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Home My WebLink AboutApplicationGørfield County *- - .Çommunity Development Departmentf(ECËlVEf)1gg gtt' Street, Suite 401 I.N,t\ r ç,,.$lenwoodSprings,CO8160l" ì ,r fI \y,, pT}lg45._gztz ü A RF I Ë L D C O uÅtflW.sarfield-countv.com COMMUNITY DEVELOPMENT BUILDING PERMIT APPLICATION TVPE OF GONSTRUCRON Commercial/M u lti-Fa mily Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Dwell Unit (ADU - MAXTMUM S|ZE OF 1,000 SQUARE FEET III¡VOLVED PART¡ES Property Owner: Mailing Address: Email Address: I o Phone: (7 "o I a48- l7S Phone: fl2ê_l 9¿/8- 17 S f t4 2Contractor:rl4;nLol PtÅ, Mailing Address: Email Address: Phone: tn?o | 377 - SoZO ,c Architect: Mailing Address Email Address: Phone: ft7o l3æ- lOô3 Email Address: Engineer: ,-5llter ln,n^ Mailing Address: 3O7 .L.,¡e4 Manufactured Home Installer: PROJECÍ DETAIIS Describe Work: Job Addressr Assessor's Parcel Number:cffi Z4o7 -os4 ^ æ- oPto Phone: ( ) Mailing Address: Email Address: Sub. Lot Block _ Property Size (Sq. Ft. or Acres): 37 ar re3Owneds Valuation of Work: Sq. Ft. of Building: ' Class of Work: G2oo Height:z3-7sh"f of Floors: Z ew Addition Garage:Attached Remodel/Alteration Detached it:Perm ECT DETAITS CONTINUED Septic:Community Natural Gas Propane Electric Other Driveway pt Permit # NONCE 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 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 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 180 days after commencement. CERTIFICATION I hereby cert¡fy 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, 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 construct¡on 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 neer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have information which is correct and accurate to the best of my knowledge' 7- 17-zZ provided the required -/LL Property Owner Print and Sign Date OFFICIAT USE ONLY ?C. t Tror¿32 c'l'* 3Ltç oa/tt/zoz29*- Special Cond¡t¡ons êe€ atÈaoha¿l ØNÞ\T7nNS Adiusted Valuation: 447.2tß.77 Plan Check Fee:u&D. to Permit Fee:tzø ,lg Manu. Home Fee: ñ/;þlíí["äa>\,çtt Tota/Fees: 529o.25 Fees Paid: i ¿,092 .7? Balance Due: â2+7, q7 BP No:gvÍtg'1tff OWTS No: ' 96PT. '7 3fb setaack)þ OCC Group: t. R. c.Const. Type: t. t¿. c. Zoning: leúnÈAÞ Cu), r BUILDING / PTANNING DIVISION : Signed Approval 3.15.?z Date Gørficld County BUILDING DEPARTMENT 708 E¡qhth Streel Su¡te 407, Glenwood Spr¡ngs, CO 87607 Tel: (970) 94s-8212 PI.^AN REVI EW C HECKLIST Permit No: êLRç¿Z-22 -866 Building lssues Planning/Zoning lssues RUrZ- I ./Engineered Foundation t/ Driveway Permit êRtsZl-D1 yE9 Surueyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes NA Fire Department Review Valuation Determ ination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed.f Soils Report RrA ?i4- flb 4,29,20 yF Road tmpact Fees ?flnl qoe,6êê 7"r17b ¿a") G rade/ Topography 40% Planning lssues Subdivision Plat Ì,lA PuÞ ¿- Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Qlærzt Þ?G9 Description & Summarv: pran Reviewer to sign Apptication 5Z7.lFLç / 7(, 6 = 3rî4 gb\, AL Parcel/ Schedule No /ôd2orailV /€ z 28t 8Ø,û ¡f*40# snowload Letter - Manu. Homes l/¿0 ,52=36t 240,ØØz/g Slto,oo4, ¿ ¿lal .( 4ø, ^cf/d x a- //Ø l2=llt 5bL,oo f 1çs 2-v9,72-"4',ç/dh,//,ha¿ uahaH¿v;J"5"çpst tØVcf Rlt (s,9.Ð + /,8// 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 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 a a checklist. 4tt D z/tz /"-,> Property Owner Print and Sign tat5 --