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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701945-82L2 www.ga rfield-countv.com BUILDING PERMIT APPLICATION Demolition TYPE OF CONSTRUCTION Com mercial/M u lti-Fami Manufactured Home Si le or Multi-Level idential (SF, D lex or Townhome) Unit U - MAXIMUM SIZE OF 1,OOO SQUARE FEET INVOTVED PARTIES n o< Reroof Acce Dwelli nu &Property Owner:Phone Mailing Address Email Address; +) .d( Contractor: . )t c,.CE-\o\.,\ *o c.o^ LLL Phone: rtBLl x1 l4L5 Mailing Address DoboxilLtq S.'l\L c-o 6le,S*> Emait Address: JfS\ 51 6J,.,t6r, G) aru.l\ .lerfi Architect: NDt2 \"o\', \eA,r'.-Phone: CIilQ-f r-t)t u.q6 Mailing Address EmaitAddresr, 9 FJUTnSO .\)Dt {UL Cpr\ Engineer: Mailing Address: pr,one,61J0 \ 70G 6gAb Email Address: Manufactured Home lnstaller: \ Phone: (_) Mailing Address Email Address: ' PROJECT DETAILS Describe Work: Job Address:tl p, Assessor's Parcel Number Sub.Lot __ Block _ Owner's Valuation of Work: $6o,oo Property Size (Sq. Ft. or Acres): Tqcl Height:# of Floors5q. Ft. of Building: Class of Work:New Addition Garage Attached Remodel/Alteration Detached J I I I PROJECT DETAITS CONTINU ED i"pii.'Community Type of Heat:Natural Gas Propane E I ectri c Other Permit #: NOTICE 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 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 ft"i"ny certify that I have read this Application and that the informatircn contained anove 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, lagree that land 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)). 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: (L) , requiring the correction of errors in the submittals, if any, discovered after issuance; or (2)stopping i construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other 'applicablelaw.ReviewofthisApplication,includingsubmittals,andinspectionsoftheworkbytheBuilding Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibillty 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 ired information which is correct and accurate to the best of knowle P Owner Print and Sign Date ptO-rir"*"V it:Perm 6 OFFICIAT USE ONIY 1 \ ^ee a tha ohel QTYP / v//V sSpecial Conditions: Adiusted Valuation:$?a7sc qz "i;rt|]'wq"',6'UHff.',U Manu. Home Fee Misc. Fees: RIFNED $ 4R/.7 7rI1 Total fees: 5,15. Fees Paid b7u\91 '.9'T3u,"rn BP No: F-pp--R1cA OWTS No Setfacks:OCC Group RA .o"".7pa Zo */:41BUttDtNG / PLANNTNG D|V|SION Signed Approval hil,M Date GwrffieEd C*wn6P, BUILDING DEPARTfifiENT 1Og Eigtxh Street Snite 401; Gtenwood Sprtngs' CO 81601 Te!: (970) 945-8272 PLA R EW c E K Permit No: BL'Qg-O6-24-92b2 Planning /laning lssues Ee,gi*eeeed Fo&qrd*t't€+ COAIPeylDrivewaY Permit Building lssues Surveyed Site Plan ,sfnp/a dultEu4tizAN Septfc Fermit and Setbacks);h; ilze/z//-F/EZP brade/ToPografhY 30% Attach Residential Plan Review List Height ,ril ^ ign-off ( 75OA/+FLs) pact rees'- Rtr N n> C,PY Building Zoning S Road lm Subd.ivlslct + P bt $dc.te s Fire DePartment Review Valuation Determ ination/ Fees Red Line Plans/ StamPs/ Sticker Atta.ch Conditions Application Signed Energy Compliance Pathy'Pta n Received Plan Reviewer to Sign APPlication ParceU Schedule No. 40# Snowload Letter - Manuf' Homes Gractei TonogranhY 40% Planning lssues Subdivision Plat qr5zb?- DescriPtion & Sumrnarv: FLs z/4x7/,68 .J*la4sx 3z "f/ alav /Z- : ,s56r56/, ?2- =/ 34800.e =f 3t4zl% NA // soils Report " ..iIi i :.rr rl i:: llt;f|-;lIl; .l'r'iIi ;il ;lr-',ii,i,i' at i;'; r*|"rrr ' 'ffi-H6rii4yt &5oo ' 'i 4 ?q7g5.q7 KtF /V,B.D.:4S/.'o