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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82L2 www.ga rfi eld-countv.com seb EEruEN 1..$ {:tJLihJTr', ii i1i:VflLuPL'li:l{ I BUILDING PERMIT APPLICATION tr Demolitiontr Commercial/Multi-Family tr Manufactured Home or Tiny Home (Single or Multi-Level) tr Reroof.d Residential (SF, Duplex or Townhome) tr Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET 'eJk- A Phone:ftlalQKi-+rec?Qtfin'er) Email Address: Property Owner: Mailing Address: Mailing Address: Email Address: ovlz_ts narJ Phone:Contractor:''To Architect:RE R Phone: ( ) Mailing Address: Email Address: Engineer: Phone: Mailing Address: Email Address3 ) Phone: ( Manufactured/ Tiny Home lnstaller: GJ',fi!:l Mailing Address: Email Address: -i)ill"il'.i Sub. Lot- Block- Owner's Valuation of Work: S Nt Property Size (Sq. Ft. or Acres) g,ibzZ Height:*86 sotrr - OM Describe Work: CkQ-b OM DK|EJob Address:e Assessor's Parcel Number: A - Aao udtM*ls' For- oWtFr Mrsl+ A*+sttFxJ.T 6. I 3/+ Sq. Ft. of Building x{+# of Floors:- 303 cL u.l tr Move/RelocationE Remodel/Alteration E Addition E RepairClass of Work:I trtew E DetachedE AttachedGarage: PROJECT DETAIUi CONTINUED Septic:E] OWTS [J Community Type of Heat:pNatural Gas E Propane E Electric E other Driveway Permit: E Exempt E Permit #: NOTICE Authoriw. 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 with this Application. Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for ^r rrn^cac nf incnariinnc hrr +ha Ar rilrlina nirricianv'll19uvIlvlllb9lllJlvll! 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 Permlt. 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 lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. lunderstand 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 thisApplication, a Building Permitwill 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, 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)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use ofthe 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 p!'event the Building Official from: (L) r'equiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use ofthe 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, statc, and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect neer a 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. 0'b>;* 1;Y-ao*( Property Owner Print and Sign Date OFFICIAL USE ONI.Y speciar conditions; s ee a tta al ea/ CaTy p I T/: aA/6 ^o'ff"|:\yw'.Plan Check Fee:lnn mt vVt - effiFfi",zC Manu home Fee:Misc Feesr, Totafre;s:2537q, Fees Paid: loo, oo Balance Due:a7q.z5 BP No: 8/AE-gyqz OWTS No: et<Ehno Setbacks: norltnnA4l oCC Group: RC constrype: tRC ^P"""X I l- tBUttDtNG / PLANNTNG DtVtStON : Signed Approval Date -z Gurfield ConntY BU/ILDING DEPARTMENT 7:08 Eighth Streq Suite 4OI, Glenwood Springs, CO 81601 Tel: (970) 945-8272 PI.^AN R EVIEW CHE c KLIST bt RE-ol-24-g+?zPermit No: Building lssues NA Engineered Fou*dation Driveway Permit Surveyed Site Plan Pla n ni ng lZoning lssues Line Setbacks 35 ft. Stream Setbacks Flood Plain Buitding Height Zoningsign-Off Planning lssues Subdivision Plat Des ion &ma Approval Permi{and Setbacksuy Attach Residential Plan Review List Subdivlsion Plat Notes Fire Department Review Valuation Determ ination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Complia nce Path/Plan Received Plan Reviewer to Sign APPlication ParceV Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Road rmpact Fees t 5m + rn it/1 i rn vle Grade/ Topography 40% 5 x{aa,b6 =+ adlue+d, bnilA,,3 valuokovu a)ork 1uW o? F' ;;otr* v),lY-k: Eo,Setrnh# O"I #ta t b6,*o Ea€emu?*qfrryshraV, ohanSeS I t no Akrior