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HomeMy WebLinkAboutApplicationRECFIVED Itlh! 1 ?. 202E ,'',., '-; i.,l t-l i'., ' li{,iY ilLf['tC0Mrr,Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82L2 www. garfi eld-cou ntv.com Garfield County BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION tr Demolitiontr Commercial/Multi-Family tr Manufactured Home or Tiny Home (Single or Multi-Level) E Residential (SF, Duplex or Townhome)tr Reroof tr Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED PARTIES Phone:d t" o $L 5z Email Address: Property Owner: Mailing Address: Phone: (_) Email Address: Mailing Phone: Mailing Address Email Address: Phone: (_)E r: Email Address: Mailing Phone:ruanutlq[iny Home lnstaller: Mailing Address Email Address: PROJECT DETAILS ^ -t- r'f t Property Size (Sq. Ft. or Acres): # of Ftoors: 0P e {tca A tlt tv 6. Lot Height: Job dress Block _lP'3r .Sub. Owner's Valuation of Work: S 5q. Ft. of Building Assessor's Parcel Number: tr Move/RelocationClass of Work E New 6 Remodel/Alteration E Addition E Repair E DetachedGarageE Attached PROJECT DETAILS CONTINUED E Community E Electric E other E Permit #: NOTICE I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have ired information which is correct and my knowledge. O /- Prop€rty Owner Print and 5 Date Septic: Type of Heat: .E(,owrs E Natural Gas Driveway Permit: E Exempt 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 bv 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlB0days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. lunderstand 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 regrrlations and applicahle land rise regrrlations (Corrnty Regrrlation(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 ofthe structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. lturther 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 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 lawsand County Regulations restwith me and myauthorized agents, includingwithout limitation my a rchitect e neer a or builder OFFICIAL USE ONLY nee athahel /VA/I/KSpecial Conditions: Adiusted Valuation:'4000 "b'*5:v1',VHHE Manu home Fee Misc Fees: Totalfees /{// /tl/ (2/./,G*l>t Balance 'paq7,WnEqu)OWTS No: FI Setbacks: G- OCC Group /Rc ,o"t rrOfrRC_,off, 7-5-zBUtLDtNG / PLANNTNG DTVTSTON : Signed Approval Date t' Garfteld C*arctY' BUILDINo DEPARTMENT 7:OB Eiqhth Steet, Saite 401, Glenwood Springs' CO 81607 Tel: (970) 945-8272 PtA NR EVI w CH EC KLIS BtgE-nb24-g7ez T Permit No: PlanninglZoning lssuesBuilding lssues , nAA) rbrbr Engi*eered Fo*ndation DrivewaY Permit rade/ TopograPhY 3O% Attach Residential Plan Review List SurMivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Energy Compliance Pathy'Plan Received Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Gza no Ae PropertY //a'4- Linesetba/ *b4- 35 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmPact Fees Grade/ ToPograPhY 40% Planning lssues Subdivision Plat /o Descri ption &Sum arv: ntulaepnn* /tL Pres4lrzz/ b tha/zt/-- ' 4ah 4early W^4 4"*,,'y 5ilnr?h/ llotonh*,002.oo 4)o Sean/ L,rdu' /n ba# Nu/a# ledron==,=