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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401i I :1. i .-"Glenwood Springs, CO 81601 l970l94s-8212 www.garfi eld-countv.com : | : i.: BUILDING PERMIT APPLICATION ririie' 6f 'GUff Srnucnoru Commercial/Multi-Fam Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelli Unit - MAXIMUM SIZE OF SQUARE FEET INVOTVED PARTIES MailingAddr"rg t9b E tr-VFrl t0t(jL'th{Tl}rN Dt?. C;LtrNWod) (Pl?N6{, EmaitAddres* R\ cr{ArZD" DocluEY Q (il1)tvL, c/i,r1 Q0, g I 6ut Property Own-er:RtcLh\a) Door-r3Y +.CPhone: RtCt-lr)rr21)Dou a6.y €t2ilF )Phone:Contractor: Mailing Address Email Address: Phone: ( )Architect: Mailing Address: Email Address: l.mailAddress: d-SC Q S<;PIS, ^1,-if Engineer: Mailing Address:€lZPt t(l:n r/t t- tNE GLENrvcoD SRI,VG<, Q(J S/6t;i Phone clGUil uuUN STTtLJ (T{,lt2l+LT C \c179"- Cr Phonel ( ) Email Address: Manufactured Home lnstaller: Mailing Address: PROJECT DETAITS /q 6 <t Lt) Ei L l1)Dct lv T-llav D ri, d-tS,.t cto<,D (PtZl tVGs C D fr 6ol Describe Work:r-fFxjiEt-{D Gnrtnc-tl g i=T" - Ef,lErlD trrZt,ryT' Prirc Job Address: bOtr c-rlrEr{ 2EcK.}DD7 pr.- kE6arui: l? 0ao tot / 4a sub. I l2r:i-.r tllar D6s Assessor's Parcel Number f of Floors:Height: Owner's Valuation of Work: Sq. Ft. of Building: Property Size (Sq. Ft. or Acres): Block _ Class of Work:New ll $nemooe l/Alte ration Addition Attached Detached 4 Garage PROJECT DETAI[S CONTINUED Community Natural Gas Propane Electric Other Exempt Permit # 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 with this Application. Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor 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 certifythat I have read this Application and thatthe 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 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 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 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. l{i.:r'l t)re F T)c,ourlt'/ali,,t;i/rf /2.- Septic: Type of Heat: Driveway Permit: Property Owner Print and Sign Date OFFICIAT USE ONLY \- Special Conditions:? ^ ^ nr-L^ ^/-^ ^/ f ztr. ,/ ^, / Tt,r')/\ / f,2 UV Ut{ btQtf/€t( (--{-"'/ V ,u r ,/ / (/ t \,{;2 Adiusted Valuation:'t1, 2ga.oo Plan Check Fee:lq?, bt 'zuT:4 tur"n".nffi,Misc. Fees:N4 ,"r",rfiilb,gb Fees Paid:lqq.+\Balance Due: -2g+. Io BP No:glir -sqqr OWTS No: Setbacks OCC Group:/Rc Const. rype: / pC '$tis 0,ilM,BUTLDING / PTANNTNG DTVtStON : Signed Approval Date Gurficld CoantY BUILDING DEPARTMENT 708 Eighth Street, Suite 4OI, Glenwood Springs, CO 81607 Tel: (970) 945-8272 P[A REV EW LrsHc Permit No: 6/RE^O/-24-]H f Building lssues Pla n ni ng I Zoning lssues q3?,r/z/ /g /26 /-o* /Z,b il"&g&iveway Nft ilA &,il%"t ry Property Line Setbacks 35 ft. Stream Setbacks Flood Plain tding Height Planning lssues Subdivision Plat Englneered Fot"+*datlon Permit Surveyed Site Plan Septic Permit and Setbacks Grade/TopographY 30% Attach Residential Plan Review List SuMivision Plat Notes Fire Deoartment Reviewwl/d4ro e/uc +t'a-r--p Valuation Determination/ Fees r Red Line P,lans/ StamPs/ Sticker Attach Conditions Application Signed Energy Compliance Path/Plan Received RAfHdh Plan Reviewer to Sign Application Frant Parcel/ Schedule No Var& Elhn Zoning Sign-Off Road lmpact Fees nA h&u tL'S ' RtrrA $EOPIaT'ert1 Grade/ Topographv'40%' Con/f- Pt<e/,+h4 /p,{+th fr/u Description & Surn marv: "r// lec x fts %rbLp^oo "f// /28 r l8 flr30/6 N ft 40# snowload Letter - Manuf- Homes Oar Adn -!d /f2 x /rz Je,/r/, ooCond Soils Report us,blbur/ly t 5 & (aeived ds'7-b5g hel,ca^/ pt K4t # 40 ra/aa./z2ry4 org.ho*" brr// Ctrua zoa-; #?1b7 ryzia / Zatfrt"- .by's,'a, /.VAb