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HomeMy WebLinkAboutApplicationRECENED mun¡ty Development Department 108 8th StreeÇ Suite 401 Glenwood Springs, CO 81601 (9701e45-82L2 www.parfi eld-cou ntv.com Gørfuld County BU¡LDING PERMIT APPLICATION WPE OF CONSTRUCTION Commercial/M ulti-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET ¡NVOLVED PARTIES &¿n¿r/1ørwr>q&w-.tT Phone:$7ò )q4.8 &Y+'l Email Address: Property Owner: Mailing Address: Phone:Û7ötq+eÙe+l Mailing Address: Email Address: I Address: 51^¡¡¿-SO^[ P-9\UM-.'í:{=SI($.1 Phone: Mailing Address: tn1Òtvn -9.98Architect: Emai Engineer: Email Address: Mailing nddress: tl L,q.JP âv*tttæ* lr..t¿Phone: 3Zo ¡QK 7ó17 Phone: I IManufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS Describe *orn Q,-ffiu{, A4 ffitc€ Aoa11ror1 Height:# of Floors:_ I( ,4<'5'3 Block roperty Size (Sq. Ft. or Acres)Owner's Valuation of Work: Sq. Ft. of Building: Assessor's Parcel Number: Job Address XClass of Work:New ffi Remodet/Alterat¡on Addition Garage:Attached Detached I Septic:]WTS E I ectricType of Heat:Natural Gas Propane Driveway Permit: pt Permit #: NOTICE PROJECT DETAILS CONTINUED Community Other Authoritv. 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. Leeal 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, Mult¡ple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property ident¡fied 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 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 construct¡on 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 d neer or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information accurate to the best of my knowledge.q-é-z Property Owner Print and Sign Date b oFFrcrArusEoNry pAtD. +600.+.r C.C. O1/o t(Zo,ZZ sã Special Conditions:.aeeaúh¿rel t/VþlryâMS Adiusted Valuation:q4.u4ç,o0 Plan Check Fee:hø,+r 'öiïizs Manu. Home Fee htlA Misc. Fees: 'p.jrlßD= Þ7i TotafFees: 1,624,t7 Fees Paid: *6oo.*$ Balance Due: Q23.75 BP No: er-aÉ-'118I OWTS No: N/A Setba-cks:OCC Group: l. Ê. c. Const. Type: | .la.(.Zonine: R,URÀL BUltDtNG / PLANNTNG DtVtStON ûh),tl\ -31-Z- DateSigned Approval oa Garfield County BUILDIN6 DEPARTMENT 1A8 Eighth Street, Suite 4O7,6lenwood Springs, CA 81601 fel: (97O) 94.5-8212 PLAN REVIEW CHECKLIST PermitNo: E¿<g-Aq-2.q767 Building lssues Planning/Zoning lssues B¿¡ç4 | Engineered Foundation Driveway Permit 0a Gradel Topography 30% Attach Residential Plan Review Líst ¿/ subdivision Plat Notes Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees >tØÁ s l/alrø,hrnÀy$a% ¿ ,--/r' ,ù?? pogra Planning lssues Subdivision Plat ¡ ph Fire Department Revíew Val uation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed 5tô¿J 3 Description & Summarv: \î* /3/5x 32- = FLS 6oO X V/,69 ,rr-, Z,laoryeÊ afØnlrþ 7' Plan Revíewer to Sign Application rcell Schedule No 40# Snowload Letter - Manu. Homes Soils Report 14, ¿qo. no v gö9,"o "9rtk4 b*t/,g /a lra.rrbv : g?, qß"od ( /d \f¿¿ ' ,fu,ú¿þo/ h,n'nay /ryaáá>=a Rlr â,8.b #zaø,oo