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Home My WebLink AboutApplicationGarfield County R.tr:C[T!1r[:Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-8212 www.Ra rfi eld-countv.com t W A.A BUILDING PERMIT } APPLICATION tr Com tr Demolitiontr Manufactured Home or Ti e or Multi-LevelHome lex or Townhtr Residential tr Reroof tr Dwelli - MAXTMUM S|ZE OF 1,200 SQUARE FEETUnit i,te ,' , ; Llbdo SJ^zor phone: flbt itq btpbT o Email Address: Property Owner: Mailing Address: Mailing Addr€ssi Email Address! Phone:Contractor: (@ O vu>mpf t\prn-O-t'Phone:Architect: Mailing Address Email Address: Phone: (9b ) 2rf t O?ae I d G d ca Engineer: Mailing Address: Email Address: Manufacturedl Tiny Home lnstaller: _ phone Mailing Address; Email Address: owney's valuation of work: S b 5cl, e@O property size (sq. Ft. or Acres): Describe Work: I eo flb;c) €- { Lot 7< Sq. Ft. of Buildins: 2 Ll O L Height:7.s's '" o Block _ # of Floors: 'l Job Address: Assessor's Parcel Number: 5ub. Class of Work:New El Remodel/Alteration E nddition E Repair tr Move/Relocation Garage:Attached E Detached iilr\ffio.1lii',4 r, r I i/,,1i iilt ll ll ; 1rl it\/ti i.ri 1ilrt_,|f {.:11il;{ilfr,11 l0.Jii PROJECT DETAITS CONTINUED Septic:Community Driveway Permit: E Exempt E Permit #: NOTICE CERTIFICATION I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is accurate to the best of my knowledge. 4-24-zq - Property Owner Print and Date E] OWTS E otherType of Heat:M Natural Gas E Propane E Electric Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,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. 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. 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 bythe 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 Iand 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 ofthe 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: (L) requiring the correction oferrors 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 by the Building Division do not constitute an acceptance of responsibility or liability bytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, lacknowledgethatresponsibilityforcompliancewith federal, state, and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect d er or builder IOFFICIAT USE ONLY I Special Conditions:auattachel /T/2NS Manu home Fee:Misc Fees:Rtf sBD#ttsttHiiti!ilw]",e Plan Check Fee: I 140 .1s Permit Fee:nq6.35 Balance Due: -nqq.v5 BP No:wE4b7L OWTS No:'"'{.8f6,ut rii .i61qs 6tc Group: RC ,""t rrl"p O Zonine:a-setb#ks: 0t,' u HlWLtBUILDING / PLANNING DIVISION : Signed Approval Date Gurfield CountY BI'ILDING DEPARTMEN| 708 Eighth Steq Sufte 4AI, Glenwood Springs, CO 81607 Tel: (970) 945-8212 Building lssues ./ M"b 05-bg/hz & PI.AN R EVIEW CHE c KLIST Permit No: 6lRe-a4e4-{634 Pf anning |Zoning lssues Engineered Foundat'*o* Drivewav perm it ebtathe*lor drilen/efp-tlzzt?or Surveyed Site Plin' elgrnZ*'*t septic Permit ^^or"(ffi Grade/ Topography 30% Attach Residential Plan Review List SuMlvislon Piat Notestelf* A/z?1uz/ Fire Department Review - Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Une Setback 35 ft. Stream Setbacks Building Height Zoning sign-off ew 64f4 - Road rmpact Fees fuf eE> f Flood Plain Grade/ TopograPhY 40% Planning lssues Subdivision Plat Descri ion &mma tordu* Aar7oTqznt anfi/e / q't,- Aoolication Siened ieised-nanuelT ur$',f.i-{-t4ftLh'Si.)tt"S RF:Prj?$ ilri pluQtj i'dkb A{' r:fi{iri}$fi Attach Conditions FL, Alo6x 74bg /7t b80,Energy ia Plan Reviewer to Sign APPlication Parcel/ Schedule No Soils Report "J*/v%x 32 {a/ tz.oo , l/A 40# Snowload Letter - Manuf. Homes T//btrl x /g /Zl /02,'o aduEH d,lA,y v4 # a65ry74"" 1i-{1$i:,h{"ri'it} ,{ trg//,@ v1 L?&-rit\t.li t.li Ktr oE>