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HomeMy WebLinkAboutApplicationGarfuld County Community Development Department R E c Erv eff :"r'ffi[:::T H:r, lUt'l 2 GARFIEL 4 202 I{ (s70) s4s-821,2 t) l:0til,' BUITD:NG PERMIT APPLICATION DemolitionCom mercial/M ulti-Family Manufactured Home or Tiny Home (Single or Multi-Level) <.ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOTVED ES vl(^ L (r)e (n\ Phone: f41Q-fProperty Mailing Address Email Address: Phone: Email Address: -5 Mailing Address P.O C3ov 147 Contractor:I v )uD t4.ot'r €- rR blL,4€1. Phone: (M31n-q)3n Email Address Architect: I Mailing Address: q'\n A/.-t o 1 Phone: tKlDt zz€-z-1zzEngineer Mailing Address: Email Address Describe Work: rot \a{ Btock - en€ Phone Job Address: +- Sq. Ft. of Building: -n9,4t Height:a5t # of Floors Z \M 4rc"r \\nF,ooa.r - Manufactured Home lnstaller Owner's Valuation of Work: S Assessor's Parcel Number: Sub. Mailing Address: Email Address: Property Size (sq. Ft. or Acres): ' 3 f1<.eeS , X AdditionNewRemodel/AlterationClass of Work: X DetachedGarage:Attached q. q- 0,M"' .J- f D.\+ 3 5.) o 6 =\) € o PROJECT DETAITS PROJECT DETAILS CONTINUED Septic Type of Heat: Driveway Permit: Natr-rral Gas Propane Other Community Permit #: Electric NOTICE 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. 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 devclopmcnt rcquiring 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 igsuance of thc Building Pcrmit does not prcvcnt the Building Official from: (1) requiring the corr'ection 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 laws and County Regulations rest with me airci my auiiroiized agenis, irrciudirig without iirnitation my architect ciesigner, engirreer andT'or buiider. 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 aceurate to the best of my knowledge. w!t11-4'tt0 tV Property Owner nt and Date OFFICIAL USE ONtY \ 6e€ athche/ 7*/A,"vsSpecial Conditions: Adiusted Valuation; -6 4m 735,1t Plan ChecL< Fee: 1377,!* Fee:. n /Iq 23Permit2l Manu. Home Fee:Misc.FeeE: - , _ ^-'pttr 9?7t,"/ q7fotal Feef: 3.43t1' Fees Paid: \4be.oa Balance Due: - , 213?,'tt BP No:R o F-R4#l OWTS No: 'Ehflifb -F E.occGroup: /BC ,o"t ,rrrl,Rc ,'$tlt, 7- "Ll -)tbla4BUTLDTNG / PLANNTNG DTVTSTON : Signed Approval I r Date G'efffwge CwwwfiP BUILDING DEPARTIwEN.T loi Eigtrh Street, Suite 4AL Glenwood Springs' CO afiAI Te!: (970) 945-8272 P T.AN R EVil Ch[E CK ril5TEW Permit No: E LEE-O/-2*SZ7/ Planning /Zoning lssues Building lssues "y r/gb 1+*// prope*rly Line sethacV, n ) 35 ft. Stream Setbacks E+rg ineered fu $"Ediat'ior* DrivewaY Perrnit Surveyed Site Plan Septic Permit and Setbacks Gradel ToPograPhY 3O% Attach Residential Plan Review List 9^+bdivi'slo+ Flat partme ew Valuation Determinationl Fees Red Line Plans/ StamPs/ Sticker Attach Conditions CaTD eu2 Flood Plain Building Height Zoning Sign-Off Grarlel TonogranhY 40% Planning lssues Subdivision Plat Rtr s.A./o ad rmpact r"u, €' 4' n (f9 Q 7347bt U/1/D ? aa,a7 carread /l*rr^l:f -Z'F ,riltbbd6 Oabt/-ry //'tr ,r^Q,./s ,*7 aS M /sqfuV /?/ ,4n o/q,ra.zarr pory/?/t D /L4 * uN/: 0 ir',[:hl."i{ ULLj ['iii I L{:; [i [:: i'i" r i'; i l$ RrSLi[RHn Ar [:CI{-i-["lf{$ lF,I$FH0T',t0|ld / 2od P5:,1: <+41 23-7-3 C CoM/\ 3z?4 nnLX n *hnb,h^ll" Pfu'c-c'Mb pTLb ?e.(*h ,€d /r',nn1 u€2_ 6n,de