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Home My WebLink AboutApplicationGarfield County R JU GAR c0Mii -CpmmUnitU ftglqlopment Department IJ f, i Hrfip#fi Ern",, suite 4o 1 Glenwood Springs, CO 81601 l970l94s-82t2grrysfiddcqmrsn r.rl PARTIES PropertyOwner: Mailing Address: Email Address: Contractot: Si Phone: ( g?0 I btR .115L. 5L Mailing Address: Emall Address: Architect:0ano({ez Phone:{) Mailing Address: Email Address: Engineer:lo (-t Phone: $10 1 ibb - 8b10 Mailing Address: Emall Address: Manufactured Home Installer:Phone: Mailing Address: Email Address: PROJECTDETA$ Describe Work:vb|yr\ Job Address:"tLl Bq n 52-- Assessot's rcel l{umber:LL OO Sub.I.ot { - Bbck- Owne/s Valuation Sq. Ft. of Buildint: size (sq. Ft. orAcres): 10, Ll AqeS Class of Work: BUILDING PERMIT APPLICATION Demolition Manufactured Home si Residential F ex or Town WPEOF Commercia . MA'flMUM SIZE OF SQUARE FEET Reroof Dwelli Unit Garage: ot sof Detached PROJECT DETAI[S CONTINUED Septic:Community Type of Heat:Gas Propane Electric Other Driveway Permit:ft*"to'Permit #: NOTICE Authoritv. 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. Lesal 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 cefiify 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 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 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: (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 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 the required information which correct and accurate to the best of my knowledge. 7rO Property Print and Date OFFICIAT USE ONLY see attahed CAN>/rua/VSSpecial Conditions: Manu. Home Fee:Adiusted Valuation: t2 q. a1p.z Plan Check Fee 7q5. ry 'fTD7:r5 Balance Due: ,- ilb /, le BP No:RrlEqffi OWTS No:ffi44<?- Misc. RIF &f Total F6es: t. q/L.8q FeesPaid: .- r +g5,tL*EV;ub occ Group: I RO const.rvneT RO Zoning:R F=26 kaE 6=10', %il,LvL Signed Approval BUITDING / PTANNING DIVISION Date B4- Gwffi&&Cwwn#Y BUILDING DEPARTIWEN'T log Eighth Street guite 401; Glenwood Sprlngs' CO 8J507 Tel: (970) 94s-8272 uNr CON> tjl.t*{ g 413t $: ft{.ri i -1':' [] J i'r | :('; : l'i ,I "1-itr-ts,l.', 1.. I I'.i *'ill.-; i ..; 1.1*..; .'T-i11 r": i'/ )\'t^"lr{-_.:..r'L..i: I . , :.,,llt \ j Surveved Site Plan eFPr-tu4{47.56 Sepfii P'ermTt and Setbacks Grad.e/ToPograPhY 3O% Attach Residential Plan Review List fubd'rvlsloP' F tat SJate s Department Review Valuation Determinationl Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Soils RePort a Flood Plain Building Herght Zoning Sign-Off Road lmpact Fees N,E,D Gr:ade/ TonograPhY A0% Planning lssues Subdivision Plat bSFZs 4/lrb Prr'.na:7 /'ze//t {, ct 'rz4r"ry) 7 /r,,e2/Lz//sal //) Deseri ion &mrna Rttr N.g,) -+ qs6 aa ,r'Plan Reviewer to Sign APPlication Parcel/ schedule No. ADU F4q ?5/x 74 6$= 7/,2t/4,72 N4 40# snowtoad Letter - Manur. ,Kgd 3 aJ- : t //4 X 3Z 44 2/8,"o ar.For+) c p/a/ wcP/d 3/ 8/0, 5m{/g 4/ Oo0. 3ilx /z oa oa + /21 5Va.7L Ii{tii {:i-;},t*A 4,Q00- i:i,I'"9nu /e/ bu r//'n7 ,n/unlon '