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HomeMy WebLinkAboutApplicationGarfield County R *- {: Eb\6{ihtl n ity Development Depa rtme nt 108 8th Street, Suite 401 MAY I 0 ?08tbn*ood Sprinss, co 81601 GAH f- I h' 1". D C0 U lrtty(e7o) e4s-82L2 C0MftiUlilTYnrV[Ll)fildfiMearfield-count BUITDING PERMIT APPLICATION WPE OF CONSTRUCTION Commercial/M ulti-Family Demolition Manufactured Home or Tiny Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU)- MAXIMUM SIZE O F T,2OO SqUARE FEET b?-Phone:A t ,t Property Owner: Mailing Address Email Address: Phone: (-?tq ) sbci - -\k2^Contractor: Mailing Address: Email Address: Architect: Phone: Mailing Address: Email Address: Email Address: 0 ,l Mailing Address: Engineer:Phone: ( ?OU Ll Dl|- 512'b Manufactured Home lnstaller: Phone: Mailing Address Email Address: PROJECT DETAII.s - Mffi.flSut Describe Work & t"t sua. Ale.ua '1 otaDDSt+q le<rlra's Es] l(a (e( rct 3 Block- fofFl Assessor's Parcel Number Job Address: Owner's Valuation of Work:Property Size (sq. Ft. or Acres): '7 ,045 arros Sq. Ft. of Building: Qf Q Height: AdditionRemodel/AlterationClass of Work lffi'rew t_t-Garage:Attached Detached PROJECT DETAILS CONTINUED Septic;)WTS Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: Exempt Permit # 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 signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Lesal 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 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. ln consideration of the issuance of the Building Permit, lagreethat land myagentswill complywith provisionsof 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 (2l,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. 4-ra -"*t:>Ll Property Owner Print and Sign Date OFFICIAT USE ONLY Special Conditions:sea altaile/ U4VP / T/2NS Adiusted Valuation: 49,o2a. ed Plan Check Fee4053t '"iuZ]ea Manu. Home Fee:Misc, Fees: Total 66 Fees Pa /.1b6 '044 Balance Due;5b* q7-BP No: HLE'\IoYJ OWTS No: setba6kl_---OCC Group /RC Const. rro"j RC 'oflt' I 'r%b-/-ZBUILDING / PLANNING DIVISION Signed Approval Date Gurfield Cou;wt1t BUILDING DEPARTMENT 708 Eighth Street, Sutte 4A7:, Glenwood Springs, CO 87607 Tel: (970) 945-8272 PI.^AN REVIE c H CK LIST Permit No:BLRF-05-2 4-gb7Z Building lssues no 4- C'?,",- ottach co nd itio ns Application Signed, t4nhal€d Energy Compliance Pathy'Plan Received Plan Reviewer to Sign APPlication Parcell Schedule No. 40# Snowload Letter - Manuf. 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