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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Sreet, Suite 401 Glenwood Springs, CO 81601 (970194s-8212 www.garfield-countv.com BUILDING PERMIT APPLICATION coNsrnucnoN E[ Commercial/Multi-Family Demolition Manufactured Home or Multi-Level [-l Residential (SF, DuplexorTownhome)Reroof Property Owner: Mailing Address: F+.rcrlo, Seno Phone: (?70 tg87-.lzf( I I bt>1Email Address: contracror: DcoPqJtV OaYJe{Phone: fi7o r ?87.c'lz% f I J Mailing Address: t Email Address: Hh4* rleck Phone:97b ) 9g? -l zrA Mailing Address: EmailAddress:h I Engineer:Silucr fl,a;,at 1tt,x.to cq J Phone: 976 ) 3aO -f6Q3 Mailing Address: Email Address: \ Manufactured Home lnstaller:Phone: {) Mailing Address: Email Address: PROJECTOETAII.S lr oDescribe Work: 3*nrcfirfu Job Address:227 Assessor's Parcel Number: Zl'7q66t67 34 Sub.Lot _ Block _ luation Ft. or Acres):3?.72 Sq. Ft. of Building: Class of Work:I New I Alteration 1l lddition l_lRepair I I Move/Relocation Garage:!attached ll Detached :---,r';r:;1.,.4 Septic: Type of Heat:Gas Propane Electric Other #: Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lfthe signature below is not that ofthe Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. lceal Accegs. 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 1"80 days after commencement. 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, alang 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 prov;sions 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 structurets) 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" ,{ 7 lz sf z,oZcf DateOwner Print and Sign Special Conditions: ,e ee a*ha ubd cot/D /T/a/l/.s Adiusted Valuation: / 74,q52.71 Plan Check Fee: nrE.44 Permit Fee: -14"LA:Tb Manu. Home he:AIA ,geg?'. e1<t Total Fees: 2 ,3?L.c\ Fees Paid: r\,\\q.lq Balance Due: t2tt.55 BP No; 6i7n.8S(5 OWTS No:<FSr-rsgi- Setbacks:oCC Group:Const. Type:zoqi: 4 , tB-21BU|IDING / PIANNTNG DrVrSrON Signed Date Gwrfield CouwtY. BUILD'NG DEPARTMENT 108 Eighth Street, Suite 4Ot, Glenwood Springs, CO 87:507 Tel: (970) 945-8272 P NRE vrEw CHE CKLI ST Permit No: Building lssues -/ E*gi*eered Fot^+*datior+ auo- o7-Z(-9596 Pla n ni ng I Zoning lssues eclf"9 ANI} -/ cotlD -/rM /' / #PHII,I"HOLH $OI L$ REPORT t$ I{HQLJIREN AT FOOTING Driveway Permit Surveyed Site Plan'4Ept=ba:z{-Bffib Septic Permit and Setbacks Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Buitding Height Zoning Sign-OffGrade/ Topography 30% Attach Residential Plan Review List Plat Fire ent uation tion/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. d lmpact Fees Grade/ ToPograPhY 40% Planning lssues Subdivision Plat D e s c r i ptjp n-&-SgiX-!! e-fy : > VSaues nehg*bo,t,/5 weale\ {> EnergycornpriancePath/PranReceived CfreFLg 40/2 X 74, bg 5,56rc I \--...-.t1 F 1 1557L.(L ,€ rc(ryF FL6 (otz x 7/,bg 40# snowtoad Letter - Manuf. Homes /nAf b g 0 X soils Repor' tr, ro "1-5 c 0 Tt<6- 6/"P^) o^)€- tS *t€ A(rr P\N>/ Wt<:t€N> ,? <lt{ A$c) v5.6 27,8 4,q5L.?( F.ee rAt^€{- ?"6; il?86.<r F7= if{$prefi fiN _],fr0l_ psF puxs.,rr<P C-- $,- e69 d f +<r-J A 36 Drla-uNC' c5 ,,tc?Fctso fueeZct fav<- HOTR lf any requlred information !s mi$5i*9, delaye in lreulng the pcrmR are to be etpeffi. lf dcrterminad by the Fui[di4 Official tfiat additionel infionnetion is neoessary to rcvievt' fie applicatkrn and/or plons for goffpliance, the epplicetion may be placed on hokd until the requirud inforrnation is provided Vtlofx may not prooeod without the issuance of a permit. The Eulldlng Divtsion will colled a Ftan Revlew fee at tirne of applicatlon submittll" T'he Pennit Fee" as well as any Road lmpail fees will he co{lected when tho pc"nnit it iesued. The permrt applicetion must ba sigrnd bV lhe ovrner or by a penron having written authority from lle olvner to ect es thair raprusantative. I hereby ac*nowledge I have read, undcrctandi rnd will abide with tfte requiremenB o{ thl* cheekl}lcl 3 /zs/zaztt and n Dat6 {