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Home My WebLink AboutApplicationGarfuld County t-zt¡¡ =fLoJl¡J rÀ¡o l:2 F =lìì f:îì O(J ¡:'f_:r C¡ i:-!-! U.--J ¡,L:J.. ú, o o u¡ UJo t¡¡u Community Development Department 1OB 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82L2 www.ga rfi eld-countv.com BUILDING PERMIT APPLICAT¡ON TYPE OF CONSTRUCTION Commercial/Mu lti-Family Demolition M-¡nufactured Home (Single or Multi-Level) .t/Îesidential (SF, Duplex or Townhomel ?ot^E, ts^3.N Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES +Phone:$7Ò êæ":2ArÒ I Ð33 Email Address: Property Owner: Mailing Address: Phone: (_)t¿tFContrector: Mailing Address: Email Address: sen s Q fia¡s'en U-bidt LLL ¡ ßç,Phone: flÕl ft04- ?bØArchitect: Mailing Address: Email Address: Phone: ( )Engineer: Mailing Address: Email Address: Phone: ( )Manufactured Home lnstaller: Mailing Address Email Address: PROJECT DETAITS Describe Work:¿rL o{-c\ 2,LJ Assessor's Parcel Number: 2/,11 6 3 I oo'tg1 rri ( loors: I Owner's Valuation of Work: Sq. Ft. of Building:Height: Job Address: Sub. PropertySize (Sq. Ft.orAcres): 31,&AAW 2 i | #of F Lot Block Class of Work:New Remodel/Alteration Addition r'Garage:Attached Deraehed ?ol".T*,n ll CommunitySeptic: N0 Electric OtherNatural Gas PropaneType of neat:¡!d Permit #:Driveway Permit:Rït*"'o' Authoriw. This application for a Building Permit must be signed by the Owner of the property, 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 Perm¡ts. 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 180 days after commencement. NOTICE described above, 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, 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 CERTIFICATION designer, engineer and/ or builder PROJECT DETAITS CONTINUED 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. ,P ('-8-tk-?> Prope Owner and Sign Date oFFrcrAr usE oNtY PA I Þ,32:6,ç4 c.<. ot/t7 oæ'¿Ç**- 6 e€ a tt¿úd c2/v b / 7o/1/sSpecial Conditions: Manu. Home Fee: t¡/r Misc. Fees:IJ/AAdiusted Valuation:.1 Plan Check Fee: Í,%,oØ.ool# gzb,ga g owr5 No: r/n Zoning: R.UN-AL Fees Paid:t zz;.tz T s6 Setbacks:Const. Type: t. P,. c Du Zs BP No: -BLRE.113{OCC Group: l. R.C. ?-zb-zll,lr),'n+k Signed Approval BUITDING / PLANNING DIVISION : Date Gørfield County BUtLDIî,lG DEPARTMENT 708 E¡ghth Street, Suite 407, denwood Springs, CO 81æ1 Tel: (970) 94s-8272 PLAN REVIEW CHECKLIST Permit No:4ßF-aø-2-77¿/ Building lssues Planning/Zoning lssues Ru¡V,( Engineered Foundation Dríveway Permit Surveyed Síte Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determínatíon/ Fees Red Line Plansl Stamps/ Sticker ch Condítions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Buildíng Height Zoníng Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat ao"nab/a*f nebs *bvr/,stt Description & Summarv: tsoox z+J eU ôoo ilA "4)//,U'ueØ óut n/øahi>t Rlr,,o,, ryH 22 /,bêreAâe> ,h lobr/-a)/e /t/ty ZonyoP of!tuhole rþak ws¿ bdrn \40n t 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 checklist. 7 8-(Lo.# er and Sign Date a a