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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 {;lliil,-1,r,,",..,.-.,, i.i:'",Www.gaffield-COun".r'ilirl r.rtil rtt i,,,.. . . ' '.i-j Il i;.I. i-rl IWPE OF CONSTRUCTION Iti-Fami 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: b tz-q cb'sG\* R.tv 2{-t NauS.,$t'ti'l € Ci.t"tCtrU. CpA 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 ij-dur9 @ S rUDt*6 P 1t.\Nrfi-& - C-ai\ 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 d t. g1gpeql anQ/_ 9$u!ld9-r Property Owner Print and Sign Date I -i I I I 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. r.leusas{ /tlttr ^A-V g ,fti-}\ 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 z- ///ah ,-a's1/a,rt+ €*F, ftrnude/Attenh'on + 727, 5o s.f. Add tL|t/l 7Z ,50 FLg 2gq7,e renodelx'35 -byaJta,?8 =Tottftz. sa D rl ion umma tx 6 I 3 og cp/a( xr I =l7t7y/3oParcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report aliaclea/ lurHalJ va/aah.a-zz: /60) ?ry re 4rc gb,uo €xr I , a/%rb k RIF N,F,D =