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HomeMy WebLinkAboutApplicationGarfield County ñs{äüffi munity Development Department 1oB 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82t2 .com Accesso Dwell Unit - MAXIMUM SIZE OF SQUARE FEET Hb !- BUILDING PERMIT APPLICATION Demolition Reroof Commercia ulti-Fam Manufactured Home (Single or Mu Residential SF, DU or Townhome f; PARTIES LL ò Þ ì "l ù(q q 6 (Ð ll úo Phone: (î)ë, ïf- hhl Contractor: Architect: Property Owner: Mailing Address: Email Address: Mailing Address Email Address: Mailing Address: Email Address: 5o Ò I €tvl Phone: Phone: Û7" t lLt\-- ûþf Manufactured Home lnstaller: Engineer: Mailing Address EmailAddress: Mailing Address: Email Address: t,/>Descríbe Work: Job Address:1tu t,^ D¡ìx tQ. 6uA flrnøt Assessor's Parcel Number: Sub. ItLnnþt¡ò\¿-(,,Þ l Owne/s Valuation of Work: Sq. Ft. of Building: Class of Work: Propefi Addition Garage:Attached model/Alteratíon Detached S ¡rø DETAITS CONTINUED r Septic:munity Type of Heat atural Gas Propane E lectric Other Driveway Permit: pt Permit #: NOTICE 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. Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Buílding 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, YSid Jg¡¡1it 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 L80 days after commencement. 'GERTIFICATION 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 revíewed 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 facÍlity(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 liabilíty 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 I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the req information which is correct and accurate to the best of my knowledge. 0 bT Property Owner Print and Sign Dete sOFF¡CIAI USE ONIY âee 'tt at¿y' ffiailsSpecíal Conditions: Permlt Fee: -lg/,%Manu. Home Fee:ñlû Misc. Fees: // -¿ Rt Frwbt'rnus CAdiusted Valuation:q.55q,22 "i\ï:w"' /g/, Balance Due:ga BP No: I ffi-:ÆarTotl Fees: zqq.oØ Fees Paid: ^ 4 ¡¡7. tö co"'t.#* B '"Ëtrr-, OWTS No: \{ ln Setbacks:o'þ:"h-z lZ-?-ZZ-BUtLDtNG / pl-Rrrr¡rrrrua DrvrsroN : Signed Approval / Date &ilir//t r'/ G,ørfi'eld Coa:ntY BUILDING DEPARTMENT 708 Eighth Street, Su¡te 407, Glenwood Springs, CO 87607 Tel: (970) 945-8272 PLAN R EVI E WC HECKLIST Per¡æÊ-e r:Ja: þ¿þ- l/-ZZ-'7?Z/tl FÍa n; r I utglZerr t n: g IssueçBurldfrng iss=ues ^'ry Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ ToPograPhY 30% Attach Residential Plan Review List Subdivision Plat Notes -/ //Lg6 ft . stream setbacks / 'D // Flood Plain Building Height Zoning Sign-off ,%4 Road lmPact Fees rTunlm4=S Grade/ Topography 40% Planning lssues Subdivision Plat {{;'ó"(##*,K?,t"1"- Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication rcel/ Schedule No. 40# Snowload Letter - Manu' Homes Soils RePort fs7*h 1297 a//,Aaz x 74b8 = A/as,b ra/aa.hfu f?t l5î,oo tþwar b7.-617 2cl I Z, ZoTO flïË,¡"f{.È{í}LffiS(Ji¡ r, s.i"rL* .1" i å'[ì; rti;r}t,i ilq¡"1g I ,i}ii' [: íii]"!"I îl.li jì öYWi'tr,,ffht;ìwvo,@ KL"/',"-', o//rz+>- ,5 äe/d þ/e/k-,,h caa/q