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HomeMy WebLinkAboutApplicationGurfield County BUILDING PERMIT APPLICATION Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e7ol94s-82L2 www.ga rfieldcou ntvco. gov tr.t. f r 'ill?ir:,,.::.1 '' ', rt:l i<l TYPE OF CONSTRUCTION r- ,*.-,,-l ii Commercial/M ulti-Family Manufactured Home or Tiny Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET INVOTVED PARTIES 7APhone: Email Address: Property Owner: Mailing Address: ) Phone: at Contractor:f ,l L[Tn ftD/ts{*.) t+,bt/] Mailing Address: Email Address: Phone: &70,s1793aT o Architect: Mailing Address: Email Address: fz aPhone Email Address: Mailing Add Engineer: I Phone: ( )Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS Assessor's Parcel Number: Describe Work: (\n \ Lot ,{V- Block _ il,0? 6O tloors: -/Sq. Ft. of Building:Height:aa-l}Yzla Property Size (5q. Ft. or Acreslr #of Job Address: Owner's Valuation of Work Sub. (New Remodel/Alteration AdditionClass of.Work: DetachedGarage:Attached Type of Heatl Community Electric PROJECT DETAITS CONTINUED Septic: Other Permit #: Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwncrofthcproperty,describedabove, 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 ^4 ;^^^^^+i^^- k., +L^ D..illi^- n;,,;^:^-putPv)g)vt ilr)vEttrvilJ vy trrc uuiluilrB urvr)rvrr. 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 andvoidiftheworkauthorizedisnotcommencedwithinlS0days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. Natural Gas Propane CERTIFICATION NOTICE mptDriveway Permit: 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 a nd my agents wiii compiy with provisions of a ny 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 td 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, ifthe location, construction or use ofthe structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicahle 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. Owner Print and Sign Date OFFICIAT USE ONIY Special Conditions: ' . - . . .Ar r tb- , . a ] t-2 1ec 4ttahed COND/-/ /2/VD 5:irr:#nt:b ww:tfb ,72'iIJ,#Manu. Home Fee:Misc. Fees: r RFsrD iLs?g "'t.ln.6(.o,Fees Paid:I u?9^qb Balance a) aa ]i]'#BP No: R-t 0E4AC{A OWTS No: t*ffi'nlD 6cc Groupr I Rc Con6t..ffIb Lil,'rf/t b-?r-Rt Date BUITDING / PLANNING DIVISION Signed Approval Gar$eld County BUILDING DEPARTI{IENT 108 Eighth Street, Suite 407, Glenwood Springs, CO 8160L Tel: (970) 94s-8212 PLAN REVI EW CHECK LIST Permit No: 82-RE-05-A 5-/ a{a. Building lssues Pfanning/Zoningtssues 7A> Driveway Permit Surveyed Site Plan Septic Permit ancj Setbacks // Grade/ TopograPhY 30% wF //'- -/ f 4gjn.eered Fou.nda lio.n Attach Residential Plan Review list Subdivision Plat Notes Fire Department Review Application Signed perty Line Setbacks 35 ft. Stream Setbacks Flood Plain 'Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Description & Summarv: 't'l /w J@ttachconditions Ktr g,E,D,=f 55qg."o 7 -/-7 Ft S 2r34x /o/,/6 zt47w.soEnergy Compliance Path/Plan Received Plan Reviewer to Sign ApPlication Parcel/ Schedule No 40#snowload Letter-Manuf. Homes 4 787x Soils Report 7z /q)/t6.o2/ a7 ,rTf-/t. ?39.4 oe a- 3 OPEI\-HOLH $OIL$ REPORT IS REQUIRED AT FOCITING INSPECTION ISOD PSF ue/u a a t'