Email Address:ñg-tr @_î\:r AK¿H rTp l-C-ôx-r ROMGÒEngineer, S tb-t Phone: Mailing Address:i>cc) Email Address ñ il\ €. trT €nlà\Jcïu t¿n,.-- - c-r)M Manufactured Home lnstaller:Phone: (_) Mailing Address: Email Address: PROJECT DETAITS Describe Work:t"i I ¿2tr I TLÞ (_C-JJob Address Assessor's Parcel Number: Sub.Lot Block Owner's Valuation of Work:(Property Size (Sq. Ft. or Acres):tl !¿€vl Sq. Ft. of Building:þur d Height:# of Floors: Z Class of Work:New X Remodel/Alteration Add¡tion Garage:Attached Detached t)ff Community Electric Other Septic: Type of Heat:Natural GasM Propane Permit #:Driveway Permit: Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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 andvoidiftheworkauthorizedisnotcommencedwithinl80days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. NOTICE 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 with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Division to enter the property, described above, to ¡nspect 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, omiss¡ons 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 andl or builder PROJECT DETAITS CONTINUED I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have ed the which is and accurate to the best of my knowledge. L*ôH" Property Print Sign Date oFFrcrAL usE oNry pAro . * r.t5o.29 c. c . oq lg / ut¿-es4rL Special Conditions: Home Fee: /* Manu. Àl Misc. Fees: - tRitr /v6D û4É , Adiusted Valuation:r | áb.7,loÁ-?o Plan Check Fee: # 450. 2q P.ermit Fee:-- '6 l"î2 ^ /? Balance Due: 4 bqz.75 BP No: BLR€.18Ô2 OWTS No: x /¡. TotafFees: # t- ¡49.otr Fees Paid S $to.¿r OCC Group: l. È.c . Const. Type: t.f¿.c, Zoning: B U È.AL Ittlackso< t0--ll-Zhil,i4r/,-BUILDING / PLANNING DIVISION : Signed Approval Date Gørfield County BU'LD'NG DEPARTMENl 708 E¡ghth Street, Suite 407, Glenwood Springs, CA 81601 Tel: (970) 5-8212 PLAN REVIEW CHECKLIST Permit No: SLRE - O72Z- 7âO2 Building lssues Planning/Zoning lssues RU R.4L -/ Surveyqd Site Plan, . t'yi D¿úryeveway Permit -¿- Attach Residential Plan Review List -/ Subdivision Plat Notes Fire Department Review ^JAVal uation Determ inationl Fees Red Line Plansl Stamps/ Stícker Engineered Foundatíon Attach Condition Applícation Sig Plan Reviewer to Sign Application Parcel/schedule No. 40# Snowload Letter - Manu. Homes Soils Report Building Height Zoning Sign-Off ng lssues Subdivision Plat Description & Summarv: Property Line Setbacks 30 ft. Stream Setbacks Flood Plain þr fl/,E Þ -- 448b,oo FLs 677x u76h 288 Ya*7en* Crau/ qg x .P/d 2s x ry,69 = /ro?/,q 4/> /g -= fiê/da / l= ,fu/ø # ii rhinor ûÀàtltm of h¡bibahle tirli o\vueà, aAL Soo -/ -/ NA ./ , ry-q9 o4;çt/ bí,'/d,'n1 ua/uah'æt I tl Z¿ â.,