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Home My WebLink AboutApplication` Community Development Department , ,, 108 8`h Street, Suite 401 GP �l! "' Glenwood Springs, CO 81601 (970) 945-8212 www.earfield-county.com J:1,J1!,JI►'lc1 PERMIT APPLICATION TYPE OF CONSTRUCTION y Property Owner: \AACiih 7� , rig -f) Phone: (747 ) 274/ -X234, Mailing Address: • Commercial/Multi-Family I • Demolition • Manufactured Home (Single or Multi -Level) y LI- C.- XResidential (SF, Duplex orTownhome) Phone: )goo - /00 ' • Reroof INVOLVED PARTIES y Property Owner: \AACiih 7� , rig -f) Phone: (747 ) 274/ -X234, Mailing Address: Contractor: Phone: ( ) Mailing Address: Architect: i 7`-r7 c ie .c7/i t -,e7 Arc /g one: (1.77 )''/- Mailing Address: y LI- C.- Engineer: Br G -4- ii r i, r/4 Phone: )goo - /00 ' j Mailing Address: Installer: Manufactured Home Mailing Address: Phone: ( ) v 4i -4 , e ,de,, PROJECT NAME AND LOCATION ,i r f Describe Work: t? P W ( op) -34v- •AR L 14,, ,t,. Slab alrAdc $4. ; oa ektuAilsilAte., g7i csvevot R,A01.0t.uly Job Address: 1) Lot ''[o Assessor's Parcel Number: Owner's Valuation Sq. Ft. of Building: 10393COCROKOSub. Block of Work: $ q7s7 3533c. Property Size (Sq. Ft. or Acres): # of Floors: I. S Height: 2q " Class of Work: . New • Alteration • Addition • Repair • Move/Relocation Garage: I Attached • Detached Septic: • OWTS Community Type of Heat: 'IMLNatural Gas • Propane • Electric • Other Driveway Permit: 9 Exempt 0 Permit #: NOVICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If 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. CERTIFICATION. I hereby certify that I have read this Application and that the information contained above is true and correct.-1— understand orrect.Iunderstand 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. In 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 landfuse regulations (County Regulation(s)). 1 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 designer, engineer and/ or builder. 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. 32 -17L lel SDcie-rAe 091,1,e-- 1 Property Owner Print and Sign /0 7 /,5"--- Date ,5 Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: 383i/28 Plan Check Fee: Z +./5 Permit Fee: 147 •70 Manu home Fee: Misc Fees: 2 VW H(r` q33 gx TotalF�e�jes: 49jV. p6 FeesPaid: 15112 Sp Balance Due:4. la -1-• 2 i3• 3 SP No: OWTS No: t3ir314 1 in • Setbacks: OCC Group: �I? Const Type: -4-a� Zonin dub BUILDING / PLANNING J DIVISION : � /3 .l2-20/5— / 5St St royal Date • •s1, J4,1 0g3 toy 1 I - 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 Septic or Road Impact 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.) ( hereby acknowledge I have read, understand and will abide by the requirements of this checklist. N°,;rla, Property Owner Print and S6n .�' 4s,. 7 -- [5 -- Date Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST In order to understand the scope of work intended and to expedite the issuance of a permit, it is important that complete information be provided. Please review this document to determine if you have adequate information to design your project and to facilitate a plan review. APPLICATION FORM: Please make sure the following information is provided on the application. • Parcel number obtained from the County Assessor's Office. • Job address (assigned physical address) • Legal Description: lot, block, filing, subdivision or tract, section, township and range. • Owners name, mailing address, phone, fax or cell. • Contactors name, mailing address, phone, fax, or cell. • Architect/Engineer's name, mailing address, phone, fax or cell. • Building size, height, number of stories and lot size. • Use of building (Residential). • Class of Work (New, Addition, Alteration, Repair, Demo, Move/ Relocation). • Detailed description of work. • Type of heating (natural gas, propane, electric, other). • Sewer system (Community or OWTS), also see other items below. • Garage (Attached or Detached). • Driveway permit (please see other items below). • Valuation (labor and materials), see attached worksheet. OTHER ITEMS: • If you anticipate obtaining a water -tap from the City of Rifle, please provide a letter indicating that the City will provide water service. Required to submit building permit application. • OWTS requires a septic permit application to be submitted with the building permit application. • A separate electrical permit must be obtained from the State of Colorado Electrical Board. • At the time of building permit submittal, you are required to show proof of legal and adequate access to the site. This may include proof of right to use a private easement, County Road & Bridge permit, or Colorado Department of Highway permit, including a Notice to Proceed. The County Road & Bridge Department can be reached at 970-625-8601. • If you anticipate excavating or grading prior to issuance of a building permit, you will be required to obtain a separate grading permit. • If you belong to a Homeowners Association (HOA), it is your responsibility to obtain written approval, if required. • Provide copies of any Resolutions and/or Land Use Permits associated with this property. • Additional Dwelling Units may require Administrative Review. • Minimum dwelling dimension is 20 ft wide x 20 feet long. • A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups, unless the homeowner is performing the work. ti Garfield County 1 l�a�i�i�rnl Zoning Plan Review Checklist Permit Number: L l0 • /5 - 374/ Building Engineered Foundation iveway Permit Surveyed Site Plan $/ 'IL - Septic Permit and Setbacks 1 Grade/ Topography 30% Attach Residential Nan Review List Subdivision Plat Notes /t. Fire Department Review Valuation Determination/ Fees c— Red Line Plans/ Stamps/ Sticker Attach Conditions Appli tion Signed Pian Reviewer to Sign Application //Parcel/ Schedule No. Y-/' 40# Snowload Letter Manu. Homes L/ Soils Report — ,Z xI.C.41 4,1-40 Planning/ Zoning o+n• Property Line Setbacks ' Yet. 30 ft. Stream Setbacks /4 WI Flood Plain r)r Building Height br' ` Zoning Sign -Off ✓ E3oad Impact Fees q 33. D 7 Grade/ Topography 40% Planning Issues / Subdivision Plat General Comments: 041,t.ti-41-i18-ot rt! 4QQ 7-1 Q,t 444 C S. 2939 /7i3 ,c 744 `.=-353, ig•00 4774) 5340 383, /83