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HomeMy WebLinkAboutApplicationGarfield County BUILDING PERMIT APPLICATION Development Department ; rl- f , I '.t ,frpf,,8'n Street, Suite 401 ' i - (9701945-8212 '' I www.Farfi eld-countv.com TYPE OF CONSTRUCTION Commercial/Multi-Familv Demolition Manufactured Home or Tiny Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof ,x Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: EP-Nr'l'cr> LLa Phone: t17r. I 3t1'U:,bL broul a l[c, ut / Contractor Phon e:{ Mailing Address: Email Address: Architect:Phone:{ ?ot l .4o4 -21'o Mailing Address: Email Address: -5-62t1- +e4 Engineer ?,d.Phone: ( Mailing Address: Email Address: /?40C' U brdLt&tt't Ro #ni<Atn tq/A ?qn+ Manufactured Home lnstaller:Phone ) Mailing Address: Email Address: PROJECT DETAITS Describe Work:lb Job Address: Assessor's Parcel Number: Sub.Ntu'etz vl az^/ ,An*e*Lot 6 Block Owner's Valuatio n of Work: S PropertySize (Sq. Ft. or Acres): Sq. Ft. of Building:Height:# olFloorst / Class of Work lXlrue*Remodel/Alteration Addition Garage:hed Detached Septic: Type of Heat:Electric Community Other Driveway Permit: PropaneNatural Gas Exempt PROJECT DETAI tS CONTINU ED Permit # NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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 purposcs of inspcctions 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 nry behalf (subrrrittals), based uporr rrry certification as to accuracy. Assurrrirrg corrrpleterress of the submittals a nd 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 applicablc land usc rcgulations (County Rcgulation(s)). All County dcvclopmcnt rcquiring a pcrmit, cxccpt for residential uses, are subject io Article 7 of the Land Use and Deveiopment 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 applicable law. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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 acceptanceof responsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, 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. 2 Property Owner Print and Sign Date ,z OFFICIAI. USE ONIY SpecialConditions: ,, I / Af, l tr\- t*t.a A l-ereffiUled( u-{//Ut)/ / /A/V> Adiusted Valuation: t2?^ 02q.7a Plan Check Fee: 741- tF '*i.'\Elzg Manu. Home Fee:Hi'iH'*o-Plgt Tota a4Ita Fees Paid:nce D occ G Const. Type: .t4 ZoniSetSacks: -cahlL 7t-% Date recer redcoardddalp defarH 6,ao.26) 6Utorrue / PLANNTNG Drvrsrdff: Signed Approval Garfield Coanty BUILDING DEPARTMENT 108 Eighth Street, suite 401, Glenwood Springs' CO 81601 Tel: (97o) 94s-8212 PI.^AN REVI EWCH ECKLIST Permit No, /l/e/ t\/arl Grade/ Topography 30% Attach Resident'id Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions I,ferzlt flhe' o Building lssues 4 arevsAe// /R€-og-a4 Engi.neered :Foundatto.n Planning/Zoning lssues 35 ft. Stream Setbacks , Flood Plain--7- // CbN> A/k 'Bui'iciing fieight Zoning Sign-Off Grade/ Topography 40% Planning lssues Subdivision Plat rmpact r.-^-, R/F S.F,b, ?t,5 //Ezbt,7o ?, log 7)ebo.e a b44,-2% 6hu&zu fu g:trc ) a 5 prt baz7 16/ id//,-<<' **,8/rze. y'/a ^/?pr*';'7;; triU adilek/ 6i,Ahl ua/aa*'dv, ,' Soils Report o?q,70 KtF -g.P.D,:f qsa