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HomeMy WebLinkAboutApplicationGarficld County Community Development Department 108 8th Sueet, Suite 401 !aEf-: g: l\/bttnwood Springs, co 81G01 .r "" .,,\.,, {.97ol945-82L2'itil ll l{ /-lK'iu*i"rR"lo-.ountu..ot [?FiF:t-ti {,1'r t"' :': I I' ti''./ ,\ ', i (-J ir-t"))'r t:-[]:- ..- i ! __l . lJ\ rft; 'i li BUILDING PERMIT APPLICATION lTlFFttrcUr(I'*f n'u cn o r,r tr Commercial/Multi-Family tr Demolition El Manufactured Home or Tiny Home (Single or Multi-Level) tr Residential (SF, Duplex or Townhome)tr Reroof tr Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOTVED PARTIES IKPhone:(r t t * Email Address:fi.., Property Owner: Mailing Address: contractor: &t futo B*.\L-r Phone: flS th*- oLT* Email Address:r ,. FoO nck?t,ab*-\l-q,x" r Mailing Address:ltvL3 Phone:(Architect Mailing Address Email Address: Engineer: Phone: Email Address: Mailing Address Manufactured/ Tiny Home lnstaller: Email Address: one 4Mailing Address 6oS r-r.Ctosf'0". S,lFa {'t s --. L* t17o t ^41-7of3 9tszt^ PROJECT DETAILS Ve \)\)o[\ II Height: Job Add ,"rr, f4 Iq 6-^h eJ Sq. Ft. of Building:t\bo Describe Work: tg +6 € Assessor's Parcel Number: t L +6 L^r'r tL oor, L Owner's Valuation of Work: S Sub. "1Ll fofFl Lot Block PropertySize (Sq. Ft. orAcres): T E Addition E Repair tr Move/RelocationClass of Work:.E New E Remodel/Alteration E DetachedGarage:E Attached PROJECT DETAILS CONTINUED Ul owrs E Natural Gas CERTIFICATION E Community E Propane acknowledge that I have read and understand the Notice and Certification above, as well as, have required information which is correct and accurate to the best of my knowledge. b- ttt-L{ Property Owner Print and Sign Date Septic Type of Heat:Ef Electric E other Driveway Permit: E Exempt E 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. I hereby certify that I have read this Application and that the information contained above is true and correct. I understand thatthe Building Division accepts the Application, alongwith 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 ofthe 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 Pertnit 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 otheniapplicable 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 bytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, lacknowledgethatresponsibilityforcompliancewith federal, state, and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect d en eer and/ or builder OFFICIAT USE ONtY aG 't , see atbaSpecial Conditions: Manu home Fee: $ 6ce-a H7 Plan Check Fee /4,E. U Permit Fee:aaz,a5Adiusted Valuationh,m.e OWTS No:t*:ttr -R?+3 Balance Duer ,;ha.oh BP No:ffitr-ffi;.'$ufiI."oTotlal Fees:qb 8,eb Zonine:zriConst Tvoe::890.Setbacks:OCC Group:IPC- BUTLDTNG / PLANNTNG DIVISION : Signed Approval Date 0,,il,t trwrfae&&ffwre:w$r BUILDING DEPARTMENT lol Eighth Street Suite 401; Gtenwood Springs' co 87607 Te!: (970) 945-8272 PLA N REV EW CH ECK ril5Til Building lssues permit No: FLT2FA 7*24-8 772- PI nninglTaning lssues R.9 nhl)a-vL-, P rope-rlY Line Sethacks 35 ft. Stream Setbacks Flood Plain Buitding Height ZoningSign-Off Grade/ TogagraPhY 4O% Planning lssues Subdivision Plat Deseri ion Sunn a a 6rr/0-dunolr Fcurnd+tbEo DrivewaY Permit S+r'bd,i'visb+ P !a€ Flote s re Department Review aluation Determination/ Fees Red Line Plans/ Stamps/ Sticker ttach Conditions T@Road rmpact Fees Rl F E, E'D l------ 17aprY neleg+bau ,.r/a RrnEsb 4 /r4 h/-Tooe/ft uaa/^ / g mc4/h'-/eYe/.p.-ta'O /arne Energy CornPliance P to Sign APPII n K+4 4-7-ttZ soils Repo? _5_4 {ir -t d"j "i"it}t-F; $$l L$ RHpORT" i$ rtHatiiRffi[} A{- F0OTlh$G I h! $P fi:il,]] U0(t &, tfuA "P *F a,PtEtuo, 9/ca l4qF/o"Homes fir- Etrb