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Home My WebLink AboutApplicationDocusign Envelope lD: 1 750D3E8-3878-4DOA-8C5A-5983808ADE2E Garfield Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970ls4s-82L2 www.garfield-countv.com mily or Tiny Home (Singlg q v!g!!i-Level)._ __- tr Residential (SF, Duplex or Town E Accesso ry,QWelline t4't (Aeu) - MAxIMUM slzE aF \]op Sq!4IEIEEI INVOTVED PARTIES \ v7OF TTz'-rI &- g', -[ tr oemolition _. | tr- neroor--_ - - 614 F1trTIq, 3 Property Owner: Mailing Address: EmailAddress: Phone: Kl BUILDING PERMIT APPLICATION mt Phone: Pfly fl+d'q,VolContractor: Mailing Address: EmailAddress:a Architect:Phone:{) Mailing Address: EmailAddress: Engineer: Mailing Address: EmailAddress: Manufacturedl Tiny Home lnstaller: Mailing Address: EmailAddress: PROJECT DETAITS Describe Work: Job Address:qrn Assessor/s Parcel Number Sub. Owner's Valuation of Work: Sq. Ft. of Building:t02 o Height: r-ot I O alocr X *"1 _i Ei nemod"rlart"ttiion I O E Attached Phone: ttEfi 184- anq< Property Size (Sq. Ft. or Acres):t4 #of E Repair I r Move/RelocationitionClass of Work: Garage:I- I Add El Detached Docusign Envelope lD: 1750D3EB-3878-4D6A-8C5A-5983808ADE2E . PROTECT DETAILS CONTINUED S owrs chip sutherland Property Owner Print and Septic: ffi of neat: E Community E Electric tr o*t",El Natural Gas Driveway Permit: NOTICE E Exempt El Permit # Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application' leral 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 petmIL 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. CERTIFICATION ' I hereby certify that I have read this Application and that the information contained above is true and correct. I understand I that the Building Division accepts the Application, along with the plans and specifications and other data submitted by me or , on ry fehalf (sJbmittals), based upon my certification as to accuracy. Assuming completeness of the submittals and l 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 I 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 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, desribed 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(sl or r 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. by: j ( t''"n" 3/2s/202s Date Ll-\OFFICIAI USE ONLY CarvDSpecial Conditions: / Misc Fees:PermitPlanFee:7t tg)Balance Due:- r /2t/5,5b qPa'$oEb ConstOCC Group: *- BUttDING / PIANNING DIVISION : Signed Approval ? Date Gurfield Couraty BUILDING DEPARTMENT 708 Eighth Street, Suite 40L, Glenwood Springs, CO 81607 Tel: (970) 94s-8212 PLA N REVIEW CHECKLIST Permit No: Q1,147 p-. OyZ6-? /gg Building lssues Enpineered Foundatron ,(lcms "aefurzlJtt Pla nning/Zoning lssues --=C' 35 ft. stream setbacks 4r'/ .- r.'.* Gfade/Topography 40% Planning lssues Subdivision Plat ztTf t(3000t7 Description & Summarv F/oDs.l. uaat/x tr9 1aP J/'' Property fine Setbacks Flood Plain 'Building Height Zoning Sign-Off -@tr"ad rmpact r.., (l Fs Fb .rm" Attach Residential P{an Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker ach Conditions Application Signed Energy Compliance Path/Plan Received Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report ttuD/cDot+'{_/o2o5,f 4N( oly aNb_ fir 5,v.b,=?gL.oo