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Home My WebLink AboutApplicationGarfuId County GAbd c0M,l Community Development Department RECEIVEIbg s" street, Suite 401 ruN 2 I tbwEi;'JilT# 81601 Li="iB'f.ffi a)"t BUILDING PERMIT APPLICATION DemolitionCommerciaIti-Fami Reroof or Multi-Level)Manufactured Home or Home Residential lex or TownhomeSDu Accesso Dwell Unit (ADU)- MAXIMUM SIZE OF SQUARE FEET Phone: Email Addressl V 5 I Fr Phone:r@Contractorl Mailing Address: Email Address: .A'on"t dfo 610-Q 5 v6Architecti Mailing Address: Email Address: r-f \ I Mfron"'6 -13 GO\ Engineer: Mailing Address: Email Address: Email Address: Describe Work:o o f \ Height: of Work: S Phonel ( ) Job Address: rot [? Block- Assessor's Parcel Number: Sub. Manufactured Home lnstaller: Mailing Address Property Size (Sq. Ft. or Acres):Owner's Valuation Sq. Ft. of Building:# of Floors:-(--- AdditionNewRemodel/AlterationClass of Work: DetachedGarage:Attached PROJECT DETAITS CONTINUED 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. J",r/'+/ zoe,{ Septic: Type of Heat:Propane Other Community E lectric Driveway Permit: Natural Gas Exempt Authoritv. ThisapplicationforaBuildingPermitmustbesignedbvtheOwnerofthepropertv,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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. Permit #: CERTIFICATION NOTICE lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 considi:ration of the issuance of the Building Permit, I agree that I a'nd my agents will comply with provisions of any fedd?al, state or local law regulating the work and the Garfield County Building Code, OWTS.regulations and applicable land use regula*tions (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, ifthe location, construction or use ofthe structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicablc law. lherebygrantpertnissiontotheBuiidingDivisiontoentertheproperty,describedabove,toinspectthework. 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, ifany, discovered after issuance; or (2) stopping construction or use ofthe 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 bythe Building Division do not constitute an acceptance of responsibilitv 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 Countv Resulations rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or builder. Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: ,see al*acAey' Ariiusieri Vaiuaiion:'t5-7q0.oa "iti?:.tll ,TiT,^,Manu, Home Fee:Misc. Fees: TotalFdes: ' . '//3t7 bbt v aa Fees Paid:1at 3la\. 7-t ^v Balance Due:IQA 35, l).-4, -' BP No:tr-r n e- -Ot1t -tl1 y 7l{lllaat OWTS No: Setbacks:OCC Group:tRc ton"'ttrR &zottc: Cil,',r-y'/,1-toBUTLDTNG / PLANNTNG DtVtStON Signeci Approval Date 6wrfwEd CwwwtP, BUILDING DEPARTfiffiN'T 1og Eighth Street Suite 4OL Gtenwood Sprlngs' CO 816AI Tet: (970) 945-8272 P LAN R EVil CFIE CK ril5T Permit No:S:RE-a7^P4-BZbb Planning /Zaning lssues L,*Building lssues efr?hh4 -') Qura-( ';Y'Y,Y"7offt.etonp is tt. stream setbacks /Er6ir,ee+ed Fcarqd+t'teE' DrivewaY Permit SurveYed Site Plan Septic Permit and Setbacks Gradel ToPograPhY 30% Attach Residential Plan Review List Flood Plain Building Height Zoning Sign-Off Road lmPact Fees Subdivlsio+t Plat ilbteE A t 6,/?5<. b' /alsa'/L File Departmerft Review l- ' dfri-" seryoK/tr4 Val uation D6term inationl'Fc6s Red Line Plans/ StamPs/ Sticker Attach Conditions App lication Signed Joe?n0l 'to no h n Reviewer to Sign Parcel/ Schedule No 40# Snowload Letter - Manuf' Homes ('na,t/ FtS Gr:ade/ ToPograPhY 40% Planning lssues Subdivision Plat T/di 59//6? DeseriBtion & Sunnrnary: lffio.fhx lL 3l/ bo,oo 755 s,fb x tg ,1 2r',t^l elalQ /4A30,dd - Soils Repor rQoate/3?a, e2 +