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Home My WebLink AboutApplicationGørfteld County BUILDING PERMIT APPLICATION I'Tf:C Development Department 108 8th Street, Su¡te 401 Glenwood Springs, CO 81601 ,í; ;:i: ii:.i" ii (; ü rr f{ ry pTot s4s-s2t2" ¡ r¡'u¡ t i r1y' I ¡ r, l F VEl- (ri'Wiirw.Farfield_counW.com .A TYPE OF CONSTRUCTION Commercial/Mu Demolition Manufactured Home (single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU)- MÆ(IMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES o2 ¡4,v o 7 ,.Phone: flht 311-h{Sa Email Address: Property Owner: Mailing Address: Phone: frîat 311 <¡ Í3t S¿e âDo'/e-Email Address: Mailing Address: Contractor: phone: 3h I qgq' 3(e31 tnû.11@ Arch¡tect:L 11 Mailing lddress: /Ò EmailAddress: V-en $àZ 6rand. A{e tl3 LtD 6þrn,r.¡r,.' o\ Sno- (n h{øô ( qgl-b20laoPhoneEngineer: Mailing Address: Email Address¡ A(ft Phone: ( )Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS Describe Work: rt 5 l7 7l ^/llo ZUlL lô35 3(L{eJe-' orAcres): f il, l{Z sFrty Size (Sq. Ft. t rì r'\tl e ,.,J Vta w) r ( ,o{\S ,o, 4{ Sq. Ft. of Building: Job Address: Assesso¡'s Parcel Number: Sub. Owner's I # of Floors: t i,t,n5 s?a ca /New Remodel/Alteration AdditionClass of Work: /Garage:Attached Detached 1..51./ &u-es PROJECT DETAITS CONTINUED f Septic:t -Se Community Type of Heat:pfNaturalGas Propane Electric Other Driveway Perm¡t:lEExemnt Permit # NOTICE ofthe property, described above, rate letter of authority, signed bY Authoritv. This application for a Building Permit must be signed by the owner or an authorized agent. lf the signature below is not that of the Owner, a sepa the Owner, must be provided with this Application' legal Access. A Building Permit cannot be issued w¡thout proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other perm¡ts. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, lg) another permit 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 nformation contained above is true and correct. I along with the plans and specifications and other I hereby certify that I have read this Application and that the i understand that the Building Division accepts the Application, 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 (21stopping 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 provided the required information which is correct and accurate to the best of my knowledge. I L/ Property Owner Print and Sign Date OFFICIAL USE ONTY see a*taú€l ØNÞ/Special Conditions: Manu. Home Fee:#"Å,'lb1i,izt}'ä:åEb.q5i'äåTI:'*ä^2ä'/:'dîå:'% OWTS No: Ëüa -wRBlance Due;aG:2,ô60""â['&i4',6"^ä14ß,r, 'Þti¡,o"t.rrr.i.pCOCC Group: RC'ïoY.E, BUttDING / PLANNING DIVISION Signed Approval I hl,iryu' Date Gørfield County ÐU'LÐING DEPARTMENT 708 Eighth Street, Suite 407, Glenwood Springs, CA 87607 Tel: (970) 945-8212 PLAN REVIE WC HECKLIST Permit No: E¿Je*Ay'-æ-9A29 Building lssues P/?, -22 ¿¿â 4A U/ Property Line setback, B, E, IVA Engineered Foundatíon Driveway Permit Surveyed Síte Plan Septic Permít and Setbacks Grade/ Topography 30% bdivísíon Plat Notes rtm uation Determínati Fees Line Plansl Stampsl Sticker Conditions Application Sígned Plan Reviewer to Sign APPIícatíon Parcel/ Schedule No. Snowload Letter- Manu' Homes Plan ning/Zoning lssues 35 ft. Stream Setbacks Flood Plain ,/ Q''?- t/ t/ t6aopsP "fJb/e t/ ytr t/ Attach Residential Plan Review List Yæ Road rmpact Fees S. A , 8b = L321, ,/27 t'/ Planning tssues / subdívision Plat R lF'shly Q/î14 sb ,/ Building Heíght '/ Zoníng sign-off Grade/ Topography 40% Descri ion mma CW t/ F¿6 1b72x 7/, ôB nî2544.1b cru¿l 2t ó72 t t8 48t oq6,oÔ aÒt2ó75 x 32 31 t^O. ls Reportzkv787 Jan /î, zozz êoneù> /4er €enl l-î23 l(eelg NOTEâie bzo *. /8 It I b0,oo ot',sle/ bu,//n tza /aa.h {z16?20,?b a 74,8/2 îs. r¿s#nb// ,n /,Þ*t y'7rk/æ