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Home My WebLink AboutApplicationGørfwld CountyCommunity Development Department108 8th Street, Suite 401Glenwood Springs, CO 81601ls7ol94s-8212www.sa rf¡eld-cou ntv.comBUILDING PERMITAPPLICATIONDemolitionManufactured Home (Single or Multi-Level)ReroofAccessorv Dwelling Unit {ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEETCom mercial/M ulti-FamilyResidential (SF, Duplex or Townhome)TYPIProperty Owner:Mailing Address:Phone: (q?O )qg7Ão.q"Email Address:Contractor: ClwnPfPhone: (ìMailing AddressEmail Address:Architect:l.c\wPhone:Mailing Address:Email Address:Engineer: Kvd-= L ,ks.ci*fe., (nc. phone: (q?0 )qI(-63o(Mailing Address:Email Address:Manufactured Home lnstaller:Phone: IìMailing Address:Email Address:Describe Work:Job Address:Assessor's Parcel Number' à.1- t( 34 lt(ÕC)3SubChqle* Vrllqge *-l r-ot 3 Brock-Owner's Valuation of Work: SSq. Ft. of Building:q)q l,"ttu¡+/-Height:or-AdditionDetachedNewl)( nemodel/AlterationAttachedtfirvolvÊD ÞAR1¡Class of Work:Garagel PRO'€CT DETAIIS COI{TINU EDCommunityOtherPermit #:Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe Owner, must be provided with this Application.Lepal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property forpurposes 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 Accessor a State Wastewater Discharge Permit.Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 daysof the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.CIRTIRCANOI{I hereby certify that I have read this Application and that the information contained above is true and correct. Iunderstand that the Building Division accepts the Application, along with the plans and specifications and otherdata submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assumingcompleteness of the submittals and approval of this Application, a Building Permit will be issued grantingpermission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed bythe Building Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents willcomply with provisions of any federal, state or local law regulating the work and the Garfield County BuildingCode, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that theBuilding Permit may be suspended or revoked, upon notice from the County, if the location, construction or useof the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or anyother applicable law.I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. Ifurther 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) stoppingconstruct¡on or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any otherapplicable law. Review of this Application, inclpding submittals, and inspections of the work by the BuildingDivision do not constitute an acceptance of responsibility or liability by the County of errors, omissions ordiscrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local lawsand County Regulations rest with me and my authorized agents, including without limitation my architectdesigner, engineer and/ or builderElectricCWTSPropaneNatural GasSeptic:Type of Heat:DrivewayPermit:I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, haveprovided the required information which is correct and accurate to the best of my knowledge.3/\Property Owner Print and SignDateo¡rnnr usÉ o¡¡Ly 1eå. *5Og. t! o. ot/so /taztSpecial Conditions:þzß-l,ttbMisc. Fees:rlla wrì¡tltnr'<OVÚTS No:x/*Zoning:R.un :--/,t-q-21BUILDING / PLANNING DIVISIONSigned ApprovalDateManu. Home Fee*/¡BP No:wß8-b?otConst. Type:t t¿CPermit Fee:6t1¿i''.7.6Balance Due:öztq.q5OCC Group:tçcPlan Check Es€a+s,a#lFees Paid:{5o1. SAdiusted Valuationþ'&,orn.ooTotal0Éeesrv?_g,Nq'"''"'tii/Á (o.r-) Framing plans for each floor level and roof. All beams, columns, joists, rafters and trussesspecified. Pre-manufactured structures require the engineers stamp, signature and date.Framing /connection details, braced wall lines, shear wall schedule, location and hold downsNOTE: lf any required information is missing, delays in issuing the permit are to be expected. lfdetermined by the Building Official that additional information is necessary to review the applicationand/or plans ior complianðe, the application may be placed on hold untilthe required information isprovided. 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, aswell 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 ownerto act as their representative.Buitding cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building wj!!o_ut aCO wilfbe considered an illegal occupancy and may be grounds for vacating the premises. (Final/COinspection 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 thischecklist.aatuProperty Owner Printnd SignDate Gørfteld CountyBUILDING DEPARTMENT708 Eighth Streel Suite 407, Glenwood Spr¡ngs, CO 87607Tel: (970) 945-8272PLAN REVIEWCHECKLISTPermit No:ßRt-oæl-b7b5Planning/Zoning lssues^14 EngineeredFoundationNABuilding lssuesNÊN,+AJA,VADriveway PermitSurveyed Site PlanSeptic Permit and SetbacksGrade/ Topography 30%Attach Residential Plan Review LístSubdivision Plat NotesSoils ReportrJL,\/Al'/ Zoning sign-offvnínínUî Road tmpact FeesNAGrade/ Topography 40%(/ Ptanning tssuesv/ subdivision Plat€coPe É N:)'rto ùtoaqøDescriotion &Sutn tLXgProperty Line Setbacks30 ft. Stream SetbacksFlood PlainBuilding Heightmmarv:t-/ Fire Department Review/Valuation Determination/ Feest'/ Red Line Plans/ stamps/ stickerL/ Attach conditionsApplication SignedL1 Plan Reviewer to Sign Applicationt/ Parcel/ schedule No.f\,440# Snowload Letter - Manu. HomesoI-obor v moJuia)Losl rwnúd r"#urmeV¿l w&jon û-s evbrn;rled,p-U0,{-q-zlMNo ohamø r'rr S'r,r¡âlivi vtgJuse Shoutnon plq^s