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Home My WebLink AboutApplicationREc Garfield County Community Development Department III'`_ 108 8th Street, Suite 401 Glenwood Springs, CO 81601 GARFII_J (970) 945-8212 VAMP{ O`1"` " www.garfield-countv.com TYPE OF CONSTRUCTION Si Commercial/Multi-Family ❑ Manufactured Home (Single or Multi -Level) ❑ Residential (SF, Duplex or Townhome) BUILDING PERMIT APPLICATION 0 Demolition T ❑ Reroof rINVOLVED PARTIES Property Owner: Oyar?\r-laAc'E— Mailing Address: 99,43 Phone: (970) Cam ,( Contractor: D ► i.p \r Jl / • Phone: V.lo Mb I ys -7 Z Mailing Address: Eox-- 2 l7 ...----,‘...,-..x.:,„ (b L rchitect: 5 Phone: (171--) ) 61V 5— 054 Mailing Address: l l% I1-) 6.41-6.-A . '%\ie i Engineer: Phone: ( ) Mailing Address: Manufactured Home Installer: Mailing Address: Phone: ( )__ PROJECT NAME AND LOCATION 11 �'-C , v'► r rkp, X Describe Work: ('1 A itpr-, ip i �, Job Address: q l 1---i (A �I 301 g,LA.,39„--., a -.)Assessor's Parcel Number: Owner's Valuation Sq. Ft. of Building: I Sub. Lot Block of Woork��$ "ca Z.-5 / C) Property Size (Sq. Ft. or Acres): # of Floors: :..1– Height: Ict Class Class of Work: • New • Alteration Addition • Repair • Move/Relocation Garage: • Attached Cg Detached Septic: p /pc • OWTS • Community Type of Heat: 0 Natural Gas • Propane • Electric 0 Other ]4 Driveway Permit: • Exempt IA ii.A. 0 Permit #: $3 NOTICE 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. 1ERTIFICATION I hereby certify that 1 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. 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 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 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. Propert Owner Print and Sign Date )(pi, I l5 OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: /63,/Z- Plan Check Fee: /9'0.6/ Permit Fee: Z93.zs' Manu home Fee: Misc Fees: ______ Total Fees: '-93.P6 Fees Paid: 1.54-1.3I Balance Due: BP No: OWTS No: 13,UX- -3911 Setbacks: G'ZS, gZ5; S/d OCC Group: .-,2c Const Type: Z'EG Zoning: BUILDING / PLANNING DIVISION : z v Of /✓r Signed Approval Date 1 1 'M. 31, CLQ 1°I7.'1! 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.) I hereby acknowledge I have read, understand and will abide by the requirements of this checklist. r +& Property wner Print and Sign Dater�ill 16 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. Gnrfrrld County 1 Wilding/ Zoningyinn Review Checklist Permit Number: - /o /S.- 37 7/ Nin Building Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes NA Fire Department Review Valuation Determination/ Fees Red line Plans/ Stamps/ Sticker f Attach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. N1d 40# Snowload Letter — Manu. Homes Soils Report Planning/ Zoning Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off NA Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat General Comments: ��kzp9Q