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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 94s-8212 www.ea rfield-countv.com BUILDING PERMIT APPLICATION 8 DemolitionCommerciaIti-Fam Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Dwel Unit U - MAXIMUM SIZE OF SQUARE FEET Property Owner: Mailing Address: Email Address: , INVOLVED PART¡ES Êuøer.i Lu¡-?Phone:1qro ¡ Gtù- 5{e5Q 0o gruf 4. Bßn . 6rtÍ, A f)" Btb 5å R.R.\R\^¿KtN& t @ t4o1¡ra AIL, CONN Manufactured Home lnstaller: Phone: Mailing Addressr EmailAddress: PROJECT DETAITS MailingAddress: lo ßor + 38q , 5rc1, co, 8tG 5,I EmailAddress F,LrêL . L'-lr, ß2e:u<l*ow,cs'n Phone:Contractor: Architect: Malling Address: EmailAddress: Phone: () MailingAddress: 8OA l¿ooD AÙOt lt2.At.rg ıùNcÎloñl , (¡. g\5o\ EmailAddress:I^JWL¡J. \ináaç¡ê'ß- d.¡nn . ¿ôfl\ Phone: (fio ) A{\ - oqoOEngineer:LANÞ AulR o\r..¡r't f Ñ¿ Describe Work:uó€ rJ5lv¡ k{Tû\Ç\å€û GAGAGe. 5t¡('(.e fAfvìfq^ O w€(-(cú'r(/ \tt6 5ç Job Address:-rÉÞ c? 7qL sil+ ,¿o Stof z Assessor's Parcel Number:znq - t - oa'oo? Sub. 0.¡¡@rl) ñ46ñrof- 6o ß ûÎvr srô.r\,lot å Block óy Assasor yet) Property size (sq. Ft. or Acrest: + \\ 'q t' *tegOwner's Valuation of Work:oo Sq. Ft. of Building:2,lto ¡ç Height:\8' ù*t # of Floo Class of Work:New Addition Garage:Attached o Remodel/Alteration Detached CONTINUED Septic: Driveway Permit: Authoritv, This application for a Building Permit must be signed by the Owner of the property, described above, or an authorízed agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be províded 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 nulland 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 L80 days after commencement. CERTIFICANON 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 (subm¡ttals), based upon my certification as to accuracy. Assuming completêness 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, construct¡on 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 Buílding 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 Officíal 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 d er eer or builder I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. ßuge¡ Lr"tz - fur^/r*"r l¿r I e\oProperty Owner Print and Sign Date OWTS Community Natural Gas XlRroRane Electric OtherType of Heat: Permit #: NONCE oFFrclAt usE oNtY pð t 781, 2ê Cc o1 fut /2êU éírÐ Special Conditions: ïi\iiï.øø Manu. Home Fee:x/*Misc. Fees: , etF-s.s.>.ç?sbAdiusted valuation: ötßq,gglLp Plan Check Fee:6tø4.% OWTS No: sePr-7tqg Total Fees: 4l ^qqo,8l BP No: g-*e- 7,t v+ Fees Paid:4n1.4 Due:# OCC Group:tÊc Const. Type: tR< Zoning: R.U PALkSetbacks: o to-7-2[2BUILDING / PTANNING DIVISION: Signed Approval Date t/á"* Garfield County BUILDING DEPARTMENT L08 Eighth Street, Suite 40L, Glenwood spr¡ngs, CO 81601 Tel: (970) 945-8212 PLAN RE V IEW CHECKLIST Permir No: êlßE -0?-2/-7/47 Building lssues t/Engineered Foundation Pl a n ni ng lZoning lssues Property Line Setbacks 30 ft.Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road rmoact Fees 5.6.P. ( ?ot-;croo+> GÞade/ TopographylO% Planning lssues Subdivision Plattl rnthar /a/sVl/- Descriotion & Summa rv ,./ ,ÞwEl f-/ADriveway Pe Surveyed Site Plan NA vþ, q-Ll-7/4ø t/ita nd Setbacksc t/ Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Líne Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter- Manu. Homes Soils Report FLî ltlS x 71.b8= 83r4/oø.7¿ crawl ttlS x tg = 2-:0t070. oo 3t? g+0.ú.3*, a85 x 3Z ? c Pld lLo x, Is, = Nr+ ,r' ur- r l/ NA tîoofsÞr ItÃ Zol-á57 Qecelr¡eà.s oi lø reporl- v drivwa4 pe-rmìF rnà t/ic^- wdil ofl t},b,?ÂLl 4 tbo,00 adj. bwt'td;n1 v alua*ìon àßT,339,21) Ceffitq->4ß (tr 6B>)4 qnb,oo 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 Otficialthat 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 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. o r/a.'l+\ Property Owner Date