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Home My WebLink AboutApplicationGarfield County ff:&?$,l#i:, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 , (s70)94s-82t2 www.Fa rf iel d-countv.com A,A Phone:9t'1,C'k /z BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION tl Demolitionulti-Famitr Commercia ET Manufactured Home or TinY Home Si or Multi-Level) tr Rerooflex or TownhometrResidentialSF, tl Accesso Dwellin Unit - MAXIMUM SIZE OF 1 SQUARE FEET INVOIVED PARTIES Property Owner: Mailing Address: Email Address: tt. C.\ C5 Phone: rS) I yct lQ$6 Mailing Address: Email Address: Architect: Mailing Address Email Address: Phone: ( 6,ttl ) fnZi -\toAEngineer: Mailing Address: Email Address: k*f**t-,+w--Se,) L I (* Email Address: Manufacture dl TinV Home lnstaller: Mailing Address: Sub. Lot - Block - Owner's Valuation of Work: S ffiOt (rt)O Property Size (Sq. Ft. or Acres): ,3{ O PROJECT DETAILS f of Floors 'z-^H,eight: Describe w"rr,, 1il4 I l+ Gv r1 l.ccr*r& Sq. Ft. of Building ({ l.-r Assessor's Parcel Number: Job Address: EI Repair tr Move/RelocationE additionE New EI Remodel/AlterationClass of Work: E Detachedp AttachedGarage: Septic:F(owrs E Electric E OtherType of Heat:E Natural Gas El Propane Driveway Permit: PROJECT DETAIIS CONTINUED E Community l5!:xernpt E Perrrrit #: NONGE Arrthoritv. ThisapplicatinnfnraRrrildingPermitmusthpsignedhytheOwnernftheproperty,descrihedahove, 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 L80 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. lunderstand 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 wlth 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, construct;on 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) reouiring 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 d neer 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 d accurate to the best of my knowledge. J -").1- .' S"- Property Owner Print and Sign Date OFFICIAT USE ONLY """'J)J2'flZo/t el a/v D / vol/S Adiusted Valuation:14.zo4oo Plan Check Fce: 3915-vt Permit Fee:6q?.L5 Manu home Fee:_Misc Fees: rE- Totalf ees: ' .q7g.sh OWTS No: - i, I zonipSetbacks:Orr'ro"OiR& BPNFees Paid Balanceb'l Const a u 3-7t-25BUILDING / PLANNING DIVISION /t//r'ril^- Signed Approval Date Garficld County BUILDING DEPARTMENT 708 Eighth Street, Suite 401., Glenwood Springs, CO 81601 Tel: (97o) 945-8212 PI-^AN REV IEW CHECKLI ST Permit No: gt RE-O7-]-$-?/2F Planning/Zoning lssues lA Engineered .Fou.ndatio.n Property Line Setbacks Building lssues 't?''-a.N> eoi\lD rl tt a- _aPa^TvzTtzz_Drivewav Permit ,(wru,n*) Septic Permit ancl Set-backs Grade/ Topography 30% Attach Residential'Pla'n Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker s Attach Conditions Application Signed Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Building 'lleight Zoning sis" orfnso Z,;7 =Road rmpact tGa{- fuigh'm) Grade/ Topography 40% Flood Plain Planning lssues ./subdivision Pbr6r-A.A!) -rFrl4o f-. ,^.>. I V I ^1 tfqeIt Su marv: 7b7* Szz= a$544 8(ox + 2+=egbo etbad'led 3,e,30 coV. p#o GW*ilWF-cltoL i rdu de E tt4anuF.. hwhe, Cfnt+ + urrtnishad baxnarc-.) "!us*/luka7 tte/uah'a?t f 147a+