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Home My WebLink AboutApplicationGa$ield Couttty Community Development Department 108 8'h Street, Suite 401:;t i' "'''l '6'lenwood springs, co 81601 hlrtr\r t I; 'i*r!. (9701945-8212 rut;1i' " "'r:lrrww.garfieldcountyco.gov . ) l.:.' .,,.,..,,.,, li,r'il CommerciaUMulti-Fam ilv Manufactured Home or Tiny Home (Single,or Multi-Level) ownhome) ff accgs-9.gry o*,-e! ! ile u !! ta D_u ) 1-$tryM!ry! sq-E 9F 11299 IQUARE IFEr Demolition T--ll lReroof BUILDING PERMIT APPLICATION INVOTVED FARTIES Phone: tQ10 t 3Z{ {d SfProperty Owner: Mailing Address: Email Address: b {o,o \tr+e/ o t(e . eDq : Contractor:L-{.2- Mailing address: PO EmailAddress:$o* te-Phone: (\70 | 47q Ll(rf 6Ltl- w . c,!.t^ Architect: Maillng Address:*q/t E- Phone:)\ EmailAddress: An€ngineer:t Mailing nddresslt& 5s.{laf fii*qc.L 1lsl t etb 194ta'(Phone: EJL E6 , EmailAdd ress: f,e,L la Manufactured Home lnstaller:u/*Phone Mailing Address: EmailAddress: - Describe Work:0 tla Job Address:t( Assessor's Parcel Number Lot Block Property Size {Sq. Ft. or Acres}: t Sub. Owner's Valuation 5q. Ft. of Buildlng: of Work: Height: ' Class of Work:1ff"'Remodel/Alteration fof Addition PROJECT DETAI|s CONTINUED Septic:Community Type of Heat ral Gas Propane Electric Permit ll: Other Driveway Permit:Efxempt Xiffi This apptication 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. Lesal 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'8. 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 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICANON 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}). 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. t irereby 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 acknowfedge thalresponsibitity 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 a that I have read and understand the Notice and Certification above, as well as, have il red information which is correct and accurate to the best of my knowledge "t l,2 bLJ' Property owner Print and Sign Date @ OFFICIAL USE ONLY ahbacltalAN>Special Conditions:6ee Misc. Fees:Manu. Home Fee: F'Wfh2-sPlan Check Fee:. 2c12.4,A Adiusted Valuation: ?6L.0q4,o5 OWTS No: 'Affiqxqr.BP No: mE-Q25rffilfll].+t Balance Due: - -4',7."25-,-/A Total fees:- ls t 7,fru,7b Zoningl \A Const 'loBpocc 6roup: lqySetbacks:'DCj^..E,E, BUITDING / PLANNING DIVISION:fit)'r-g a Gur$eld Coanty BUILDNG DEPARTMENT L08 Eighth Street, suite 401, Glenwood Springs, cO 81601 Tel: (970) 94s-8212 PLAN REVI EW CHECKL rsT permit No: BLRF-O6-46- /e-S/ Building lssues qwpL .' ./ .- Pla nning/Zoni ng lssues z.d-b -/ ,E 6Ensineered .Fou.ndation ,i,""*(,f,!,R)"*. /rtF Surveyed Site PlaniEpr-as*r-feaz Septic Permlt and Setbacks GraAe/TopograPIY 30%(fl-Kft ) ntlmtr Residenti6 P{an Revievu List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Flood Plain 'Building Height Zoning Sign-Off Poad lmpact Fees €13> Grade/ TopographY 40% Planning lssues Subdivision Plat on 67tFs RItr EBD $2t 703.ooConditions N* W+H;'il{: /il,unel{ Energy Compliance Path/Plan Received pran Reviewerto sisn Application CfVill 7% d 4 = tYlA$,uO ParcettschedureNo. Ajan /f1Z_X 32- * 36r86fiao o#snowroadLetter-Manur Homes ;"f// a4HX /g s IiMZ,oo FL< bggl x lo/, /,6= bbgg,os Soils Report OPEN-HOLE SOILS REPORT S NTOUIRED AT FOOTING irrrsPrcrrov 4O00 Psr adiwstal b;,l/,y tra/aahott; f -766/ilAa6