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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701 94s-8212 www.garfi eld-counW.com TYPE OF CONSTRUCTION Com Manufactured Home or Tinv Residential (SF, Duplex or Townhome) Dwe Unit . MAXIMUM Demolition Reroof FEET BUILDING PERMIT APPLICATION PARTIES Property Owner: Mailing Address: 0 eo.r. Ge.hqa\ Email Address:0 bec\qs\ ojzt @ q$dr\.(o rv\ \ Contractor: Mailing Address: PO B L\ Email Address: Architect: Phone: ( ?aO ) q3). Ll o7t r 47) r 6€6.6q S3 Roo$( \ €\ec\$(q.'l P\.ro^$r.,., .^r\\\qe\' I t5 Phone: Phone: t ) Phone: ( ) |\s1Q owf\ eeswi\ s . Mailing Address: Email Address: Engineer:NA Mailing Address Email Address: Manufactured Home Installer:NA Mailing Address PROJECT DETAIIS Email Address: Describe Work:6cc: 5 oc\) \ Job Address:z>e Assessorr'sParcelNumben A\6tA \ L{ ooo 2.2 Sub.lot _ Block _ e Owner's Valuation of Work:fo svo sq. Ft. of Building: - -a &8 - Property Size (Sq. Ft. or Acres):"Q,r6a rloors: A- AdditionClass of Work: z168 Garage: Height:a6'fof Detached I l I i I PROJECT DETAITS CONTINUED I Septic:Community Type of Heat: Driveway Permit: NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, 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. Lesal 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. CERTIFICATION 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 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, 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 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 provided the required information which is correct and accurate to the best of my knowledge. n Property Owner Print and Sign Oate atural Gas lXProPane Electric P"rrit *, Other XExemnt 2o OFFICIAT USE Special Conditions:fU Permit Fee: t nt1.35 K{ lffi:*"'Misc. Fees:Adjusted Valuation:f r5o.t€Plan Check Fee: fr 83t.58 'Total Fees:t4tt^AT !r",'-tl* qq Balance Due:ll lrrn ./O BP No:'zf,Jl-Cr r ()AA-OWTS No:r--r-TJ/) LJt-.t\-E-I',t-rt F TFTt\. rlY. a,,a rLtzt,l Setbacks:o'ffffi-'mu'rufi' tPtE-21BUITDING / PTANNING DIVISION : DateSigned The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Septic or Road lmpact fees will be collected when the permit is issued. The permit application must be signed by the owner or by person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand, and will abide by the requirements of this checklist. lo u1 "aarlProperty Owner Print and Sign Date ) a.nne5 (o *,\<I D. 2r{.ZL\q>0. to6€. b<73 Y $,^^ -Co ,*r\tY @ Pc"t\ Ut^\t':' con6L I X\u J\on 6*\ey F 0,.t.\ 0r"i1 ger)oa*\\e n* i*t ^oi\ lo \ct- arg \}<F^7 re9€eenF"'\'re-- ^tJrhn4 W t a fs 9t a/tul o../.te{- Dr\.\\ /5.- 1"r. Garfreld County BUILDING DEPARTMENT 108 Eighth Street, Suite 407, Glenwood Springs, CO 87607 Tel: (970) 945-8212 PLAN REV IEW CHECKLIST Permit No:$t-P€- ll - ?-+'8187 Building lssues Planning/Zoning lssues \J AS 6,lA NA Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach List of Required lnspections Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Energy Compliance Path/Plan Received Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision PlatUA Description & Summarv: /7 IJA lJaN{ffittxtzi PA"IAGe'D 6f x{fl4.?rD '-xsrA@ {t+A lGt,'V *a-{-fe"P L{4{ \I 6- Dar^a6o, favt:51c,uS uc$tt t-tr'<€ @- Ltt<E1 AaareCltavu, /{3VLr c,lsr-rf fu ppcreD ,A vA{-t'Atr\otJ-}.)Ar dt I{@srz5di) ?rW ?eg6'io.fiear.58 fqrrrttT- @ :\Z-71-35 @-.u,*D