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Home My WebLink AboutApplicationc:::E; Garfield County Community Development Department 108 s•h Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.co m TYPE OF CONSTRUCTION D Commercial/Multi-Family D Manufactured Home (SF or Duplex) l!I Residential (S F, Duplex, orTownhome) I D Demolition I D Re roof j INVOLVED PARTIES I Property Owner:::_ -B_....--..Q.:;;;:. ~;.;;....;.::. =:....:::o _ _,,J:.,..:a.;A."'"-'-\...t.;..:.::ie._crr....___...H __ ~ Phone: (, __ ),-=..;:;,_...i...:.~~:....i Mailing Address : 11 §.S ~ ~ I ~ '6 £?.<, do 8 I b 'SP ' Contractor: __ c_,,-'l""'c--... _,.,_"~'N:..i"..:....;.·-=b;;..:l':..;:c>;;;..:V""'~l'~-----Phone: ( er 'lo ) b2. S'. '-(o s c:> ' Mailing Address: __ /J;._c._.::;.tJ_o_.?<--'--"'"'l._'S"",_;{-...:-~-~-'--• .fi~Jc-:;....____;:L=o::;....___.;;.8_1-=6:::...;...S ... _G"'-~--- Architect: __________________ Phone:( __ ------- Mailing Address: ___________________________ _ Engineer: __________________ Phone :'~--------- Mailing Address :---------------------------- Manufactured Home Installer:-----------Phone: ( __ ------- Mailing Address: ___________________________ _ I PROJECT NAME AND LOCATION -------------------------; Describe Work: A &t# l<eo:f: I Job Address: __ ..... 7_9 ......... 8 _5_1-1.__,,'t_ .... f .;;...3 ___ ~_.__1 _./' __ /_c:-___________ ____, Assessor's Parcel Number: _______ Sub. lot Block --1 Owner's Valuation of Work:$ 3ba9 .a!J Property Size (Sq.Ft or Acres): ------l Sq.Ft of Building: Height: #of Floors: ----Class of Work: D New I D Alteration 161 Addition D Repair I D Move/Relocation -Garage: D Attached D Detached Septic: OOWTS D Community Type of Heat: D Natural Gas I D Propane I D Electric I D Other Driveway Permit: D Exempt D Permit#: NOTICE Authorltv. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If 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 purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required : (1) St ate Electrical Permit, (2) County OWTS Perm it , (3) another permit required for use on the property identi fied above, e.g. 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. 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 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 faciliti es detailed on the submittals reviewed by the I Building Division . In consideration of the issuance of the Building Permit, I agree that l 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)). I acknowledge that the Build ing 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 Divi sion to enter the property, descr ibed 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. I Review of this Application, including submittals, and inspections of the work by the Building Division do not I constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies . As the Owner, I acknowledge that respons ibility for compliance with federal , state and local laws and County Regulations rest with me and my authorized agents, including w ithout lim itation my architect designer, engineer and/ or _J I builder. I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required information whi h is correct and accurate to the best of my knowledge. ~ l'ltl..J4<A.tllrrd · t /,;n /t.s-· Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions : Adjusted Valuation : Plan Check Fee: Permit Fee: Manu home Fee : 3bOO ~ 65. -ZI 97.Zf /60. tf. b ~es Paid?..' Total Fees: ' Balance Due: 9 7.$-.J Setbacks: OCCGroup: Const Type: ,Z'/LC BUILDING/ PLANNING DIVISION: __.All.!:~' ,.,..¢~~2:!~::::e:;;.,a;;~/::::~:;L-~~rn ~~::::-==--~ Signed Approval 'TuJ<i. \•a.T-·l~ iZ>u. '3. ~ ( 'tb'll r I Misc Fees : - J ; Date Building Plan Review Description of Work: add roof over deck Bin#: Location Address: 7985 Hwy 13 RIFLE, CO Case Manager: David Bartholom ew Plan Case Number: BLDG-1-15-8200 Parcel: 212915200070 . Application Date: 0112 712015 Building rJ / h Engineered Foundation ' ±Driveway Permit Surveyed Site Plan ___ \ ___ Septic Permit and Setbacks ___ , __ GradelTopography 30% ___ / __ Attach Residential Plan Review List / Minimum Application Questionnare N/A Subdivision Plat Notes Njlt Fire Department Review / Valuation Determination/Fees / Red Line Plans/Stamps/Sticker / Attach Conditions / Application Signed / Plan Reviewer To Sign Application / Parcel/Schedule No. "f A 40# Snowload Letter -Manu. Homes /U/11' Soils Report Thursday, January 29, 2015 Contacts Owner: Bruce Nauroth Applicant: Bruce Nauroth Applicant Phone: (970)625-4342 Email: Planning/Zoning __ N_ 1 ,...J/_Jl __ Property Line Setbacks -+-30ft Stream Setbacks _l_Flood Plain --~--~uifding height _____ .... oning Sign-off _____ "'oad Impact Fees ----t--··. OA/DRC Approval -----11---GradelTopography 40% _____ ... lanning Issues ------ssubdivision Plat General Comments: The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Septic or Road Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand, and will abide by the requirements of this checklist. b ~~±~n LJ~,d/-;,-D-at_e ____ l""""') ..... J __ '1..:.....-+~--J_a ___ _