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HomeMy WebLinkAboutApplicationGarfuId Coanty Db {\,1(-::.) t-,.- ::.) {:) !^.1 LLi iu U l!l (} t-- r1! Community Development Department tOg Osl Stnat. tuita l|01 Glenwood Springs, CO 816CI1 (97O) e45-8212 wwvu,Jra rff e ld -cou nty. com Dwel Unit -MAXIMUM SIZE OF hnto$rEDP*ETIES Property Owner: MailingAddress: EmallAddress: S eaL b J s9E @ leLDLlP, FEET Phone: { 910 | Qlb' &fi+9 c0 It4 J.t 4 Mansfactured Home lnstaller:Phone: Mailine Address: Email Address: pffllEer Descrlbe Work: lob Address:CI}, etvffi Assesso/s Parcel ltlumher:Lml-Lm - 94- 008 sub. ul,soDEi-\ DEtrl?.r rot S sbct 5zrsa G,ot AC{@} Acresl: \b)^\bbSVOwne/s Valuation of lAlork: Sq. Ft. of Building: Class of Work: Height: Sire {5q. Ft. or Floors: A!( NTPT9FGg![rff,IEIN'ilI Demolition Manufactured Home or Home or Multi-Level Residentlal or Reroof 50 tt Ar€htte* G,F.U} f<RCtftTaCWF€- U,,O phone: bla b4ArN ffi. tk1ol . ts&6s{0A\E . c0* bitoffirl Ettr'.utau-o$,,ds\ e G,+tl"tL, rett,{. Phone: fi19t9@'Vffi (91o l fptb "44+b Englneer:lCo uLAe- E I.'., MalllngAddress: Email Address: &tr.}E-€-{L9 tbLg. Mailing Address: Email Address: Contracts Mailing Address: ,F Email Address: caiEe; 3is6 ,D RemodeUAlteration fof Detached i*"t, 6 t pior8cf 8E"rA$.ls Septic:Community Type of Heat:Natural Gas Propane Electric Other Permit #: trORCE 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 nrovirlcrl with this Annliratinn- Legal Accels, A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Otber Permits. Multiple separate permits may be required: (L) State Electrical Permit, {2) County OWTS Permit, {3} another perrnit 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. CERTIHCANOil I hereby certifo that I have read this Application and that the information contained above is true and correct. I understand that the Buiiding Division accepts the Application, aiong with the pians anci 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 bv the Building Division. ln consideratron of the rssuance 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 pennit 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 facjlity{ies}, described above, are not in cornpliance with County Regulation(s) or any other applir:able 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, includlng wlthout llmltation my architect designer. engineer and/ or builder. I hereby acknowledge that I have read and understand the Notlce and Certification above, aJ well as, have provlded the required information which ls correct and accurate to the best of my knowledge. Property Owner Print and Slgn Date 2:7+9 Permit: oFFlcrAtuSE ,5e'e a t*ail.a/DIT-/Speclal Condltions: Adiusted Valuation: 1lQ,\lob,oo l4g l" Fee:7rPlan Check F)ffii'ts Manu. Home Fee:r\ tR Misc. Fees: RtFE6D f2.lo3 'Yi7z:tq Fess Paid: qr , OILTL\I " fl Belancc Due:762725, BP Nd:ffir-nq8q OWTS No:sffi-sqao C-onst. Tvoe: T1>1, zowlSetbacks: --- OCC Groun::raL BUILDING / PTANNING DIVISION : Slgned Approval Date PROTECI DETAITS CONT1NUEO Scptic: Type o{ lieir\: sowts ffNatrtt ffit'rola,'e Il\unltY al Gas tltctt tr.Otlt?r Ii.' '. ' i{r't'^d : i,';tnlula'{f iii..[!r\,t\ I \l,l,l'lu ;r,l'$]ir'DrivewaY lVExc'np\Pcrmlt: VJ [ 1rllr,\riiiit}{'ll}ri\,{' "',1' i"' 1'I lri,l i 'l'ti'f :l i I "i''' P(,rnllt ll NOTICE for a Duildin8 Pcrmit *ust be sig,ned bY !h(:owner of thP ProPe rty. de:crrbed above, or an aulho nzed agent. lf th e siBnature below is not that of lhe Owner a sppalala: leller ol authoil\Y, srgned bY Ac!hqrilY'This spplication tl\e OwrlLlrr nltlst b() lrrovrtled wrlh llltt APPlrcrli()n rrlrouf ptout of lrtl'rl 'tllil 'tlJrlq'ril\r: ir{'!c1"' !{) ltlri pr()ertl lol tgBal Acccls:A llutldlnS, Pdrltl rt catlnQt t,c l5!utd w purposes of i rrsper!ion5 tlY thP Btrilding, Dtvtstott be rcqurred (1i gtttL'tl0ctt r,-,rl Pt'rmtt, (2) CovntY OWTS Petmt\' i3l another Pernlit required for usc orl thQ Propcrly iclcntified cbove, e.B. S lalr or CounlY HtghY'al/ Road Acce5! Oq!1ar-Pormits.Multrpie seParata parmtt5 mily -v sld-?elrnj!A Building Permit becomes null and void it the work authorired ir nol cornmenied within 18o daYlor a State Wsstewater Oischatge Permit of the date of issuance and if work i5 susPended o( abandoned lor ;t Period of 180 day: alter commencemPnt CERTIFICATION therebycefti{yrhatthavereadthisApplicalionanctiitatthernformationronlitineddbove15trueandcofree\' I ,nderstand that rhe ur,,o,^r"Jrir'r"''"i.-otr-an" npptlcatio-^, ato^BvJi!h thP planl and ipecrliiar'ton1 and othet dala Silbmrtted Uy me or on t.ty o*iu't t'ubmrttnlt)' based upor\ ntY cert'lication a5 lo acc\lracY- A5:umrng lqfllplelenell of the submitral, uno.oorouoi'oiiio oopit..i'"", a Burlding Perrnitwill beissued Eranlrng petmtssron to me' a5 Owner.toconstructtn"tt'ut*lti'i''"i?t"ftt'"ta"tailedJnthcsubmit\alsreviewedbvtheBurldingDivi:ion ln consideration of tha ;rrrona" oiii u u,utotn, Permit, I ag,rce tnat I and nrv aB,ent's will tomplY wilh provrs'ron: of any {ederal, slare, or locar law ,ogroi ^g rn. *J,t and rhe Grrlield county Buitding code, o\YTt reBulatrofts and applicabie land use rugurori;;tcoJnry Regulation(s.).}. Atl cotrnrv dcvelopmcnt tcquilinB a permil' exrept iot residential use5, are ruoiuct'io e.tlcte i otii,e Landuse and 0cvelopnrenr code. I acknorvledge rhat rhe Bur\ding permir may be suspended ";;;;;;;, ";"n notl.n lrom the couniy, it the tocition. tonctruclion or ute ol the structure(slandfaciliry(ies),describedabovc'arenotincompliarrcervi\lrCountYReBulntionts)otlnYothel in::;l';:T ,ermission to the suirdins.Dr"i,lo: l: ::l1lii'-1yl',:,il,lTllll li,ill;j?,,l.iii:X,irT: ' further acknowtcdge that ,i" *"r"." i thc Building Pcrmit does not prcvcn\ the suilding otfrcia\ {rom: 11) requr-i-": the correction o( errors in the submirrarr, if any, tli:covered o[ter issuoncei or t?) stopprnB, con:truction or use c": structure{s} or facilitytiesJ if suc,h is in violation of county Regutarionls! or arry othet app\tcsble law' Review ol it : Applicalion, including ,ru*lti.ir, uno inspcctions of the work try t5e Btrilding Division do no\' consliture an acceplanceo{rerponsibiliiyorliabilitybythecountY.oI crrot:,Qntt::ion:,ordirrrepancies' Astheowner,l acknowledge ,n., ,.roonr,o'tity ror comptlance with lerleral' state lnd locol laws and countY Regulations rest wr: neandmyauthorircdugon,r,''.,.,uO,nBwithoutlirnitationfllYor(hitecttleSigner'engineerandlorbuildtr' I hereby acknowledge that I have read and understand the Notlce and certification above' provided the requlred inf ormotion which ls correct and accurate to the best of my knowledge' Pro Sign Date OFFICIAL LY v as vrell t$. '.. Misc. Fees. 703 Special Conditions: 5ee attacr/)ea/uNb T7 Manu. Home FeelPermit Fee:Plan Check Fee:Adjusted Valuation: Total Fees: OWTSFtI: 5etbacks: Balance Due:Fees Paid: Const, TYPe OCC Group: BP Nol EUILDING / PI"ANNING DIVISION Slgned f\DProva\' z-7-re 'I\ Garfteld Coanty BUILDING DEPARTMENT 708 Eighth Stteet, Suite 401, Glenwood Springs, CO 87607 Tel: (970) 94s-8212 P LAN REVIEW CHECKLIST BLR 6- t t-Zl-8?89 5 passetrPermit No: Building lssues Planning/Zoning lssues C2ilf septic Permit and setbacks Engineered Foundation Driveway Perm Su an Grade/ Topography 30% Attach Residential Plan Review List Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions W:iWiJW)ot,rt"fO) Fire Deoartment Revipw Yattadz4 Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Y4 Road rmpact Fees R I F EED Grade/ Topography 40% Planning lssues Subdivision Plat +L{@e /e*o/3 7a3.oo mor.,n l*:l ZJ56x 7,b8-- 17, ?1b,o8 ry;f:*, z44tt 74,6e= q,ilb/,ez- catlr +/d /,/4/Y 7Z= e6/6og.o"'92ox /g z qf@.@ a?.Zi7x /g = /2,ffi,4 e75 tr lZ = z{ 3D,oo Soils Report 0pEh{-HOtE soil-s REPoRT IS REQUIRED AT FOOTING rNsPEOTtoli.-l,2D wr Applicationn%l rgy Compliance Path/Plan Received Plan Reviewer to Sign Application Parcel/schedule No. Snowload Letter - Manuf. Homes $igned,tb(2-74 uaa// 4 a//ush/ 6",//rhg' va/aaLtbn: f urfi566,DO