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Home My WebLink AboutApplicationGørfield County Com muniÇ Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e7ol e45-82L2 www.Farfiel d-cou ntv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Com mercial/M ulti-Familv Demolition Manufactured Home (Single or Multi-Level) )¿Residential (SF, Duplex or Townhome)Reroof Accessorv Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: Phone: r q1Õ) 2tu -5ta1t¿Ç ât-r S Czr,.,.\ (:ro*s Ë 1 &.¿.u-r c* (4 -?ù ) 'r lk -(t{k LPhoneContractorl Mailing Address Email Address: Email Address:offi <'-râ rot \ Å rr.Ç ç - LÐ,v\ 3rq'1 \= Phone: fQ 1 o I Z{ t-t a.1f} Mailing Address Arch¡tect: Engineer: Cv¿¿n.rn ¡r'\ ['.Aqir..e."rì,** Email Address: çJ -) phone: (q'j o | (r ZK -3v 35 Mailing nddress: '3\ PhoneManufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAIIS Describewort: Ilûi.'! Ctrr¡rt$rìr¡ 4i?r. Sina\¿..|t^r-.ì\--i ¿1..¿r¿l\.¡tq \Tûü ú t.'J Height: Job Address:fßS R\¿^.-L\* ì,^^-l Sq. Ft. of Building:[4oo JJ Assessor's parcet Number' "23450ft1 Z,)cl, rir-l0Owner's Valuation of Work: bt ---elock ISub. 5¿utlal6 , f*n -j fu,y f'l Property size (sq. Ft. or Acres): \fl ftCr¿> # of Floors: I x AdditionClass of Work:New Remodel/Alteration Garage N ôr*,Attached Detached PROJECf DETAI[S CONTINUED CommunitySeptic: v Propane E lectric OtherType of Heat:_lNaturalGas l{lExemnt 3{,.9- c'çt\acjrr,Lr.\t¿*r¡-Permit #:Driveway Permit: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor 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 lherebycertifythat lhave read thisApplication and thatthe information contained above istrue 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. 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)). 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 er, engineer a or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have the required information ts rrect and accurate to the best of my knowledge. 3 Za7- P Date 4lr-zt Print and Sign dq¡lCrarUssoNty AA . I tl4ç,4t c.c. aE /"1 lzëzt/>lrlP Special Conditions: FeesMisc.ftr E B,Þ. ôt,¿+z Adiusted Valuation:fizq.+4ô ËïiËYï &"fìä"å'^s Manu. Home Fee: ¡.1/* BP No: ßLAe-1a-89 OWTS No: s€,"T -1090'"Ëï,"ö72,æ Fees Paid:lltb.qe Balánce Due: #r, tq5, 15 OCC Group: I E.C' Const. Type: ¡lzrc Zoningl f¿VRA LSetbacks ô k BUILD!NG / PLANNING DIVISION ; Signed Approval Date Gørfield County BUILDING DEPARrMENT 708 Eighth Street, Suite 407, Glenwood Springs, CO 8L607 Tel: (970) 945-8212 PLAN REV IEW CHECKLIST permit rto: S¿ç¿€ -Og -7O ô? ry Engineered Foun$ation Driveway ,"r-,W-dú/l) Building lssues Al4 ca t,/ ,,/ A/ft Plan ning/Zoning lssues l./Property Line Setbacks t/ ,30 ft. stream setbacks Surveyed Site Plan' 3ø?r8 zlzolo Septic Permit and Setbacks Subdivision Plat Notes Fire Department Review \. Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions næd*ø .ñLrqlr '- pn'ld-oul- Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manu. Homes Flood Plain Building Height Zoníng Sign-Off Grade/ Topography 40% Planning lssues Subdivision Plat Grade/ TopograPhY 30% Attach Residential Plan Review List Yrç Road lmPact Fees €'B'>' ,/ B44sè5 7 ea6em!/È Descriotion & S unnmarv: lrlÐO orail x Ig : htb aPld r l8 = .gsL oÅ,ns{eÅ build í^3 f t e5, 4¿{Ôv vahra*ìon:-J - R.ttr:8.F.Þ, þtr47+z: IttOO trL6x7+,6g-- # l.g rym E6ffi î/Soils Report Amvlan 6eoæwti:æ b-Z ro1, oZ+l-NSL( NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf 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 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 ch -7.3^ Ll nt and Date