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HomeMy WebLinkAboutApplicationL?lo\ u{1{t ? "g ,-.i l, I lri:-0li{$r Development Department 8th Street, Suite 401 . Gle4wood Springs, CO 81601 .,(970) 94s-82t2 www.Ra rfi eld-cou ntv.com TYPE OF CONSTRUCTION A.v Garfield County BUITDING PERMIT APPLICATION tr Demolitiontr Commercial/Multi-Family tr Manufactured Home or Tiny Home (Single or Multi-Level) tr ReroofE Residential (SF, Duplex or Townhome) tr Accessory Dwelling Unit (ADU)_ MAXIMUM SIZE OF 1,200 SqUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: A*u^'t A Phone: QFll zl0 -Hd 6 */),q*tCelf@ ATL-f-srtlYl Contractor:/Phone:) Mailing Address: Email Address: . Architect:B4*n f*nt+,u Phone: ev t 6/9-#4o Mailing Address Email Address: eo Engineer:Llzt+rTELf ' Phone: ( ) Mailing Address: Email Address: Manufactured/ Tiny Home lnstaller:Phone: ( ) Mailing Address: Email Address: PROJECT DETAILS Describe Work frrle v Job Address: Assessor's Parcel Numbe r, 7 Sub.rct 6 O Blocko a-. Owner's Valuation of Work:Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: /gt Height:f' #of Class of Work:E New $ Remodel/Alteration E Addition E Repair tr Move/Relocation Garage EI attached E Detached PROJECT DETAITS CONTINUED E CorrrrrrurriLy E Electric E Exempt E Permit #: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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. 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 thls 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, if the 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, discovereci 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 bytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, lacknowledgethatresponsibilityforcompliancewith federal, state, and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect desi er en eer an or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the uired information is correct and accurate to the best of my knowledge. /7 Owner Print and Date 5eptic: Type of Heat:Natural Gas E Propane OWTS E other Driveway Permit: OFFICIAT USE ONLY sea a*fahel &ND /T/O/VS,Special Corrditiorrs: Adiusted Valuation:'l t t llrFb.a lJ Plan Check./s't F-l//t A Fee:tI P1'UWYC I c2'1, - - Manu home Fee Totalfiees: -,-21,t " Fees Paid:ql.b\Balance Due t3D.t5 -$t$'- A . ^ -Fll llE,uto'4e, Misc Fees: OWTS No: -- Setbacks:v olwtaee occ Group: IRC ,o"t trOrRO -T'rio BUTLDTNG / PLANNTNG DtvtstON Signed Approval Date hil,'r/y'*t-2 -2 Gurfteld County BUILDING DEPARTMENT 708 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVI EW C HECKLIST Permit No: ff 2Bl'-lZ-24-7OEe Building lssues 6anle Engineered Foundation Driveway Permit Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Planning/Zoning lssues lg|ef. Y #35 Flood Plain Building Height no Change Zoning Sign-Off 15e+ Road lmpact Fees yl\inirnU9 Grade/ Topography 40% Planning lssues Subdivision Plat fh,iqar anrtr*bz da % Property Line Setbacks 4a 35 ft. Stream Setbacks on Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Energy Complia nce Path/Plan Received Plan Reviewer to Sign Application Parcel/Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report eh".ge ^t4il* I -t?-- // ./ rfut*z? faa /l/i,reb/ L*Hrna 'n/aa,hbn:J fOz:V-z-rlr 475,ooa) 4ba*-md