HomeMy WebLinkAboutApplicationGarfietd Coanty
R
Comm unity Development Department
AUi; 3 0 tQP0'n Street, suite 401
GAlil. ia-.Ltf
COM.,.iUi{ITY iJE
rings, CO 81601
945-82L2vil-
tr Commercial/Multi-Familv tr Demolition
tr Manufactured Home or Tiny Home (Single or Multi-Level)
tl Residential (SF, Duplex or Townhome)tr Reroof
tr Access Dwelli Unit MAXIMUM SIZE OF FEET
Property Owner:
Mailing Address:
Email Address:
I
2"Jo14-Co*t
GJ,2*"sf Phone: ftb | 3 77-35'E L
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'{xsContractor:
Mailing Address:
Email Address:
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Phone: ()o 4o*r--51t, < .(-aArchitect:
Mailing Address:
Email Address:
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Phone: (9ZA )?zz -zSL\
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Engineer:
3LMailing Address
Email Address:
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Phone: (_)
Describe Work:
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/6der>-f,or Acres):
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620 /oQ .{
BlockLot
J ?L
76R
Number: z3?t/
//-a
P tzes Ftroperty(sq.S- 3Qreaa.rc
of#rsFlooHeight
Manufacture d I Tiny Home I nsta ller:
Job Address:
Owner's Valuation of Work:
Sq. Ft. of Building:
Mailing Address
Email Address:
Clasr cf Work:U mew fl RemodeVAlteration E ldditisn E Repair tl Move/Relocation
Garage:E Attached
Septic tr OWT5 E Community
Type of Heat E Natural Gas E Propane EFElectric E other
Driveway 11 Exempt Er,\E Permit #:
Permlt:
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
LegalAccess. 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 L80 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 rne, 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: (L) 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 d and/ or builder
I hereby acknowledge that read and
provided the req
Property and Sign
Notice and Certification above, as well as, have
correct and accurate to the best of my knowledge
t '3o'aPz't
-
Date
see4*tud4ed AMD /QA/U.SSpecial Conditions:
Adiusted Valuation:
942"/rn.@ "3ffi":w 'ffpsi'as Manu home Fee:Misc Fees:
'-#
Total Fdes:q{5 bo Fees Paid3tz 4o Balance Due: -h.42, tc BP No:WE-4Kffi OWTS No:
Setbacks:oCC Group:
I RC ,"nstrvvf.p O zonS
BUITDING / PTANNING DIVISION:
Signed Approval
T
Date
q-23
GwffiEd Cww:wtffy
BUILDING DEPARTIWENT
loa Eighth Street, Suite 401t Gtenwood Springs' CO 8J:60I
Te!: {970) 94s-8272
LAN EVI W cffiE il57K
Permit No: 6 LKE-Aa-24-587/
Planning/Zoning lssues
Building lssues
Engmeered Fctii{idi"t'f€#
DrivewaY Perrnit
SurveYed Site Plana" aaB
Attach Residential P lan Review List
// S+pbdlvlsb"n' Fbt Sb'tes
/ Fire De partment Review
Valuation Determination/ Fees
-/ Red Line Plans/ stamps/ sticker
Atta.ch Conditions
Application Signed
P rope-rty Llne Set&acks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmPact Fees hA FLS
ry
n./a
404Gradel ToPograPhY
Planning lssues
Subdivision Plat
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/tL,/etA ?seriPtian & s***^'u."
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Apptication pyfuryry/,oaflrtT
Energy CornPliance Pathy'P
Plan Reviewer to Sign
Parcel/ Schedule No
40# Snowload Letter - Manuf' Homes
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Cf, D soits Report
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