HomeMy WebLinkAboutApplicationGarfield County
l-ii . ::,Community Development Department'" i t i
1o8 8th Street, Suite 401
Glenwood Springs, CO 81601
(ii:irii :;.r ;; . (9701945-8212
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IWPE OF CONSTRUCTION
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Manufactured Home (single or Mylti-Leve!)
Residential lex or Townhome
Demolition
Reroof
Accessory Dwelling Unit (ADU) - MAXTMUM S|ZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
.tGurelr &L:o+r9{9s2 Phone:1 4zo 1 4-? t'(}("'\1Property Owner:
Mailing Address:
Email Address:
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Contractori c>{.{}*(tR Phone: ( )
Mailing Address:
Email Address:
Architect:5-.luw, SPrs.FlAso phone: ( q7b r "to-St
16
Mailing Address:
Email Address:
6411 avLR eTr 5\RALf
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Engineer:i""1tuQ qJ 5.D.ir-jG(T*,Phone:'303 6 55-Q t\g
lo9<rl 3\517 h[ai2:.t{Gr-Lr-{* . ( t, 6uZj1Mailing Address
Email Address:t<.t r^L S- eG $JS ?^c-€ - cc,ir\
Manufactured Home lnstaller:Phone: (_)
Mailing Address
Email Address:
PROJECT DETAIIS
-e\ rrr90(iett 5 t?? d-$ .t'J,rl.Describe Work;
R.rxrl"t
Job Address:3i z5 cc'r:|iat ?<rAQ t4t:
Assessor's Parcel Number:2l'Ljst ,'19
Sub.hF."c 5 Rtu'rl 2 Block
Property Size (Sq. Ft. or Acres):36 o.-
Height:2o'^#ofF I
Addition
Owner's Valuation of Work:v fD t c_€(2
\ ,eeer
New
a Attached
Remodel/Alteration
Detached
f t-Lrfb-
Septicl
PROJECT DETAII.s CONTINUED
Community
Type of Heatr Natural Gas-Electric
Permit #:
Other
Driveway
Permit:
NofiCE
xempt
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'thi9-Agglication.
LeFal 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.
i 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 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.]l in violation of County Regulation(s) or any other
applicable law. Review of this Application, including submitt?s, 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
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Property Owner Print and Sign Date
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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.
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OFFICIAT USE ONLY t
Special Conditions:
50e qtbache{ Cor,/>/T
Adiusted Valuationlz
/60.q97. f8 'gb'*y:vu i7?fiF; aa Manu. Home Fee:Misc. Fees: t -tiiru"irp b,l4b'
"tL"."il,4,7,Fees Paid:
5&a.toQ
falance Due:t ha6, b?BP No:
BCRc-R4as
OWTS No:<trffi-85A:+
Setba-cks OCC Group:
I U Const. Type KL toffr,
Cw;,+t-BUITDING / PLANNING DIVISION
Signed Approval Date
-2 f
o
Gurfield County
BUILDING DEPARTNIENT
708 Eighth Strcet, Suite 4Ot, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PI.^AN REVIE wcH CKLI ST
Permit No:gt&*tz-Z3-8+75
Building lssues PlanninglToninglssues R ural
ry E ngineered Fot^+*datlon
Driveway Permit
Surveyed Site Plan
c Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivlsion 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
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plainprefarn
Buitding Helght
ALP
Zoning Sign-Off ) 5oO nef minrnug
@.adrmpactFees 723sf'aobl't'on
Grade/ TopograPhY 40%
.- Planning lssues
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€*F, ftrnude/Attenh'on
+ 727, 5o s.f. Add tL|t/l
7Z ,50 FLg
2gq7,e renodelx'35
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tx 6 I
3 og cp/a( xr I =l7t7y/3oParcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
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