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Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com BUILDING PERMIT APPLICATION TYPE OF EQRSTRUc1" N n Commercial/Multi-Family n Demolition LIManufactured Home (Single or Multi -Level) 0 Residential (SF, Duplex or Townhome) Reroof Q Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET C4V L - Property Owner: Alfredo Salazar Mailing address: P.O. Box 1540 Rifle Colorado 81650 Email Address: alfredo23.as@gmail.com Phone: ( 970- ) 948-5455 Contractor: Same as Owner Phone: ( Mailing Address: Email Address: Architect: Same as Owner Phone: Mailing Address: Email Address: Engineer: Lindauer-Dunn Phone: (970- )241-0900 Mailing Address: 802 Rood Avenue Grand junction Colorado 81501 Email Address: Frank@lindauerdunn.com Manufactured Home Installer: Phone: ( Mailing Address: Email Address: CROJECT DETAILS Describe Work: Residential New Construction Job Address: 300 Village Drive Rifle 81650 Assessor's Parcel Number: 4-1-7-7-8244444:44-1-2111-ZD1©0aI1 Sub. Lot Block Owner's Valuation of Work: $ 500000.00 Property Size (Sq. Ft. or Acres): 35 acres Sq. Ft. of Building: Height: # of Floors: Class of Work: Garage: New Attached I❑ Remodel/Alteration 'Addition n Detached PROJECT DETAILS CONTINUED Septic: Type of Heat: Driveway Permit: INOTICE- -: Authority. 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) 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. 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. nOWTS ll JJ Natural Gas Exempt • ^lCommunity I-7 Propane I-1 Electric I l Other nPermit #: ERTI FlCi4T#dN: — - - - - 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. In 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)). 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 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. (fie fo crk .Jci(C.t_ L if -- Property Owner Print and Sign / ( Date 20 2-0 OFFICIAL USE ONLY Special Conditions: JGVI (/riAl AC+UJ/ v ( Y iyyji- with Remo( 4 �Ir. cWet. Awl Otkvirndtat 4,tw+et wifh cat/6°1140Z pi"- 1v 6o Msiive#44. PQA.A. Iwipica- (Stivitifi Pi qf►i c ) adjusted Valuation: 13lsb 00 Plan Check Fee: cAb3 5.70 m it Fee: W d24.1 Manu. Hone Fee: I\VA Misc. Fees:(I . oa `� I Total Fees:ees g 3 1. Paid: +1 •30 Balance Due: g3ligcY7 Const BP No: OWTS No: NAZE (P901 Type: IR., WWWVI a Zoning: rion., Setbacks: pitc.. 251 So io OCC Group: IR BUILDING / PLANNING .P601(9 DIVISION : ��11212.1,0,0� Signed Approval Date PD / 13112.30_/ c c. 11 H e 17-197.0 • Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses specified. Pre -manufactured structures require the engineers stamp, signature and date. • Framing /connection details, braced wall lines, shear wall schedule, location and hold downs. NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official that additional information is necessary to review the application and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as any 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. �� d max roperty Owner Print and Sign Date Garfield County BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: 431,12- (110- 6'1 Building Issues Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List 1�+I� Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes / Soils Report 4tIMnimitt elPryit Cw_awl N/A i ng/Zoning Issues l N/A Property Line Setbacks 30 ft. Stream Setbacks ��► Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% �% Planning Issues ' VA Subdivision Plat Description & Summary: Ciilp04 frt, 1414tr•00 cc) 3131/2 x 4 7,. OD 71'14)1W - 4 f1 -4 V2 -0 - 3/660- 2-3 /66o.2-3 x `P1t - Cb = eit qis-770. 4 2g 30.