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Home My WebLink AboutApplicationGørfield Countyo UJ UJ() UJ É" --l 1. , , ¡ I t-- t-. -. 'ç r* -?þÈsfl_ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701e45-8212 www.garfield-countv.com BU¡LD¡NG PERMIT APPLICATION TYPE OF CONSTRUCÍION Commercial/Multi-Family Demol¡tion Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET II¡VOLVED PART¡ES propertyo*n".' Phone¡ f 7o ¡ lV 3g Aö Mailing Address 9,3ns CP. \rl f-r ¿rn\,vAC2 Å.Sori...'ç - (o (lt-ol Email Address: Contractor:Phone ñØlt (ttn 239 e)è Mailing Address Email Address: Øzsc crn tl.ç- A^il- 1^.1A..''V\(-?<^ at? Í^3ttt, (ev,, Architect: Y\ oOe Phone:1z 4ê Mailing Address: Email Address: Engineer:Phone: I ) Mailing Address: Email Address: Manufactured Home lnstaller:Phone:(I Mailing Address: Email Address: PROJECT DETAITS Describe Work:4å("zt Job Address:Å39ç cR 11 r êlcnwood, Srsn ¡ nqs Assessor's Parcel Number: sub. 0ú-<t vtetJ ) Po Lot Block Owner's Valuation of Work: S Property size (sq. Ft. or Acres): a ,8 fut/ fS Sq. Ft. of Building:t4 âo Height:f of Floors \ fl Class of Work:New ffinemod el/Alteration Addition Garage:Attached ¡a/n Detached PROJECT DETAITS CONTINUED Septic:Community Type of Heat:Natural Gas Propane Electric Othcr Permit #:Drivcway Permitr l-lExcmpt 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 andvoidiftheworkauthorizedisnotcornmencedwithinlS0days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICAT¡ON 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 Bu¡lding Permit does not prevent the Bu¡lding 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 designer, engineer and/ or builder. NOTICE I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. {x ol /=o /zøzz, Property Owner Print and Sign Date oFFfcfAtusEoNLY PAIO Sf OO.oo Cß. * t{ôgt.l 36l"ÂZZo1 ôæ a#adre/Special Conditions¡ € Àlr COr¡v€ft¡ tðÀl / Adiusted Valuation: -ô'/o4-/'A5 -ba Plan Check Fee: ö lpo. oo Permit Fee:248t7þ Masr¡-llomeffe: S loo.æ Misc. Fees: tRr eøD:Pl, oqz 848,75Iotal ¡désl Fees Paid: $tþo.o" Balance Due: 74*,75 BP No: ßLRE:I8 31 OWïS No: t{ /A Setbacks: t10 údt)âe/*c. OCC Group: l.R. Const. Type: l. R.c. Zoning: f<u f<A L t¡)'*'h Signed Approval Date .9 NG DIVISION:BUTTDTNG / Or Gørfiehd Coanty BUILDING DEPARTMENT 708 Etghth Stree, Sutte 407,5lenwood Springs, CO 87601 Tel: (970) 945-8272 PLAN REVI EWCH EC KLIST 84€-2q'v7ø3îFcrmãt Fdo: EuEldñr"tg Ëssues Fta mni rnglZcnBrng tssc.res Q&WØnginee red Fo u nd atio n Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ TopograPhY 30% Attach Residential Plan Review List Subdivision Plat Notes î Fire Department Review Valuation Determinatio Line Plan Sticker Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter.- tylgnu. Homes ¡eytâf7n Q wodu Soils Report / Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off d lmpact Fees y'/ô n?À-É-Grade/ TopographY 40% ./ Planning lssues Subdivision Plat 6r rcæfÐn1^re îâ2_ C@/td lo trFt¿a c¿Pf) o8d4 nøÀ 6 rA \s- t Deseq!ptis¡r & 5Uæryqqy; ^ tr",grçfunffi , ollheled Jnlúnglar 'lrn/or**, ' Kt F over> ni in t^9 ey?¿u øøþt nöt feol 66,út /, o?-='sluqa/2za