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Home My WebLink AboutApplicationGurfield Coanty ${ Edi6ry$fy Development Department 108 8th Street, Suite 401 /xuti u loffiooa springs, co 81601. :,,: , I ,1 (9701 945-92L2 ' i,', .,:l i,',vLyirWjgaifield-county.comffi l\"x n Commercia ulti-Fam ufactured Home orTi Home le or Residential ,Du or Townhome trI Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF FEET tr Demolition tr Reroof PARTIEs Property Owner: Mailing Address: Email Address: Phone: (Qtt> 1 3lc''4q8q I Cao el I h oC so lQ Email Address: Contractor:Phone: Mailing Address Email Address: Architect:Phone: { ) Mailing Address Email Address: Engineer:Phone: ( ) Mailing Address: Manufactured/ Tiny Home lnstaller:Phone Mailing Address: Email Address: Describe Work:f in,s Job Addressr Assessor's Parcel Number:2ln3qqaso 0s- sua. Weslera IJ,'ll:'rct 5*- Block * 6"_*_ Owner's Valuation of Work: $ls, oac7 Property Size (5q. Ft. or Acres):g27t) Sq. Ft. of Building: -tDD -Ll ^li a,tshXl Height:/('f of Floors: . ''), Class of Work:E New, E Remodel/Alteration pRolecr osTNLs I i ! I I I Garage:E Attached fl nddition E Detached tr Move/Relocation PROJECT DETAILS CONTINUED Septic:tr OWTS iA't"rr"r",ay --* * :- -* * ---- -. I Gas Propane EI Electric El other E Exernpt E Permit #: Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Lesal Access. ABuildingPermitcannotbeissuedwithoutproof of legal andadequateaccesstothepropertyfor purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (L) State Electrical Permit, (2) County OWTS Permit, {3} another permit required for use on the property identified above, e.g. Siate 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 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, 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 usesr 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 f rom: (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 is correct and accurate to the best of my knowledge, 1".1 ,ile 7///2/2 y' Property Owner Print and Sign Date OFFICIAT USE ONIY \ eee atha&ed ONb ITaIVSSpecial Conditions: Adiusted Valuation:{i3,576. oo ''(58-.8b Permit Fee: r,177.29 Manu home Fee:Misc Fees: RIF EF>{ZZ 26Totfi Fees:477 Fees Paid\oo &Balance Den "26 ffis,gg3o OWTS No: Setbacks:OCC Group:tRc const rvpe: I R- L qii; BUIIDING / PLANNING DIVISION : Signed Approval t:%t Date at I Gwffi{d ffwnrw#w BUILDING DEPARTNNENT t08 Eighth Street, Saite 407, Glenwood Springs' cO 81507 Ter: P70) 94s-8272 PLA NRE VIE WC FfrE CK ril5T 6LRE-ffi-2448LCIPermit No: P!anning/Zoning lssues Building lssues e*,2h'9 k bv;lL tq b3 Engineered F**r+&*lion no DrivewaY Perrnit Surveyed Site Plan Septic Permit and Setbacks Grade/ ToPograPhY 30% Attach Residentiat Plan Review List St"+bdivislen Flat Slotes Fire DePartment Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Energy Cornpliance PathlPlan Receiveci Plan Reviewer to Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manuf. Homes Soils Report PraparrY UBe- Sethacks 35 ft. Stream Setbacks Flood Plain Planning lssues Subdivision Plat Building Height Zoning sign-off > gpf Road lmpact Fees na* ynth,rnls Grarle! ToPograPhY 40% nil) t Rrr eE.D, Deseri stion &Surnnm arv: 7@e/lb ^ S zz't 'ueleA bnilili va,lura*io-z,t at 9 a1A,neraf rffi*a fr'nioh o 2 tl * rzo,oo 45vL fe.tfn*in iruy base*np*