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Home My WebLink AboutApplicationGurfield County ''iiq-l[:i'i,, Community Development Department ll i;f:{:l 2 $ /ir;;1,108 8th Street, Suite 401 Glenwood Springs, CO 81601 , (970) 94s-82L2 riA^/w.ga rfi eld-countv.com A,A BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION tr Commercial/Multi-Family tr Demolition Ef Manufactured Home or Tiny Home (Single or Multi-Level) tr Residential (SF, Duplex or Townhome)tr Reroof tr Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED PARTIES Property Owner:Phone:9/l".Du0t Mailing Address Email Address: lz Contra t'i Phone: rlD) r ylo\ |Q$b Mailing Address C-o Email Address:C\ Architect: Phone Mailing Address: Email Address Engineer Phone:( f.nt I tn7l - lroO Mailing Address: Email Address: Vt,K 14\-4-, s-}r LManufactured/ TinV Home lnstaller:Phone: Mailing Address;(* Email Address:a PROJECT DETAILS Describe Work: Job Address:y7 Assessor's Parcel Number: 5ub Lot Block owner's valuation of work: 5 fr()L0/)0 Property Size (Sq. Ft. or Acres):?q4 Sq. Ft. of Building : 3l:t.r Height:tL'3 # of Floors:-Z-- Class of Work:.EI tttew E Remodel/Alteration E Addition E Repair tr Move/Relocation Garage pRttached E Detached PROJECT DETAILS CONTINUED 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 accurate to the best of my knowledge. J-;,/-;9- Property Owner Print and Sign Date E CommunitySeptic:jRowrs E otherEl Propane E ElectricType of Heat:E Natural Gas E Permit #E Exempt-Loof V23IZ'Z-Driveway 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 1"80 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 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 ofthe structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. lfurther 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 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 designer, engineer and/ or builder -eOFFICIAL USE ONtY Special Conditions: fiee a*bar)"d c2NP/ Manu home Feert-],rrt.oo diir5E;b iLBzPlan Check Fee: 4FO,21 'EU',tizAAdiusted Valuation:5L^bH ao t.t43 "."b1Balance D BP No: 6rrnp 4la,e qro3OWTS No:sffi-'*i'l?ila.o4 Fees Paid: Qoo.od zonip,""t rrlk-(_Setbdc['s: J--t- OCC Group:iRC &\illr*lru Signed Approval BUILDING / PLANNING DIVISION :7-:iLE I Date Garficld County BUILDING DEPARTMENT 1o8 Eighth Street, Suite 407, Glenwood Springs, CO 87601 Tel: (970) 94s-8212 PL^AN REVIEW CHECKL rsT gt-r?7F-O3-A6- ?//ZPermit No: oit- a6 -?to7 Building lssues /' 1/F"' 4tt'" OPEN-I{OLE $OILS REPORT IS REQUIRED AT FOOTING TNSPECTTAN lgP -PSr adro €*anpe rloan'e9 rt.' Pro.perty Line Setback s + Planning/Zoning lssues 35 ft. Stream Setbacks -'? Flood Plain 'Bui'itiing 'i{eight Zoning 9,v Gra ' Plannin - Subdivi on&ma Englneered ;Fou.ndalio.n cDar 72vlZ-Z Septic Permlt and Setbacks Grade/ Topography 30% Attach Residential Plan Revi'ew l-ist Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker n t/c dr s r/ J/'"t- Attach Conditions /t- Application signed I Energy Complia nce Path/Pla n Received Jt- Plan Reviewer to Sign Application f"t- Parcel/ Schedule No 40# Snowload Letter - Manuf. Homes Soils Report .<fllanuQ. hone o^ larrndahbn fm*o^rr@ 'nishe) tLnsqndlf !'uc/e/la a*b?*a.6, rn4Xf home O f Pp.ao RlFg.Eb. = 1oa*f on "fi'nbl,ed o t7332 ,e)