HomeMy WebLinkAboutApplicationGodtcld Cour@
Community Development Department
RECElV6FS,h Street, Suite 401
MAY o f 't0l1Ei,l'#!1#
81601
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COMT,IUi.IITY gTVELJPMENT
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APPL'ICATTIO.N
DemolitionComulti-Fa
Reroof
orMManufactured Home or Ti Home
Residential or Townhom
Dwel Unit DU - MAXIMUM SIZE OF 1,200 SQUARE FEET
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co-..h?. ?e.\13-t #a^lFotr&ger'.rdt(Cel- ,F/dc I
cyr^f b Phone:tat"d | ?lC,6cCEProperty owner:
Mailing Addressr
Email Addressl
<,-l {=Phone:({fa;!r 6 .(ccQ,Contractor:
Mailing Address:
Email Address:
(, \,\\Architect:
!-*.o1.\ tEmail Address:
SireA
(,
Mailing Address:
r.oerrS
l gl€_ c"lsfiA t $Itl '€d<,b ZnL
Phone: rfro | 76C - I 6? O
C+ct Li rf \,^ 4rrel.'\ o-*r 9 Phone:
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4Engineer:
Mailing Address:
Email Address:
Describe Work:
Job Address:
fof rloorst L
Assessor's Parcel Number:9J A1 Atr
Height:t-?'/o L,' I
Property Size (Sq. Ft. or Acres):3fi /
J
Phone: ( )
.t1 '\t Llovgn 1'" r .Qlrvaf.,uV\*
er 6?8 /
Manufactured Home lnstaller:
Lot C Block
312f. eo o
Sq. Ft. of Building:
Owner's Valuation of Work S
Mailing Address
Email Address:
Sub.
Remodel/Alteration AdditionClass of Work:R"*
DetachedGarage:
i ilr\[Y,tr:,1 i\Y/ : i Dr : in\ ij] ri I i t,
PROJECT DETAILS CONTINU ED
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.
(--*4z)..{* 3 * 20
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Septic:Community
Type of Heatl
Driveway
Permit:
Natural Gas
lXlexemot
Other
Permit #:
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 Perrnit.
Vold Permlt. A Bulldlng Permlt becomes null and vold lf rhe work authorlzed ls not commenced wlthln 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, ifthe location, construction or use ofthe
structure(s) and facility(ies), ciescribed 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
acceptanceof responsibilityorliabilitybytheCountyof errors,omissions,ordiscrepancies. AstheOwner, 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.
Property Owner Print " d6i,gn Date
IOFFICIAT USE ONI"Y
6ee al-h'chd &L/b /T/aM<@Snecial Conditirrnc:
Adjusted Valuation:
3ob^oqb,ea
Plan Check Fee:
tg?q^ry2
Permit Fee: /) I21K2,70 Manu. Home Fee:Misc. Fees:
RtF AJ E.b= $t. gi t
37Total fees:
3,552-
Fees Paid:
\2m.Lla Balance Due: - -2152,70 RbSA
BP No:
RT'E-
OWTS No: '
Sffi-qn-s<
Setbacks:OCC Group: RC ton"'tTk-
-
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w*bal
BUILDING / PLANNING DIVISION
Signed Approval Date
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Gurfreld ConrctY
BUILDING DEPARTMEN|
108 Eighth Strc4 Suite 40t, Gtenwood Springs, CO 81601
Te!: (970) 945-8212
PI.AN REV tEw CHE CKLI T
Permit No: 8t4,tr- A54+- 8b5Z
Building lssues PlanninglZo ning lssues
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Surveyed Site Planih-ot-2*8bs
Septic PermTt -and Setbacks
x boK
Grade/TopographY 30%
Attach Residential Plan Review List
Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Received
pl
Soils Report
Y*^oad tmpact ,u", il6D
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
?g/at?
?se €34+q6?613
Property Une Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
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Description & Summarv:
Energy ComPliance Path/Plan
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