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HomeMy WebLinkAboutApplicationCommunity Development Department #f,ffi:$l?fli;:H;l:,, t',|AR Jg*M$.';:,1?.., ARFt[:[-U CUi..l[*T'Y Garfield County BUILDING PERMIT APPLICATION Commercial/Multi-Fa Demolition dential or Townho red Home or Home or Reroof - MAXIMUM SIZE OF SqUARE FEETDwelliUnit Property Owner: Mailing Address: Email Address: Phone:/ 2f f e<{Phone: (Contractor: Mailing Address: Email Address: Phone:Architect: Mailing Address: Email Address: Phone:Engineer: Mailing Address: Email Address: Phone:Manufactured Home tnstaller: Mailing Address: Email Address: Describe ( z ( & Ft. or Acres): Sub. fofF Assessor/s Parcel Number: Job Address: Owner's Valuation of Work: Sq. Ft. of Building: Class of Work:ellAlteration Addition Garage:Detached llir\rr,11',i1.t, lr),li' lii li PRO'ECT DETAILS CONTINUED Other CommunitY Electric Septic: Type of Heat: Driveway Permit: PropaneNatural Gas Permit #: NOTICE AuthoriW. This aPPlicati or an authorized agent. on for a Building Permit must be lf the signature below is not that signed by the Owner of the Pro of the Owner, a separate letter perty, described above, 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 prtpotut of inspections by the Building Division' Other Permits. Multiple ,"pur.," p"rrnit, may be required: (1) State Electrical Permit' (2) County OWTS Permit' (3) another permit required for use on the property ijentified above, e'g' state or county Highway/ Road Access or a State Wastewater Discharge Permit' Void Permit. A Building Permit becomes null an of the date of issuance and if work is suspended d void if the work authorized is not commenced within 180 days or abandoned for a period of 180 days after commencement' CERTIFICATION I hereby certifY that I have read this APPlication and that the informa tion contained above is true and correct. I understand that the Building Division accePts the Application, along with the Pla ns and specifications and other data L^L^l{ lcr rhmi++rlc\ hasPSUbmltleo oy rrle ul ull rrrY uErrorr \Juerrrr!rq'v" v-v-d 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 deta iled 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 requ iring a permit, excePt foi' residential uses,are subject to Article 7 of the Land Use and DeveloPment Code. I acknow ledge that the Building Permit maY be susPe nded or revoked, uPon notice from the County, if the location, construction or use ofthe structure(s) a nd facilitY(-.-^ -^r:-iesl, descrloeo aoove, dle rruL rrr ^^*^rirnaa rrrirh cnrrnfv Resulation(s) of anVLVr I ryrrur rvv other applicable law I hereby grant Pe rmission 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 Officialfrom: (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 sub mittals, and inspections of the work by the Building Division do not constitute an accepta nce of resPonsibilitY or liability by the CountY of errors, omissions' or discrepancies. Asthe Owner, I acknowledge that resPonsibi lity for compl iance with federal, state and local laws and CountY Regulations rest with me and my authorized agents, including wit hout limitation my architect designer,engineer and/ or builder lhe reby aeknowledge that I have read and understand the Notice and Certification above, as well as, have p information is correct and accurate to the best of my knowledge' 3 -17 ,'7 4/ Property Owner and Sign Date IOFFICIAT USE ONLY --- - -r-l ---li+:^-..JPtjLldl LvllullrvrrJr '.btab Const. TyPe:OCC GrouP:Setbacks BUILD]NG / PLANNING DIVISION DateApproval Garfield County BUILDING DEPARTMENT 7oB Eighth Street, Suite 401, Glenwood Springs, cO 81601 Tel: (970) 945-8272 PI.AN RE VIEW CHEC K LIST Permit No: BrXg- OZZ4- 9557 Building lssues Planning/Zoning lssues bt /a E*gineered Fot^+*datlor+ Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Sr^+b'divislon Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report z7 ,/ Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Buitding Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat & Summa 6 Energy compliance Path/Plan Received apltl I Y16 a{rehl lu,ilirjr ra/uahh t/a* €pp Kee,zbhhl Atb"*b=,e ark bF6, o u %/4 7aq /L a%cz co /rz/ 4,re.b*/,tr9 z , // Acn# mo B, €'