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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 --4/ ,/'toudS ?7e e ou//*,1 e-- ./.**-t Ra.6o:, //zx C*/-.,/- L & 8/4'LB fi7-uo* t76 rt ent//aaA,cdtu? Phonel tf 7a I g z?- '{xsContractor: Mailing Address: Email Address: d ?'-nST Phone: ()o 4o*r--51t, < .(-aArchitect: Mailing Address: Email Address: l/6-hL/ *- .4*uctb/<s IJ a Orx-, Phone: (9ZA )?zz -zSL\ 4,/'q /-s Engineer: 3LMailing Address Email Address: ,/aya se .4 t6o/F.'*--.-/ J.A././ a- Phone: (_) Describe Work: L /6der>-f,or Acres): '/ 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 3v652L G'9 /tL,/etA ?seriPtian & s***^'u." lax 3z zZ,%4qaf.,"^*"r",""0tff*lo Apptication pyfuryry/,oaflrtT Energy CornPliance Pathy'P Plan Reviewer to Sign Parcel/ Schedule No 40# Snowload Letter - Manuf' Homes ?or lg grE&a, a0 O2 Cf, D soits Report ('usle/ br,/il ra/zahFn I /oa, a?