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Home My WebLink AboutApplicationGørfield Counþ>5l- l¡¡Z= -O- 8s=aäJ> r¡¡ bu-qÉ,= óã fts u c'cr(, ñ¡lll!-É, cJO Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 lpTol s4s-8272 www. garfield-countv.com BUILDING PERMIÏ APPLICATION DemolitionCommercial/Multi-Family Manufactured Home (sinele or Multi-Level) lx Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET f4¿* þl^¿ Phone: ,910 \ lxq-4xzs Emait Addresr, .bl"k.êI¡t,.,\dul tLrn. cðnA Property Owner: Lll,çr)Mailing Address:1ß t Ê.,^ 8a Prdl-. (n Ç. lf,Phone: ( )Contractor: Mailing Address Email Address: Phone: ( )Architect: Mailing Address Email Address: Phone: (_)Engineer Mailing Address Email Address: owner,sValuationofWork:s-PropertySize(Sq.Ft'orAcres): Describe Work: Height: 2lrQDS Sq. Ft. of Building:Lt.lt-t 2,3 acac Phone: ( ) f4*,r''^* F^i cl^, lo Lot _ Block Manufactured Home lnstaller: Job Address: Mailing Address Email Address: # of Floors: 2 Assessor's Parcel Number: Sub. (New Remodel/Alteration AdditionClass of Work: Garage:Attached Detached CommunitySeptic: Propa rre Electric OtherType of Heat:atural Gas Driveway Permit: Permit #: Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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 perm¡ts 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 L80 days after commencement, 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. 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, OWIS regulations and applicable land use regulations (County Regulation(s)). lacknowledgethatthe 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]tstopping 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 thc Owncr, 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 desi , engineer an or builder !.1 i{1,,,,1 i:(i' -ttr i rr iri.Jl llì.-. i. l1 ! \\ !l i'lÌlN ll'.J I r1 1}' (a)lì'ri{::I I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provid ed the required information which is correct and accurate to the best of my knowledge Property Owner Print and Date Totalþ/r/0t,7 tø,"-4-A t2 Special Conditions:Ø/@tn á7?e Misc. Fees: tñrfia> #4V75FeeManu. Home Fee: ula owtsuo:.¿2,ffi4/ t*+IFeefrztt BP No: gLRE-7Ll9¡ R,u ß^L Zoning usted Va '+vy:vT Fees Paroil ôô ,60 Balance Due: OCC Group:l' R,lt , Const. Type: /.A'G' /2W' BUILDING / PLANNING DIVISION Signed Approval Date Ø Gørfield County BIJILDING DEPARTMENT rc8 E¡ghth Street, Su¡te 407, Glenwood Springs, CO 81607 Tel: (970) 945-8272 PLAN RE VI EW CHE c KLIST Permit t'to: ¿/ tKE */ô-Z/- 7? / Building lssues Pla n ning/Zoning lssues /r4 ( ilA /ú( \/,4 N4 ,r/ /-7 Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Planning lssues Subdivision Plat Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Grade/ TopographY 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review yØ Road rmpact Fees l(/,8,Þ, ^/* Gra delTopography 4O% ,/ Valuation Determination/ Fees L' Red Line Plans/ stamps/ sticker Attach Conditions ¿/ Application signed / Plan Reviewer to Sign APPlication Parcel/Schedule No Descriotion & Summa rv /,V¿K zt,bØ=l?07q 69 /q/+ 40# snowtoad Letter- Manu. Homes a/UAd rt/+Soils Report tza/¿a-hfu />?t gaaVe- onh 0 Lttrc - a/,Ø*)za Tzrrzt* ry r rþe4 canrerhby Zfu¿ >b 5¿¿;4-o,ru 4orçt, RtF-ll/,8,>, /81l- /,4VZc-r Ø427 o' ba/a.øc+- Framing plans for each floor level and roof. AII beams, columns, joists, rafters and trusses specified. Pre-manufactured structures require the engineers stamp, signature and date. Framing iconnection 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 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 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. fl"t -þttn¿ % Prb¡ierty ownei Rííilt ano-Sign D ate