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Home My WebLink AboutApplicationvvlrrrrrsrrrrt vErs:vl,rrrer 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970le4s-82t2 www. garfield-countv.com APPLICATION Demolitionu lti-Com Manufactured Home or Ti Home or Multi- ReroofResidential (SF, Duplex or Townhome) Dwellin Unit - MAXIMUM SIZE OF SQUARE FEET f4f'4 z Phone: t flo t 37 F' aor)(g,lrl r,r Email Address: Property Owner: Mailing Address: t).22> Phone:, f76 37ft/"a{aContractor: Mailing Address: Email Address: {z Architect: Mailing Address: Email Address: Phone: tfbt 37/" 6o{d DONOULI l)AK{tE ilc Phone: ( )Engineer: Mailing Address Email Address: Manufactured Home lnstaller:Phone Mailing Address: Email Address: f Describe Work: Job Address: Assessor's Parcel Number: o Sub.lot Block owner's Valuation of Work: S €N "4" Ofl6 Propertv size (sq. Ft. or Acres):{ r+rf* ryl,s 9r nsdl;lrYdrurdr \rd5 rr ulrdrre E IELLT IL vLr rcI Driveway Permit f: Authority. 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. 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. othef Permlts. Multlple separate permits may be required: (1) State Electrical Permit, (2) county owTs Permlt, (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, tn constn rct the strr.rctr,rre(s) and facilities detailed on the sr"rbmittals reviewed by the BLrilding 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 Lond Use ond Developmcnt Code. I acknowledge that the Building D6rmi+ mav ha cr rcnanrlarl ^t r^t'^V^A ,,h^^ 6^+i^^ frnr +ha /-ar rn+rr if +h^ l^-.+i^^ ^^h.+.',^ti^h nr r rca af +have JvJPL"vls vPvrr rrv$LL wvrrlt, , evrrJ!, 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 properq,/, 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 ofthe 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 L^-^L., --L-^..,1^l-^ *L-r r L^..^ -^^l ^-Jr artr ggt qlnrrwwrEvSE tttot I ttayE I Eou qltw provided the required .L^ r!^r:-^ ^-J a^*it:-^+:^- -L^.,^ ^- .^.^II -- k^.,^lllE llglllE Ollq lEr llllLqllvlt dgvvg, qt Wtll qJ, llqvE is correct and accurate to the best of my knowledge. s/r/rt Owner Print oate( / / f zrrn ./ r-\ !/ ^{)/\// -)/t--1// L/- . Special Conditions: iw|.'l;ffi'b"Plan Check Fee:p27 al *"frTH'ilUw:k6 '^)4ry'"'' Total /ees: a t5v6.4"Fees Paid: &u+.41 'xffff."bh BP No: KilF-RaS+ OWTS No seibacksz */2 occorou1:p0 const']1P c--zo1i5: !u6 Hgnm )aleeat )utae wt, v,crtnwv JFt-ted, Tel: (970) 94s-8212 PI.AN R EVIE wc HEC KLI T Permit No: 6LRf-A5€4-Cb57 Building lssues Pla n ning / Zoning lssues LLrq e/ey'=jMl / E*gineered Foundat'*on Grade/ TopograPhY 30% Attach Residential Plan Review List Subdivisio* Plat F.lotes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Application Signed Parcell Schedule No. 40# Snowload Letter - Manuf. Homes Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height Planning lssues Desc ion &umma Zoning Sign-Off :",J--##fu ?o2-e./. x f '?/.oo #.<4, baA,aa ,/;,s,h/ lurMn7'raha*bn soils Report KtA 24-VZbb de/za1z/( vertft,1 com paslion retutt )Sdapa /az v-.v 7t/ tL/(.L44 t-/?f(49 tIvL4r v fin-grk ebra*'fr'-