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Home My WebLink AboutApplicationGørfield Coanty f>(¿ Community Development Department lRËCEntE6tOA a'h Street, Suite 401 Glenwood Springs, CO 81601 (9701s45-82L2 GARËIË¡.D CO www. sa rf¡eld-countv.comm 00filMUNl BUILDING PERMIT APPLICATION TYPE OF Commercia ult¡-Demolition Manufactured Home (single or Multi-Level) ñs¡Oeniiãt (SF, Duplex or Townhome)Reroof Dwelli Unit - MAXTMUM S|ZE OF 1,000 FEET INVOTVED PARTIES Property Owner: Mailing Address; Email Address: A"...,rgf tÉ-Phone: (þ3¡¡>/b ?21J.-, o 3 .c.oû^ Contractor: #^LÉ / T,*çst oñ YWPhone:t99ta/8 -a1%GIR.oxÞ C-òMailing Address: Email Address:, erOtt^, Arch¡tect:\åf Pa Phone: Mailing Address: Email Address: I Ze( f-r*rlÀA, R),A BAóê.tr oo ıtaZ t I u€rq.fc.\ .co¡l. Engineer:Phone Mailing Address: Email Address: Manufactured Home lnstaller:Phone:I Mailing Address: Email Address: PROJECT DETAITS Describe Work:L Job Address:ù^( çÐ e o g6?5 Assessor's Parcel Number: Sub.[ot Block Owner's Valuation Sq. Ft. of Building: of work: S ß,-O0O - Property Size (Sq. Ft. or Acres):1^xrc5 looo Height:# of Floors:_ Class of Work:New Remodel/Alteration Addition Garage:Attached Detached Septic:Community Type of Heat: Drlveway Permit: Natural Gas Propane Electrlc Permit #: Uther NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, 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. Lesal Access. ABuildingPermitcannotbeissuedwithor¡tproof of legal ancl acleqrrateaccesstothepropertyfor 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 requrired for urse on the property identified above, e.g. State or County Highway/ Road 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 commencement. CERTIFICATION I hereby certify that I have read this Application and that the information conta¡ned 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 cotnply witlt provisiorrs 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 furthcr 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 er and/ or builder PROJECÍ DETAITS CONTINUED I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have p which is correct and accurate to the best of my knowledge. (\^- lo\-,/(¿ \ , (5 Property and Sign Date OFFICIAL USE ON Special Conditions:tl Adiusted Valuation: Jltz.om oo Plan Check Fee: b t46. lt Permit Fee: ,fz-zø- z5 Manu. Home Fee: ìr\lf'+ Fees:lflMisc. b.\ Total Fées: 4 abg,7b Fees Paid: . iltrts.t'å"iäà",2ø BP Nå¡:.trìÊ-?AT)OWTS Ño: V-".t. -nn Sétbacks: 'JaÞzhhø7&PCCGroupr IRC Const.,/TëO Zonine: U?L\b BUtLDTNG / PLANNTNG DtVtStON :ú/,v,//4 Signed Approval Date Gørfield Counfii BU'LDING DEPARTMENT 7aB E¡ghth Street, Su¡te 4O7, Glenwood Springs, CO 81æ1 Tel: (970) .s-8212 PLAN RE VIEW CHECKLIST Permit No: BtßE -/d-zz-7872 Building lssues Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permít and Setbacks Gradel Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Val uation Determ ination/ Fees Red Line Plansl Stamps/ Stícker Attach Conditions Pla n ning/Zoning lssues Lot z htA Property Líne Setbacks 30 ft. Stream Setbacks , ,øtper oriq ,¿Y¡dtt/ ^" åiiüró-r-6/t8 Buildíng Height Øtr l' hl,/) ,V n0 I ¿/ / Zoning Sígn-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Description & Summarv: 004.oô f"*)