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Home My WebLink AboutApplicationGarfield County fl'r' Community Development Department 108 8th Street, Suite 401 .ltjl 1 [l /--Li6lun*ood springs, co 81501 Glir'lrri::L"r.i (,qit' '{ t il970} 945-8212 icjr,il.: r lliii rJ :vEL, wv,nilrarfi eld-coL!ntv. It A-J- BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION Demolition Manufactured Home or Tiny Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED PARTIES Propefi Owner: Mailing Address: Email Address: Phone: ( gWt 99+ *A63bI +{0 I tl ( Phone: (t^l lk I v ln ITi-lt I tII IA c 0 b 1o CnlVc o\tMg Phone: t 4N t 3lA 0d t0 s t/+ t0 g t6ra Architect: Engineer: Mailing Address: Email Address: Contractor: f Phone: (10 13 ttl 0V0q Mailing Address: Email Address: Mailing Address: Email Address: AdditionClass of Work: Detached Manufactured Home lnstaller:Phone: ( ) Mailing Address: Email Address: PROJECT DETAIIS Describe Work: Job Address:n aTb $A,rnoala Jt, ( )l.l-{0 9[bra Assessol's Parcel Number: 5ub. Owner's Valuation Sq. Ft. of Building: orwork:s 3t0rd00 Height:_ #of F Block Propefi Size (Sq. Ft. or Acres): Lot Garage: lqq+ Remodel/Alteration lY Sc,rrr D.FSeptic: PROJECI DETAIIS CONTI NUED Community Propane Electric OtherType of Heat:Natural Gas Authoriw. 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. 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 Permit #: NOTICE Driveway Permit: 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 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 is correct and accurate to the best of my knowledge. 4-t/^AV Sign Date 4USE ONLY t se€ atbakb/Special Conditions: Fee:Manu. Home AJA Misc. Fees: R,FSBP #1,5?8,E'i'h'Jr.*Jv'Permit Fee: - - I CgV, ooAdiusted Valuationlts'nr 4qZ 7b OWTS No:€ffir-976Balance Due: -t597,3 BP No:WE-9PqTotal /ees: J. bl q,'t Fees Paid: to?'l .+< const.rfpC ZoningE;a K.oCC Group: ROSetbf,cks: BU|TDTNG / PLANNING DIVISION : Signed Approval Date (il,rlA " 1alinas Gwffi{d CwwwffY: B U I LD I I\IG DE PARTMTE N'T 1oB Eigtrh Street, Suite 4Ot, Glenwood Springs' CO 8J:607 Tel: (970) 945-8272 PtA NR HVilE wc FfrE CK rilsr Permit No: 6LRF- 01-24-874 Building lssues *rgi.,*'eeeed Fear"idet bso Driveway Perrnit Surveyed Site Plan ptic Permit and Setbacks Grade/ ToPograPhY 30% Attach Residential Plan Review List S-sbd'lv-*sio+ P lat Sla'te s Fire DePartment Review Valuation Determinationy' Fees Red Line Flans/ StamPsl Sticker ttach Conditions Parcel/ Schedule No. 40# Snowload Letter - Manuf" Homes Planning /Zaning lssues Rutrz- P ropa.rtY Line Setbacks 35 ft. Strearn Setbacks Flood Flain Building Height Zoning Sign-Off Road lmpact Fees €ts> Grade! To Pogra Ph Y 40o/o Planning lssues Subdivision Flat 265690 &ranb *46?9.ou Deseri ion Stt trLs n17x 7/,6K = d +5 ,b /, ?6 i n cl u ol e ull/Pa a*'rn rePo r* ;r;,-Cilt ;{[.,r.t' ii{lr-s t'irii}oi'ii t il; t*rj.gr iiflffifr ]; I Fi)OTlFlii l,-gsptir ii,)N 1000 --F'ri: , gM, brcx 32- ,- i cril))l tql7x /s = 4cy4 ,tuy/g -f /, blb,oo 35ror%.oo , '/ffi,o' # qo52/5e, ?b-,rt-a/a{hsb/ h,dol ra/uahon: