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Home My WebLink AboutApplicationComm unity Development Department 108 8th Street, Suite 401 Glenwood SPrings, CO 81601 (970194s-82L2 www. garfiel d-cou nW.com V,q DemolitionCommercial/Mu lti-Fam i Manufactured Home orTi or Multi-LeveHome Rerooflex or TownhomResidentialD - MAXIMUM SIZE OF 1,200 SQUARE FEETUnitDwell Phone:\ Email Address: Propefi Owner: Mailing Address: qaq(/) "Contrastor: 9rluSoMailingAddress: I lhl J.V lrrirrZ 1 i[L 00///tt/-a c1(4. Phone: Email Address: clo3fels"er ff (t q1a \ ". Corn k I s y!^,E Phone:Architect: Mailing Address Email Address: a5o Trr Mailing Address: Email Address: Phone:Engineer: Manufactured Home Installer: Phone Mailing Address: EmailAddress: Describe Work: ) I f :l Sub. Lot - Block - ownerrsValuation of Work: 5 25 0 / {At 2- Assessol's Parcel Number: Sq. Ft. of Building:Heisht: ?2' 4 t/A" *ot Propefi Size (Sq. Ft. or Acres): Remodely'fit€rationNewllrssofffi Addition Garage: Wolk: Attached Detached unity I hereby certify that I have read this Applicati on 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 Applicatio n, a Building Permitwill 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 consideration of the issuance of the Building Perm it, 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, ifthe 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; (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 acceptanceof responsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, 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 u nderstand the Not ice and Certification above, as well as, have the required i which is correct and accurate to the best of my knowledge' lol ft//z/ P d Sign Date OtherElectricPropaneType of Heat: the Owner, must be provided with this Application' Legal Access, ABuildingpermitcannotbeissuedwithoutproofoflegal andadequateaccesstothepropertyfor purposes of inspections by the Building Division' Other permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, lepnotfrer 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 permii 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' by the Owner ofthe property, described above, Owner, a separate letter of authority, signed by Authoritv. This application for a Building Perm or an authorized agent. lf the signature below it must be signed is not that of the t"4 n/sSpecial Conditions:coA)b vc/€e5 a tta iManu. Home Fee:Permit Fee: . -l7l/", tbPlan Check Fee: t- lI5, ga^2[EibiY"4, OWTS No: -:4 ffiv-sqs+Balance Due: .,- 17l b,t2 /ees Paid:\.tr=,5CTotal F a, eeS: t tg1/,t o 'Uti"cconst. rype: IROoccGrouP: tBc-DffirTp - 25 | f"tnf s BUILDING / PLANNING DIVISION Signed Approval u,0; Date !_64 Garfield County BUILDING DEPARTMENT 1.08 Eighth Street, Suite 401, Glenwood Springs, CO 8160L Tel: (970) 945-8212 Building lssues PLAN REVIEW CHECKLIST Permit Noz Sff E -/A-21 857 Planning/Zoning lssues Engineered Foundation Driveway Permit Surveyed Site Plan ttach Conditions Line backs eyenr t9c'l" ft. Stream Se Flood Plain Building Height ing Sign-Off lmpact r""r96D Grade/ Topography 40% Planning lssues Subdivision Plat Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List -/Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees d Line Plans/ Stamps/ Sticker ,zlrq KTSED=fl,rrK Descri n*52/6/x 4 68= /b/2/8/,?7 /Y//€uf{E = 390/Z.oo parcet/schedure No. .Jr g8/ r 72 '= / g/ F?Z,uo 40#snowroad Letter-Manur. Homes >fl qg/ y /g = 4 b/0, oo q-/ Soils Report OPEN.HOLE SOILS REPORT IS REQUIRED AT FOOTING INSPECTION r.4f PSF5/o/-ost l/a 22q25(,qz