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Home My WebLink AboutApplicationR t:,, Fomrtl.4lw Development Department Suite 401 GAR f.IË co 81601 COMMUNiTY 945-82L2 www.garfield-countv.com B-â GarfuId County BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION CommerciaUMulti-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES f-/E,'Phone: /4o Email Address: Property Owner: Mailing Address: Phone: r'îîot Á¡ø -8195Contractor: Mailing Address: Email Address: Phone:Architect: c JøÅrt Cn,rrtere Mailing Address: Email Address: I &7ot E8l-ÒJaal- Engineer: Mailing Address: Email Address: Phone: ( )Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETA]IS Describe Work: Height: 4 Iot 9L tlo I ó I htrcof Work:Property Size (Sq. Ft. or Acres): fofF Sub. Assessor's Parcel Number: Job Address: Block _ Owner's Valuation Sq. Ft. of Building: 1 Remodel/Alteration AdditionClass of Work:New Garage:Attached Detached Garfield County BUILDING DEPARTMENT 708 E¡ghth Street, Suite 407, Glenwood Springs, cO 87607 Tel: (970) 94s-8212 PLAN REVIEW CH ECKL¡ST permit No: útK€_og-Za-gZT Building lssues ngineered Foundation Permit Site Plan Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Energy Compliance Path/Plan Received Plan Reviewer to Sign Application Parcell Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report tn glZoning lssues Line Setbacks Stream Setbacks Plain uilding Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Description & Summarv ..< ê2y' =8a¿,o¿/,5as./ a{)ns þ/ /",/z/2 iaf 7r¿ //L f.Øt äxteþn4 tâusá, exbhry rTrtøwffi Pro 35 F '1trudum,/ repalr /vqlbh;fFfu/p,r*- /; €xtít-qaaad2z4e? 2/é2 on PROJECT DETAITS CONTINUED Septic:SWTS Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: pt Permit #: NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described a bove, 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. 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 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 an d 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 desisner, engineer and/ or builder I hereby acknowledge that I have read and understand the Not¡ce and Certification a bove, as well as, have provided the required information is correct and accurate to the best of my knowledge q - 5 *J Property Owner Pr¡nt and Sign Date OFFICIAI USE ONtY n*.1ü'nManu. Home Fee:,Adiusted Valuatio¡: 1/0" goo, æ BP No: E-r-ol;-Rlqz OWTS No: ¡n l'ha¡l¿ Eaa. Balance,4\ Pe Fees 7ç/t6322, Totf Fees: '"üu0,co"'t.rvlkÒoccGroup: lR ÒSetbacks: /o-a¿3BUItDING / PIANNING DIVISION : -. Signed App Date t