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HomeMy WebLinkAboutApplicationGarfteld County CqgilUuXiW Development Depa rtment*EcfdVE rxtreet, suite 401 ;,t-*;J,;i,W BUILDING PERMIT APPLICATION DemolitionCommercial/M ulti-Fami Manufactured Home or Ti Home (Si or Multi-Level Residential or TownhD Reroof Dwelli Unit DU - MAXIMUM SIZE OF SqUARE FEET Property Owner: Mailing Address: Email Address: Phone: (_) Phone: (ol'LD I h25-f)ZDRContractor: Mailing Address: Email Address: uh Phone:Architect: Mailing Address EmailAddress: Address: 2?'l Sourtln Hth s,fi ft'LMnn . NE bgb?n Phone:( 800 | 921 - 01qD Email Address: Engineer: Mailing Agl Sm{.rru,l Nlnrr b0' x t,,l' x lg' Stg.ol Etuilunn Enra-aot. Lnl Phone: (_) rg' N JJ ) I Height: Describe Work: 2ttzgt"Ll 00022 Sq. Ft. of Building;Shoo Job Address:5{ lot _ Block Manufactured Home lnstaller: Sub. PropertySize (Sq. Ft. orAcres): 'l.Utl Se.toS # of Floors: I Owner's Valuation of Work: Assessor's Parcel Number Mailing Address Email Address: Class of Work:dlruew Remodel/Alteration Addition XGarage:Attached Detached ]WTS CommunltySeptlc: N A atural Gas Propane Electric OtherType of Heat:n/n Drlveway pt Extsh Permit #: Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, 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. 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 l2l 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 authorlzed 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 Print and Sign Date thcled QND/Ta/V€Special Conditions:9ee n Manu. Home Fee:Misc. Fees: Wi:l,W,'W Permit Fee: Qoz.7o BP No: B-tflt -g'g<OWTS No:6fA rtgl Totdf Fees: ig Fees Paid -+(.1rj - Balance Due: 796, eb Const."lPa Zg4ing: \\ Setbacf: -occ Group: t RC BUITDING / PLANNING DIVISION : Signed Approval Date b.2Cd,?H irlirlr,',] ri, 1' jllli.' Gurfteld CountY BUILDING DEPARTMENT 7oB Eighth Steet, Suite 4OI, Glenwood springs, co 81607 Tel: (970) 945-8272 PI.AN REV!EW CHE CKLI T gt4*o6-2y'-8e68Permit No: Building lssues E*gineered Fou*dation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List SuMlvisio* Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication Parcellschedule No. 40# Snowload Letter - Manuf. Homes Soils Report Pla n ni ng lToning lssues =t' ProPertY Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Helght -/ Zoning Sign-Off Road Impact Fees 0O F/S Grade/ TopographY 40% Planning lssues ,- subdivision Plat usqa 926/51 Descr ion&S mma sbdo ,x, 2roo= 96, fua* a/;tsttel /",//ry tza/ua*)nt t/n/?ak/ h'r/b* Aa.t-aae hruonlr /Sbrp