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HomeMy WebLinkAboutApplicationGurfteld Cottttty Fi L: C € FpITITunity Development Department 108 8th Street, Suite 401 APR I / p$l$lenwood Springs, co 81501 19701945-8212. ,. I rltll.rf,lTY '-''-!'-"---,,,,, rr r, r":ip'[fi!{r.W.ea rf ie ld-c I l WPE OF CONSTRUCTION Commercial/Multi -ramilv Manufactured Home or Ti ny Home (Single or Multi-Level) Residential (SF, D lex or Townhome Accesso Dwelli Unit - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED PARTIES olition if}*-roof E.A propertyowner: f t doTToclee ( *'' -' phone: t?fr -ldiA:/Z0L Mailing Address Email Address: Contractor:t-fu-t 3V?'41st Mailing Address: Email Address:.@F Architect:t%_t /.l9"st4a Mailing Address Email Address:a) Engin Phone: 238-l qab-878V Mailing Address Email Address:Atzr.tE -tuu8.fr)v-z , B/2 BUILDING PERMIT APPLICATION Manufactured Home lnstaller:t//aw Phone: (__) Describe wo*. /yEU 7-?t &?/2 fu*+& -rWA),+z*77 Mailing Address: Email Address: PROJECT DETAILS Job Address: Assessor's Parcel Number:2.1q3 dze sra.hzuUrtzfutal tota&? -Btock---_ 5 / f0/A00 ,e 9)tffi"rrrsize (sq. Ft. or Acres): ) orcOwner's Valuation Sq. Ft. of Building: Class of Work: of Work EW Heig nt, FlLat/aa # of Ftoors: dition Garage:ched Remodel/Alteration etached Septic Type of Heat: Driveway Permit: PROJECT DETAI LS CONTINUED WTS Community Natural Gas Propane Electric Other mpt Permit #: NOTICE Authoritv. This application for a Building Permit must be signed bythe Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with thls 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinL80days 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)). AllCounty 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 of the 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 responslbility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, includingwithout limitation my architect designer, engineer and/ or builder. I hereby acknowledge that I have ed the reouired informationbH-"'* read and understand the Notice and Certification above, as well as, have which is correct and accurate to the best of my knowledge. ,thdz{ oItePropertyPriSign L-\ -OFFICIAT USE ONtY speciarconditions: athde{TOA/€ Adiusted Valuation:4^700,e Plan Check Fee 3Do.27 "i)il"?s Manu. Home Fee Misc. Fees Totdl Fees:7tl . ag- fees Paid: Rcn $a-'uui:w ?-tnF QAra BP No:OWTS Ng: Const. rre.,l R C zonip:Setbacks:OCC Group tRe BUILDING / PLANNING DIVISION :0ll),'y^l-/^,, Signed Approval Date 5-l Gur$eld Courn$t BUILDING DEPARTMENT 1.08 Eighth Street, suite 401,Glenwood Springs, CO 81601 Tel: (970) 94s-8212 PLAN REVIE W CHECK LIST Permit No:B/REnt/-A/-?ap Building lssues Pla n ni ng lZoning lssues E4gineered :Fou.nda ttcr n riveway Permit Surveyed Site Plan Septic Perm'it and Setbacks Grade/ Topography 30% Attach Residential P{an Rer,4ew list Subdivision PIat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attac h Conditions vrrv, L/s- u/"ka/e bel Property Line Setbacks 35 ft, Stream Setbacks Flood Plain Building Height ZoningSign-Off -, /.r72 ne/// f/-- Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat mscri Plan Application Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report Application Signed /tuAsanl% PSF YE Nh OPEN-I{OI-E SOI LS REPORT IS REQUIRED AT FOOTING btxu INSPECTION