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Home My WebLink AboutApplicationGarficld Coanty R E Cgtr1tp¡llnity Development Department- --1Og 8th Street, Suite 401 Glenwood Springs, CO 81601 ff*il,,iïFi5t,-;i-,ffi WR BUILDING PERMIT APPLICATION Com mercial/Multi-Family Demolition Manufactured Home e or Multi-Level ReroofResidential (SF, Duplex or Townhome) - MAXIMUM SIZE OFDwellUnit INVOTVED PARTIES FEET u.t0lnN L t I EmailAddress: C Property Owner: Mailing Address: Ô7 Òt 7Ø7'?a LL àanoÍe-r\nç'^ hZ q_ yqhaa -CÞtvl Do¡ GLËNN €¡+Phone: tTVt I {o} ß- 8Ø ûto Qo F>aY /4ç Contractor: Mailing Address: Email Address: 13 v â 4 3 G nr¡/ 4r1cv¡TE?Phone: ú.ø G I B'+3 t"l{oArchitect: Mailing Address Email Address: Engineer: KL,RÏ?. ** Áq5cfrlt"T?,*.s Phone: û7at 74î'63ãr 5.-â t^)tc Ê/ á(Mailing Address: Email Address: Phone: I )Manufactured Home lnstaller: Mailing Address: EmailAddress: PROJECT DETAILS DËï'rà Ðxrç7*¡nld brC l( " ilíBut¿-.T> tJÉu/ Job Address t l LbZ Co u t sTY f¿D t Cb 774iLA3t 3öt L #luation 5u6. <oaro ËK TÞN TWNçTE Property Size {Sq. Ft. or Acres}:q3 aÕ Height:7/^ of Assessor's Parcel Number: w f'Ð Block j3 work: S S-S. ÐaÒ Ò # of Floors: / Describe Work: brcrc Owner's\\ Sq. Ft. of tft,a û ' New l)4f Remodel/Alteration AdditionClass of Work: I Garage:Attached Detached PROJECT DETAI tS CONTINUED ' "\''-- '-' ' CommunitySeptic: [f,Natural'tiãs Propane Electric OtherType of Heat: Exempt Permit #:yivffi' "-P€rmit: 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 wíth this Application. Lesal 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 perrnit required for use 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 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 Appl¡cation, a Building Permit will be issued granting permission to me, as Owner, to constructthe structure(s) and facilities detailed on the submittals reviewed by the Building Division. ln consideration of the issuance of the Building Permit, lagree that land 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, construct¡on 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 Buildíng 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 d er neer and/ or builder Property Owner Pr¡nt and Sign Date 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. ll+-fi1h^,* lÑ-(*1,'* 2.8 - Z\ OFFICIAL USE ONLY \\ SpecialConditions:giêOlÞæ/ / / /d&no + t-þbut/zt ãed¿ an4 ^"vll"M.'w Plan Check Fee: 5;r{ .\ \Permit Fee:q 4.25 Mant¡. Home Fee: N/t\ Misc. Fect:N/k Total F'ees:7bt 37, Fees Paid: $Q.r\ Balance Due: 94, 25 BP No: ?{0.ç -?rso I OWTS No: -VrhSetbacks:ottu'Tt0 ,'Yå.i ZonljgzKt-u til,',,{h,3-b-23BUITDING / PLANNING DIVISION : Signed Approval Date Gørfield County BU'LDING ÐEPARTMENT 708 Eíghth stteet, su¡te 407, 6lenwood Spríngs, CA grco7 Tel: {970} 5-8212 PLAN REVIEW CHECKLIST Permit No:ÞLRL--oz-z-Ø0/ Building lssues Planning/Zoning lssues ,R, A, I Driveway Permit /t0 ^ ç Surveyed Site Plan . tnaPkq/ataStnasiilü!úi:,Yy;rá*^z Grade/ Topography ZOX ,/ Engíneered Foundation Attach Residential Plan Review List Subdívision Plat Notes Fire Department Review Valuation Determinationf Fees Red Line Plansl Stamps/ Sticker Attach Conditíons Application Sígned Plan Reviewer to Sign Application Parcel/schedule No. 40# Snowload Letter - Manu. Homes soils Report>Ot2 Line Setbacks 36ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees nrumUâ Gradel Topography 40% Planning lssues Subdivision Plat Description & Summarv Ø lenalev lsa x /> a/'ø-eþ/ ba,'C,"j' ,/ø/nørh'an .nnlrþ /æL-