HomeMy WebLinkAboutApplicationG*qfietd County
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r-ontractsr: T*!A Ca?c'otte lfut-.o!- ea*s q+o 4'4 g' 34{b
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Email Address:
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PROJECT DETAITS
DescribelAlorlc
L
Joh Address:3?S
Assessor's Farcel lturnber: 271' S 7l
sffc" T; Ilz- Spr,r^o, < t$t tb--
Owner's Va luation of Work:(
5q. Ft. of Suilding:5+g edl+Height:
, ClassofWork
B*ilc*.
Praperty Size {Sq" Ft. or Ae res}:
f of Flsors:_
Q
Garage:Attached
Remadel$.lteration
Detfrched
PROJECT DETAIIS COfrTTIt{U ED
S€F*ic ffi,
Zl*"*'"'Typeof Hmt:;r*nrn*Gas El*ctric Sther
Drivaray
Permit:[-lPermit#:
Xffi This application for a Building Permit must be signed by the owner of the property, described above,
sr an autborized ag*nt lf tJre signatsra belaw is not that sf tlre Swne4 a separate letter of authority, signed by
: the Owner, must be provided with this Applicatian.
Legal Access, A Building Permit ca*not be issued withnut proof of legal and adequate access to the propefi fcr
' purposes of inspections foy ttrre Building $ivisicn.
gther Peanits. Multiple separate permiG rnay be required: {l-} State ilectrical Ferrnit, {2} Conrnty OWTS Fermit,
i3! ancthel perrait reqe.l*rad fnr use on t$ee propxtlu idx*i.*ed above* e"g. State sr Caunty ilishvlrayl *aad Acress
sr a State Wastewater Discftarg* Ferrnit
Void Fermit. A Building Perrnit hecomes null and void if the rarcnk authorizesl is nct csmmenc*d within lffi days
of the date of issuane ancl if work is suspendd or abandond far a period cf t8$ days after emrnencernent.
CERilFICATI,OI{
I hereby certify that I haue read this Applicaticn and that the information contained above is true and correct. I
understand that the Building Division accepts the Applicatlon, along with tlre plans and specifications and other data
submitted by me or on my beftalf {su'bmittalsl based upon rny cerfifrcalion as to accuracy. Aszuming completeness
of the submittals and approval of this Applicaticn, a Building Permit will be issued granting permission to me, as
Srilner, ts consttuct the structure{s} and faci{ities detailed on the zubnsitt*ls reviewed hy the Suilding Division. ln
consideration of the issuance of the Building Perrnit I agree that t and my agents will comply with provisions cf any
federal, state or local law regulating the work and the Garfield County Buildi*g Code, OWTS regulations and
applicable land rese reguiatio'as {Counfy Rqutatt<rn{s}}" Ail Co*nty deve4opffiewt requi'ring a pennit, except for
residential uses, are subjeet to Article 7 af the Land l,!se and Development Csde. I acknowledge that the Building
Perrnit may be suspended or revoked" upan notice fuorn tlre County, if tlre location" construc;tion or use of the
structure{s} and facilitv{ies}" descrEbed ahove, are nst in complEance truith County Regutratlon{s} or any other
applicable iaw"
I h^.^[..,lry+x]*^r-i--;^hr- FL^4,,iHi--ni.i-:-*4^ --r--.&- ---*-'.&- J-^-:L-) -L-.,- 4- r--.--.-r:L- -..-i. r,rrstEUI 5;{qr7rl,cttrI4e:tsrtlslilESjrufiJBWS]WIilggrl'trltrE}}{r}ffrL}r'ffiHtBtr€ffiCr\$}lh$}H.l. ljieffi}IL- i
further acknswledge that the iaruance of the Building Pemrit dsef ftst prevent ttre Building Official from: {1} requiring
the correction of error* in the submittals, if any" discovered after issuance; or {2i stopping constrr.ectian or use of the
structurc{r} or fucility(icc} if such is in violution of County lteguletion{s} or eny other appliccble law. Review sf thir
Application, including submittalq and inspections of the work by the Building Divisicn dc not constitute an
acc€&fa*€e of resp*ttsibitity *r liability hy the Cotr*ty cf err*rs, o*ai,xioern *< di*oep*ncies" *s t.tte {h#srer, i
acknowledge that responsibility for compliance with federa!, state and local larnrs and County Regulations rest with
me and my authorized agentE including without llrnitation my architect designer, engineer and/ or builder.
I herefu ackncn*ledge that I haue re*d and understand the ltlotic€ and CertiFcation abone, as ucell as, have
Bravid€d the furfiarmafion *hbfr *nd aceurate to the beit of m1' &rnwledge-
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Froperty and Sign [}st*
OFFICI'IL USE OTIILY
Special Conditions:s€aa*hahezfu:iPt
^Adiusted Valuation:t ia 4oq. oo ,,hr):w*'i'qg'74 Manu, Home Fee:Misc, Fees:N4
-rotafFees:
322,th filrTn t
Baiance Due: -
I q5,25 ffiisfrb OWTS No:
Ti&anaz-e
Setbacks:occ Group: /RC Const. rrrfr?O (/Zonipg:
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Date
BUTLDTNG / PLANNTNG DIVISION :
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ln.r '"d
Geaffiffd ewrew$:
B U I LD I f'{G D E PARTffrE N'T
lo| Eigtrh Street, Saite 407, Glenwood Springs' cO A!601
Tel: (970) 94s-8272
PLA NR ilE W C E Ktil
permit No: 6LR30VZ4-67?b
Fngi*ee+ed Fesrr"'d+t i€*''
DrivewaY Fernrit
Grade/ToPograPhY 30%
Attach Residential Plan Review List
S+#d'i,visle+ F l+t $lo;les
Fire DePartment Review
Valuation Determination/ Fees
Red Line Ptans/ StamPs/ Sticker
Attach Conditions
Zoning lssuesry//
PrapartY tlne Setbacks
35 ft. Stream Setbacks
Flood Plain
Buitding Height
ZoningSign-Off
Road lmPact Fees
GrarJcJ TooograPhY aCI%
Planning lssues
Subdivision Plat
Planning//
Building lssues
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Dese riptio n & Sumnn arv:
Application Signed
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Energy Compliance Path/Plan Received /
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P{rcel/ Schedule No.
576 x ilg i/q Yoy',"o
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Letter - Manuf' Homes
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