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Home My WebLink AboutApplicationGurfield County Community Development Department l0g 8th Street, Suite 401 Glenwood Springs, CO 81601 1970194s-e2L2 www.ga rfieldcou ntvco.gov INVOTVED PARTIES BUILDING PERMIT APPLICATION t"t-. Commercial/M u lti-Family Demolition |: Manufactured Home or Tiny Home (Single or Multi-Level) IResidential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM S|ZE OF 1,200 SQUARE FEET Propertyowner: &pf {-lf:<.Ca ?XqZee Phone: ( ??o | ?48-qV+| MailingAddress: r? t 5u^'lU{q,}rif t'a . &rr,el.rr^$cO Slpar!.bg, Co 6l6al EmailAddress:6crt-TT. I-ar€LBUluDco C g^r^.,, . Z.rrrr\ Mailing Address: EmailAddress: VI N Phone:(n4 , #E-,?'7+tcontractor: awnlg€- ll*Jtr-uea- MailingAddress: ?,d. 1}qy ,o7, , 42L6ldpgo 5P'.4.J-1S.1 c-9. $l(ro2-$ Architect:Phone:(?'b I bt(-LLgo EmailAddress:BM Adr.r.rrr,r-.c^r^ -bz*.q*) fuvrran:.l &, ,AlL Phone: ( I Engi neer: t\Tz*r Mailing Address Email Address: $ Phone: {)Manufactured Home lnstaller: Mailing Address: EmailAddress: PROJECT DFTAIIS DescribeWork ffi N6n.I 4nAU.q€fg VJtlr,t UrVrqrg Eia&{E Owne/s Valuation of Work: S l9e, ct -Z Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: Height: 9*tttzvg Lr'q5,d-;-)oan r \ nr6dvE q? Sub. #of Assessol"s Parcel Number: Job Address: lot _ Block _ !Class of Work:New Remodel/Alteration Detached )(Garage:Attached atural Gas Propane i PROJECT DETAilS CONTTNUED Septic:Community Type of Heat:Electric Other Driveway Permit: NORCE 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 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 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 Garfleld 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 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 responsibility for compliance with 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. 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 and accurate to the best of my knowledge, 9cryrr. Property Owner Print and Sign Date Permit #: 23 OFFICIAL USE ONLY I speciarconditions: gae 4/tadtc/e//vb ) na/ls Adiusted Valuation:f/9,7/2.20 "wtt,nw 'Wff?,7s Manu. Home Fee:Misc. Fees:ii;;ib lr,qrl rotat'eevr/,oq ,VTU,Z4 'Ty"iry:76 BP No:mE-a31 rOWTS No: 'r- Setbacks:oCC Group: RC const.ffi2 '""Krtr4y' Ailir+l-b-3-% Date BUTTDTNG / PTANNTNG DTVTSTON : Signed Approval Gerfield Coanly BUILDING DEPARTNIENT 708 Eighth Street, Suite 401, Glenwood Springs. cO 81601 Tel: (970) 94s-8212 PLAN EVIEW CHE CKLIST Permit No:BLe€-05-&5-?aa{ Building lssues Engi.neered Foundatio.n qWrrPtrriveway permit Surveved Site Plan Plan Reviewer to Sign Application Parcel/ Schedule No 40# Snowload Soils Report Planning/Zoning lssues Property Line Setbacks 35 ft. Stream Setbacks Septic Permit and Setbac'ks Grade/ Topography 30% Attach Residential P{an Revievo' list Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees -/ Red Line Plan s/ Stamps/ Sticker uNb ch Conditions Flood Plain Grade/ Topography 40% Planni ng lssues Subdivision Plat Descri umma t/?b RIF €8.>. - Rrr *fiIlvTk"rd7"* Energy Complia nce Path/Pla n Received /0/,(5= /4334u 3Z = 3r)55ft.*,r#x //? cp//)c e/3,5/,* OPEN.I.iOLE SOI LS REPORT rS N'OUIRED AT FOOTING ir.ripriiraN t1il Psr 7/2,tu