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Home My WebLink AboutApplicationGarfield County i:t l:'i; i: !',r'lCommunity Development Department Iuirr i ti ,iru"15 .'"tffi:"rt:'rH;;":::l:rt !,i"-.. ,. !..'r.,i.::;',i'i"Y P7Ol 945-82L2 r i ,,, i .,ri.'i r,r,,, l:,.ii,'. t:Www.gaffieldcountyco.gov 3 BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/M u lti-Family Demolition 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 INVOI-VED PARTIES Property Owner: Mailing Address: Email Address: !G,tr., t/.t( eq,Lat ^ 1\L 3Phone: Ca (0-L0 J a5 K $elLj3 flulF^ bery^ r6,iVW 1tt :to\Phone:tbContractor: Mailing Address Email Address: Architect: float&r D al;n.+ F.r, td Ui i(t^ 8j LI Phone:t"tIL r?-t\ t)Ltq OCI drMailing Address Email Address: !^L af..u\, Lo L\t/^.{tPhone: S 4 A J'U 'l*- Engineer: Mailing Address: Email Address: Phone: (_)Manufactured Home Installer: Mailing Address: Email Address: PROJECT DETAITS Describe Work: (o Height: t Iot "(-.,Owner's Valuation of Work: 5q. Ft. of Building:Ir Dtr tbb Sub 0 ^( y' lrruf( T D\Assessor's Parcel N Ai lc Property Size (Sq. Ft. or Acres): Job Address: Block _ 1-3 -lo #of IClass of Work:New Remodel/Alteration Addition Garage:Attached Detached Septic: Type of Heat: Driveway Permitr Propane pt Natural Gas Community OtherElectric Permit #: PROJECT DETAILS CONTINUED NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, or an authorized agent. lf the slgnature below is not that of the Owner, a separate letter of aulhority, sigrred 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. 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 thatthe Burldrng lJrvrsron acceptsthe Applrcatron, alongwrth the plans and specifications and otherdata 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. 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 ofthe 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 p rovided the required information which is correct and accurate to the best of my knowledge \+T I,J? Prope rty Owner Print and (."-ft-r-f- Date OFFICIAT USE ONI.Y \ see ahdrd /T/A/VSSpecial Conditions: Adiusted Valuation: .43r 641^ v5 'iuffE:pft Permit Fee: /?z?-vo.w Manu, Home Fee:Misc. Fees: RIFEEDFz,Tg! Balance Due:^- vo,59 BP No: WTa-q%? OWTS No: <- Total F6es:.Htvhb, Fees Paid: ^.\ut'14.W '",,7)hND oCCGroup: tBC ,onst.rvvltp/,,t""ff, BUILDING / PLANNING DIVISION 0n),'rr//, Signed Approvai Date 72 3-% Gurfield Counly BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 94s-8212 Building lssues PIAN REVIEWCHECKL rsT Permit No: Bt RE-06*-494,fu9 Planning/Zoni US w n gi nee.red :Fou.nda tto.n Driveway Permit Surveyed Site Plan Septic Permlt and Setbacks Grade/ Topography 30% Attach Residentia'l Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker ttach Conditions Line Setbacks 35 ft. Stream Setbacks Flood Plain Bui'iding 'rleight Zoning Sign-Off Grade/ Topography 40% Planning lssues I ./ / l@Road rmpact Fees EE,>, -4F Subdivision Plat 5b5737 KIP FE> n ion & Summ N/ 40# snowload Letter -Manuf. Homes 'M {zsY zy' = rs Report K*4 t^cP/d /55x lg'= eraa/ z7zo x 24 =,nt-9 OPEISHOLE SOILS REPORT 2g23 x /ol {€= 26r6b8,75 7zz x 3Z = 44 196,00 /0, za,oo e)700,il ,f5 752,00 Application Signed fuex.ribh',ta Energy corti.n.. Path/Plan Received trLSfrLas.T Plan Reviewer to Sign Application Atr Parcet/schedule No. JAn ls REQUIRED AT FOOTING adrinsk/ dY,:;'::ffi fi t) ii; //' I'lta / uah otT i #3ary546,