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Home My WebLink AboutApplication>tF- urg HãåF:;È E,trËg ıã Community Development Department 108 8'h Street, Suite 401 Glenwood Springs, CO 81601 l970le45-82t2 www.garfi eld-countv.com Garfteld County BUILDING PERMIT APPLICATION coNsrRucnoil ulti-Demolition Manufactured Home (Sinele or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF l,(Xn SQUARE FEET Address: Po Box Ll-15 St ll , Co ßUoíL EmairAddress: anàrLÐs ¿@. I iv€- . corn phone: r g1 o t tlSb - 51 ¿l 5 INVOTVEDPARNES Property Owner: Mailing Andr¿r¡r and 5hìloh ?aV-et Phone: ( )Contractor: Mailing Address: Email Address: Phone:Architect: Mailing Address: Email Address: Remodel/Alteration Engineer:Phone: I I Mailing Address: Êmail Address: lc Manufactured Home lnstaller: Mailing Address: k-] I ßd. Email Address:à r L C t av lon Hon'r¿s*r,l'T:ht" zqs-qosq n o 8t505 t n PRO'ECTDETAI1S Describework-JhSk tlaùon o+ fl€,w moàul¿r hc-rne-"ah e_ Èq,e oF *{n¿ ,6wnd.a*ton i s I 5' x 1b' . -The o+ ¡oui¿¿,*,,, fi(/ c:R. zuv sì t+ Co Elt":z- Assessor's Parcel Number:ztL1 LLloï o3g St¿b lÉE ut I Btock- IS Sub.S e(d Owne/s Valuation of Work: Sq. Ft. of Building: Class of Work: 5 00, oe Propefi Size (Sq. Ft. or Acres|: 5 AU|S Addition Garage: 0 D Height:$of Detached 4 x -lQ PROIECT DETAII.S CO¡UTINU ED Septic:Community Type of Heat:Gas Electric Permit #: Other Driveway Permit: NONCE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by 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. Xle'on"n" I 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 (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, lagreethat land my agentswill 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 ¡ssuance; or (2t-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 designer, engineer and/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. r^J DL-11- LÒZL Propefi Owner Print and Sign Date -21 oFFrcrAL usE oNLy PALP: t .¡ 69. oo c . c . ozlZz/ æ ¿L ¿,2æ Special Conditions: 6ee. attudçed CøND\ 77 0þi5 a, Adiusted Valuation: 5 2t 42Jt oo Manu. Home Fee: {-loô,æ Misc.FeeszF4l4 'PIFruEÞ q9¿'TotiÉees: , . # ?76.þ 6Fees Paid: t 1oo,oo Balance BP No: Él-r^F -1j51 OWTS No: se"T- os-zt.c87L Setbacks: .ÔL occ Group: tRC ton"ilro"7 Ru Zoning: P-u r¿.4 t- 3-16-22M;r+anBUTTDTNG / PT.ANNTNG D|V|STON : Signed Approval Date Gørfield CounQ BUILDING DEPARTMENT 108 Eighth Street, Su¡te 407, Glenwood Spr¡ngs, CO 81607 Tel: (970) 94s-8272 PLAN REVIEW CH ECKLIST Permit No: 0mF07-22-77Ó7 Building lssues Planning/Zoning lssues Grade/ Topography 30% Attach Residential Plan Review List -/ Subdivision Plat Notes aJ"t' F¡re Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed _/ Plan Reviewer to Sign APPlication Parcel/schedule No Engineered Foundation Driveway Permit 40# Snowload Letter - Manu. Homes Soils Report yE7 RoadrmpactFees NøÞ Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Grade/ Topography 40% Planning lssues Subdivision Plat ^t4túA'/ Surveyed Site Plan @L9{fr ,erm it a n d set ba cks </FIUE,Þ .f ,qgø.oopà an //2, / Description & Summely: /æ.l craØl = ///O X lg = 20 52! ,F/rl -- ã d * t6= ?o a a!ÞoÞ/ ór,Ø,hJ il a) +u'oa la /ea.ha-2, KtFrece,p/È "//aú1 r Fram¡ng 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.r 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 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 appl¡cat¡on 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. yQ.ü ealcar oL-11-Lozz Property Owner Print and Sign Date