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Home My WebLink AboutApplicationGarfield County l:il!.:,. ; i.:' Gommunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 i",,i',: ,.. ,; 19701945'8212 i., , i, i:: ,r i '. , : WwW.garfield-countv.com .L+ BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION Commercia l/Mu lti-Fa mily Demolition Manufactured Home (Single or Multi-Level) -Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED PARTIES propertyowner: RFUrypL h5+ Tf' "<pt phone: 625 3rl 2z{/ €4n-m1 a tusil -4,,';vm/)Qe*uta-Y Mailing Address: Email Address: Mailing Address: Email Address: Phone: ( )Contractor: 5Ena PhoneArchitect: Mailing Address: Email Address: Phone: 1A 170Engineer: Mailing Address: Email Address: Phone: (_) Describe Work: l?21 2"7 oc tv Lot Sq. Ft. of Building:W Height: 171a t\tn o PROJECT DITAIIS Email Address: a- Property Size (Sq. Ft. or Acres) 73t-b"r ot rloorsz 7 Pl[ s t3t+t1ketlt Owne/s Valuation of Work: Sub. Manufactured Home Installer: Mailing Address Assessor's Parcel Number: Job Address Block , 4? Azeo: Class of Work:EW ition Garage:Attached Remodel/Alteration Detached YSeptic:OWTS Type of Heat:Other Community Electric Driveway Permit: Natural Gas Propane fX Permit *' -GA82P --O=8 NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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 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. 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)). 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 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 (21 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. PROJECT DETAIUi CONTINUED 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. ? - zS -ztzs Property Owner {rintand Sign Date OFFICIAL USE ONtY 5€e ath/aed a//D/va/Ks ryrtni{,_o+ E Special Conditionsl Adiusted Valuation: 152,41"7 'P Permit Fee:. -sI TqA co'*uw",vtr Manu. Home Fee:tLtMisc. Fees:N/A '"2\"2q,'l €g:aa Balance Due:-, l2q4,t1 fftg,gaq4 ffi-Gars h_Setbacks:a occGroup: IKC Const. rrrrRC zonift BUtTDtNG / PLANNING DtVtStON : Signed Approval t Date t/ Garfreld County BUILDING DEPARTMENT 7OB Eighth Street, Suite 407, Glenwood Springt CO 81607 Tel: (970) 945-8272 PLAN REVIEW CHEC K LIST 6uQm?-z-s,41Permit No: Building lssues Planning/Zoning lssues t(uro/ Engineered Foundation6R620<-8 Driveway Permit Surveyed Site Plan SE oTra2?-27-gg/g Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Subdivision Plat Notes no ?la*{ovnd Fire Deoartltrerit Review webe+boundE Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions MA N4 // -/ NA ,/ N,,+ Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Grade/ Topography 40% Planning lssues Subdivision Plat t NA f Energy Compliance Path/Plan F/^5 /2?O x 746C ?b,46420 rl ion & Summa,t/"/"p Received Plan Reviewer to Sign ApPlication t446r,/22o x //{ e2,gu,o0 /o8 X /g $ tqw,o0 /og X lZ =f ,rL ?b' # Parcel/ Schedule No 40# Snowload Letter - Manuf. Homes ba** 'f//*//d 00 CoNt, '"u,$ tnzr4b7,'ooryl ha/etb"rw Report ^zooopel-uta/ alt U,l/4 hrb/