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Home My WebLink AboutApplicationauvvl-utøtßutLDnút RÉGÉIVEN Community Development Department 108 8ú Street, Suite 401 Glenwood Springs, CO 81601 ?å^l-f'f'*B-?''1 r rñTY (e7o) e4s-8212 ıpo¡f.nt www.sarf¡eld'countv.com Property Owner: Mailing Address: Email Addresr: phone:tz) tu/77-Ç{z-L CÐ Garfield Coanty c9[T:1_cl9 t1-M 9l !l ilq i!v,Demolition Mânufäctured Home orM Res¡dent:al - MAX¡MUM StZË OF 1,000 SQUARÊ FEET Reroof UnitDwel or Townhom øNêE Describe Work: OoozS Block PROJECI.DETAIIì5" a 3 [ot t 2C)Height:F. Sub. Property Slze (Sq. tt. or Acresl: .=- #ofFloors: 3 Assessor's Parcel Number: lob Address: Owner's Vafuation of Work: sq. tt. of Bullding: Class of Work:ú New Remodel/Alteration Addition lGarage:Attached Detached Contractor:Phone:7fr v 67// Jn -¿-Mailing Address Email Address: o €Y .tfuu:*ofat</Ju,o"- Cørr\ Architect:ft|irÀ':¿'/Phonø:111() t 4?-l -úz(oZO 8tbMailing Address: Emaíl Address: %oÐ vØ(L Engineer:€tL\,EzeçsJ >1€-t) Cnn&A Phone:l412l 3aA-lÞO? 4 Bltoz-Mailing Address; Email Address: Manufactured Home lnstaller: - Phone: Mailing Address Email Address: ¿ VPry Type of Heat; ØÑaturalcas Electric Community Propane Other I l'*' .NOT Driveway Perm¡t li: Authoritv.This application for a Buildíng Permit must be signed by the owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authoríty, signe d by the owner, must be provided w¡th this Applícation. LeÊa! ,¡lçcess. A Building Pennit cannot be issued without proof of legal and adequaie access to the property for purposes of inspections by the Building Division. other-Permits. Muitiple separate permits mây be requ¡red: (1) Stâte Ëlectrical Permit (2) County oWTs permit, (3) another permit required for use on the property identified äbove, e.g- Stete or County Highway/ Road Access or a St¿te Wastewâter Discharge Permit, Void-P€rmltt A Building Permit becomes null and void if the work authori¿ed is not commenced within 180 days of tlre date of issuance and if work is suspended or abandoned for a period of 180 days after commencement- I hereby certify that I have read lhis Application and that the informâtion contâined airove is trr.¡e and correct. I understand that the Building Division accepts the Application, alorrg with the plâns and specifications âncì other data submitted by me or on my behalf (subm¡ttåls), bãsed upon my cerlificatiqn as to accurãcy. Assuming completeness of the submirtâls and approval of lhis Application, a Building Permit will be issuerl granting perm¡ssion to me, as ownet, to construct the structure(s) and facilities detailed on the submittals reviewed by ihe Building Division. ln consideration of the issuance of the Building Permi! I agree that I and my agents witl comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulåtions 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 ín compliance with County Regulation(s) or any other applicable law. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. I further acknowledge thãt the issuance of the Building Permit does not prevent the Building Official from: {r)requir¡ng the correction of errors in the submittals, if any, discovered afler issuance; or {2} stopping construction or use ofthe structure{s) or facilíty(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 dÕ not constitute en âcceptance of responsibility or liability by the County of errors, omissions or díscrepancies. As the Owner, I acknowledge that responsitrility for compliance with federã1, stãte ånd local laws and County Regulations rest with me and my authorized agents, including w¡thout limitation my architect a or buílder t hereby acknowledge thât I have read and understand the Notlce and Certiflcatlon above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. Property owner Print and Sign Date 4,r2 8,73 Setbacks:o Speclal Conditionsr f Permit Manu. Home Fee 7zt/,35 Bãlence Due: OCC Groupl id: Lonst, 7-lz-ØzlBUtLDING / PLANNtNc DtVtSION Signed Approval Date h;/- f) cot 5 ?Ãvl Gøffield Coanty Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701 94s-82L2 www.ga rf ield-cou nty.com licant: TODD Phone: Project Address: 278 RONCE LN., CARBONDALE bdivision 11 Block: BUILDING PERMIT FEE ESTIMATE WORKSHEET 574.68Finished Livins Space (N/A for Manufactured Homes)5301 306 s41.00Unfinished Basement 2s03 S18.ooCrawl Space 934 s32.ooGarage (Conditioned) (i.e. insulation, sheetrock) S24.ooGarage (Unconditioned) 542 s18.00Covered Patio/Deck 180 512.00Uncovered Patio/Deck s24.00Misc: s18.00Misc Level Multi-Level (S600) TotalSet-Up Fee $o.oo; s123.00New lnstallation !23 So.oo 2oØ7.3ât,aPlan Review Fee 32lt.35.^þ,þü çBuilding Permit Fee N/ALØ"[ ,,rôllt 1Manufactured Home Set-Up Fee húw'- ,/Septic Fee (OWTS)ö n69,00I\Other (Ex: Road lmpact Fee) This Section Determined by Garfield County Total Fees Due ***All fees are estimates until final plan review is completed*** 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: lf any required information is missing, delays in issuing the permit are to be expected. lf determined by the Building Officialthat additional information is necessary to review the application and/or plans for compliance, the application may be placed on hold untilthe 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 lmpact 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. Property Owner Print gn Date a a Gørfield County BUILDING DEPARTMENT 108 E¡ghth Street, Su¡te 401, Glenwood Spr¡ngs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: ßLß,í- 02-2"1- bb7? Building lssues Planning/Zoning lssues t/Engineered Foundation N A Driveway Permit Surveyed Site Plan N Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List 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 NlA Nlft ,/ t/ t/ NlA ,/ Buitding Height Zoning Sign-Off Road lmpact Fees - N/A Grade/Toposraphy 4o% t/Planning lssues N/A subdivision Ptat General Comments: t/Property Line Setbacks 30 ft. Stream Setbacks Flood Plain r' o allicslorr..ge oqØwed þ" non-huhihhl;'uæ. only ì"¿1i";;; zw Fr per w deç, J^ ttu Ð brul/,ø7 ya/ua+Ç'rh senl snaø/aa/c/ortÊø4an emat / h sþu^l¿r"y' en/neer z -zl- u4 / re ¿e / t/e d /ZV d -oo/ -*zorl/zo/' z-/z-zaz/ (eee a/ái:e* fretl æp7) é/îqzg2, b g Garfield County Public Heølth L95 w. l-4th street Rifle, CO 81650 (970) 62s-s2OO 2014 Blake Avenue Glenwood Springs, CO 81601 (970) 94s-6614 OWTS PERM IT APPLICATION TYPf OF SYSTEM CONSTRUCT¡ON New lnstallation n Alteration tr Repair BUTÐING USAGE WPE Ef Dwelling E Transient Use tr Comm./lndustrial n Non-Domestic E Other Describe INVOTVED PARTIES property owner av,0¿2.â 3+v4?âÑ &DvE?¿++ P hone: (tlÐ \ qL1^ 442.(e Mailing Address 8t Email Address:, qfn con:';'actoï ffi^VM.'T A)ITZMI htJL-Ðøl'Z$ Phone: Mailing Address EmailAddress: z €- Engin I Mailing Address t fll/ta01 EmailAddress:i6 PROJECT LOCATION AND DESCRIPTION Job Address:7-44 VslJe^ IÁ<LLZ- Assessor,s parcet Numb "r,%1 lhf AøÉsuø. Nó\-LF- Lot-Block Building or Service rooms:6 Ga rbage Disposal(Y/N) Distance to Nearest Community SewerSystem Was an effort made to connect to the Community Sewer System: Potable Water Source & Type S wett E Spring ! Stream or Creek E Cistern ! Community Water System Name Garfield County Public Health Department - working to promote health and prevent disease Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additionaltests and reports as may be required bythe local health departmentto be made and furnished by the applicant or by the local health department for purpose of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and legal action for perjury as provided by law. ii il iìi . iir:,r ".r ll liiiì\'li 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 know t /t z /zo-t 6^t"Property Owner Print and Sign 123.@r 6 Page 5 ol'3 I 'pdàtcd l)cc 2{} I 3 Special Conditions: Total Fees: Itzg.oo Feespaid: tÞ?,æPermit Fee: f tta.oo OWTS Permit: sØT-bb00 lssue Date:Balance Due: ø Building Permitg"nE-lJtlq Garfield County Public Health Department: Signed Approval I Date ll,r ':ii 'i ', l|t-. : i \iii:\i