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Home My WebLink AboutApplicationGarfield Counfii 1 Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e7ol94s-82t2 www.ga rfield-countv.com BUILDING PERMIT APPLICATION OF Commercial/M u lti-Family Demolition Manufactured Home or Home or Multi Residential or Townhome)F D Reroof>< Dwelli Unit U - MAXIMUM SIZE OF 1,200 SqUARE FEET INVOLVED Property Owner: Mailing Address: Email Address: Contractor: Mailing Address Email Address: Phone: ttzn I 4/*;t;AS;d Phone: t47r I 7At-c//P;r l,_ hiteArc Phone Mailing Address: Email Address: Engineer: Mailing Address: Email Address Manufactured Home lnstaller:Phone: (_) Mailing Address Email Addressr Class of Work:New Addition (.lr^'./*' fi Jzal n 'z < phone: {Zh1 ass- tt ry t 24, gtS. 4 cl property size (sq. Ft. or Acres): PROJECT Describe Work: Job Address: / a tlL ,r#/ Su Assessor's Parcel Number: # of Floo ut J L/ /r Block - Owner's Valuation of Work: 5 Sq. Ft. of Building: 4 t f t r/ Height: Garagel Attached Remodel/Alteration Detached I pRolecrDETAILs CONTINUED Septic:Community Type of Heat Natural Gas Propane Other Exempt Permit f : 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 signatu re below is not that of the Owner, a separate letter 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 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 Highwayl 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 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 thisApplication, a Building Permitwill be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. In 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 Iaw 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 Developrnent Code. I acknowledge that the Builcling permit may be suspended or revoked, upon notice fram the Courrty, if the location, construction or use of the structure(s) and facility(ies), described above, are not in conrpliance 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 oferrors in the submittals, ifany, discovered after issuance; or (2) stopping construction or use ofthe 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. Property Owner Print and Sign Date Electric Driveway Permit: OFF]C]AL UsE ONLY speciarconditions: 9ee a*fu 4e/ coND/7za/L< Adiusted Valuationl. t?4, ffi,4++ Fee: -trPlan Check 7 74. Permit Fee: -aI ^ l8?. /?Manu. Home Fee:NA ffi" Total Fees: lQ,-t-L97 Fees Paid Av+%'i:ih'd"75 BP No:WE {r"m OWTS No:-7V4 SetbScks: O lL COCC Group Const 'Stin +-/E-Z&s),?f.-.BUILDING / PLANNING DIVISION : Signed Approval Date Gwrfreld CountY BUILDING DEPARTMENT 708 Eighth Street, Sulte 40t, Glenwood Springs, CO 81601 Tel: (970) 94*8272 P N REVI EWC HEC KLIST permit No: Ot@-o/LA/- Sbao Building lssues E*gineered Foundatlon Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat F.lotes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions As Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication ParceV Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Plann ing I Zoning lssues Line Setbacks 35 ft. Stream Setbacks Flood Plain Buitding Height Zoning Sign-Off Road lmpact Fees Grade/ TopograPhY 40% Planning lssues Subdivision Plat De on&umma bt 2// ry CnAIT S,al*rtk/rtr th/"oh*' I skuc , /3u 8e3,,// krrec*'Fn /y-- a4