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Home My WebLink AboutApplicationGørfuld County BUILDING PERMIT APPLICATION Community Development Department *r-^r-!rrr:en 108 8th Street, Suite 401l"(tr1-Elv EL, Glenwood Springs, CO 81601 (s7ol94s-82t2 GAF{FIËLD COU www.ga rfield-countv.comNT,r- D-€ COMMUNITY ffiw DemolitionCommercial/M ulti-Family Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 FEET INVOTVED PART¡ES Property Owner: Mailing Address: Z Phone:o j Crs C) Email Address: Phone: efu ()o a2 Mailing Address:C) Email Address:a Architect:leuí ,r¿ ¿/î þ l¡ø ¿r(Á,'/¿r,Js Phone: Mailing Address:û {,t-Email Address: Ensineer: G lertwo acl a\u</¿vq I Ct"vi lttnç^",?2bo / Mailing Address:-f't? 1.lK ut ./J Vt lt t /e, á nz u¿ærJ g ç%ro / Email Address Manufactured Home Installer:Phone:(I Mailing Address: Email Address: PROJECT DETAITS J Describe Work: Job Address: Assessor's Parcel Number Sub. Own Lot er's Valuation of Work: 5q. Ft. of Building:Ð Height: Class of Work:V New Remodel/Alteration dition Garage:Attached Detached PROJECÏ DETAI tS CONTINU ED Septic:CWTS x Community Type of Heatr Natural Gas Propane Electric Other Driveway Permit: Exempt Permit #: NOTICE AuthoriW. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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 ¡dentified 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 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 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. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have the requ rmation which is correct and accurate to the best of my knowledge. ttlaiu¿ Owner Print and Date { {e ı .bbOFFICIAT USE ONtY 6æ Ca/VD/ruOA/SSpecial Conditions: ¡¡liusted Valuation: rzq7'77504 Plan Check Fee l,3bb, þþ Permit Fee: --2 /a2.oe Manu. Home Fee: Ì.\ ln ffi;;t?truø TotálFeäs: ^ st 34bî. ''Fees Paid: #t3t ¿ ^.(sØ Balance Due: 2/02,€Þ BP Nö:ffittr-?'mn OWTS No: C.""* r r.r.ì\.r¡ ffiäfTz/s,ø,\OCC Group:rc0.t""+Þl-Zoning:-Rttr) t//,'MBUTLDING / PLANNTNG D|V|SION : Signed Approval Date /-3o-2 tô Gørfield County BUILDING DEPARTMENT 7oB Eighth street, Suite 407, 6lenwood Springs, CO U6a1 Tel: (97A) 5-8212 PLAN REVIEW CHEC KLIST d u?f¿/- zZ- iøØ *b.nan/ezPermit No: Building lssues Planning/Zoning lssues PL/Þ /V4-septíc Permit and Setbacks Engineered Foundation Driveway Permit Surveyed Site Plan Gradel Topography 30% Residential Plan Review List Subdivisíon Plat Notes Fire Department Review Valuation Determination/ Fees d Líne Plans/ Stamps/ Sticker Attach Conditions Application Sígned Plan Reviewer to Sign ApPlication Parcel/ Schedule No. 40ft Snowload Letter - Manu. Homes Soils Report e¿€t't?./ X'zî¿L ema;led corTeú'tn t4t/6 Property Line Setbacks 30 ft. Stream Setbacks Flood Plain ilding Height Planning lssues Subdivision Plat Zoning Sign-Off Road lmpjq r".r,5/A/7 F/a(A) cradtl |mry(sraphY 40% u^/> v6 reêepþbn 74Vó/I Description & Summary: -/ NA asqJ2oo,ôl 32/ lî0,Ø /î,4,oø a, *s5,* Ktr søly ûrø = q7A,07 trLS 3z0Vxz/,69 = ¿r-/tø/ ß05 x /g = CQæ 6O0 x ,rZ : .þ/d 3g2.5 xlt =lekr(nz¿l flþ¿Lrtfrq ^/ht/ A,,ld,h) l/nlaüto-a f zQ 7¡776, o4