HomeMy WebLinkAboutApplicationGarfield Counfir
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Development Department
':;F l? U fi Zfilq 108 8th Street, Suite 401-" "Glenwood Springs, CO 81601(iAti, i::L.iJ COt"!fdTY 197s1 s4s-82L2
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BUII.DING PERMIT
APPLICATIOTU
DemolitionCommercial/M u lti-Family
Manufactured Home or Tiny Home (Single or Multi-Level)
><ReroofResidential (SF, Duplex or Townhome)
><Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET
Emait Address:9AKKF4d8,IE6@-M$.CpM Mh{CCOr{gTCr)OTrONu'C@httrMft\..rr{-{
Property Owner:V.tVIE 4 s4rcv W-?*es-
Mailing Address 944n ?)rJ Ktrtgt @.
Phone: (q1O tW-q456
41o' 7A- olbt
4ar.,\6
Phone:(
Phone: ( )Contractor:
Mailing Address:
Email Address:
Mailing Address:
Email Address:
Architect: qatrF4.z
e;-;taWz+re-, AAQ O h",.fi , Cos.(Email Address
Engineer:()atre. S*coat
Mailing Address:5 AcuAr.lq- q, AUeArJodD 9"
Phone: ( )
Describe Work:
4
fiofFloorst ?
)
u-9uxl
q
Block
Phone (
Property Size (Sq. Ft. or Acres):t.nv6
Height:ze-qq/e-
Owner's Valuation of Work: S
rAS I lzNrxl
Job Address:
Manufactured Home lnstaller:
Sq. Ft. of Building:q4
Assessor's Parcel Number:
Mailing Address:
Email Address:
$efr sJ > 2? Torlss&raP : -l t;QA$.\grBSub. Lot
ditionClass of Work:New Remodel/Alteration
DetachedGarage:Attached
PROJECT DETAILS CONTINUED
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 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.
iherebygrantpermissiontotheBuiiciingDivisiontoentertheproperty,ciescribed above,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, 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
the required i which is correct and accurate to the best of my knowledge.
r-{rhZ E-lc?rW g $a
Property Owner Print and Sign Date
l
Scpticl Community
Type of Heat:OtherINatural Gas Propane Electric
Driveway
Permit:
pt Permit #
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbrTtheOwneroftheproperty,describedabove,
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
OFFICIAT USE ONLY
Special Conditions
6ee attache/ eNb/T/2NS
Adlusteci Vaiuation:Rs 44t/.oa
Plan eheck Fee:tt45,7f '"il#F*za Manu. Home Fee Misc. Fees
Total fees:'lqI tzlI t I (7 I t
Fees Paid:,r.r.1 )?
<_)- I ) t-
Balance Dup:azt zz-(-/vlt
BP No:w,nr.-%,<l7, lLJ't (A)Ul
OWTS No
Setb5cks:occGrouP:
t R.c const.rvfe?2 /zqttrc:
\trr.
Udlv^f,aBUILDTNG / PLANNTNG DtVtStON :
Signed Approval Date
2
Gwffi{d CwwwtY,
1O8 Eighth Stree, Suite 4A7;
BU ILD I IVG DEPARTMIE N'T
1lenwood SPrings' CO 81507
Te!: P70 945-8272
PI.A NR EVN CFfrE CK 5T
Permit No:6tRF- o 7-4(-gg9/
Pl a n n ing I Zaning I ssuesBuilding lssues
E*glneered Fotiuldetb#l
r,'illi g Driveway Fermit
i ;;:,-lil l.;,. :i i.:,:rii,:l I ;, ;,'i.r,, i
,.,; 1'., 1,.':rit,,i:r,:,'"r,i i t.r-j j'ii ii;'
'il, .,,,r ,' \SQA I
Surveyed Site Plan',?isikli,xkt''t
lohned'rb-ztO naYy'
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
S+:'bdivlsio+ Fbt Sla.tes
Fire DePartment Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Energy Cornpliance PathlPta n Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No'
40# Snowload Letter - Manuf' Homes
Soils Report
?qq ht".b/ x # az -- ,34 2/E'"Jlrage
777
P rape*rlY Lrne Sethacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees nu F. L'S
Gr:ade/ TooograohY 40%
Planning lssues
Subdivision Plat
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