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Home My WebLink AboutVoided ApplicationGøffield County BUILDING PERMIT APPLICAT¡ON utR tt Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 tt\l PTols4s-82L2 www.rarfleld-counW.com tr Demolitiontr Commercial/Multi-Family tr Manufactured Home (Single or Multi-Level) tr Reroofn Residential (SF, Duplex orTownhome) Property Owner: Mailing Address: Email Address: Phone:(g^hl e7A-Ðb40Ae,LrN * Çtß t ^ aô'rfËP Contractor:ê, thâì> Hunr-c Phone: r cnòt lrà9'A3i7 Mailing Address: Email Address: tLl¿ t Àr R Þanr RÞ Arch¡tect:vOl D or/îMailing Address: Email Address: Engineer:Vløçr*n Éñc,tilæç-ß^Ç 9øw)&u^4 h,r,M¡ø ânþaJtorMailing Address: Email Address: Manufactured Home Installer: Mailing Address: Email Address: ÞLW;- ll-f 1- b027 Describe Work:NEú þtùs1ft.,,t&1¡LaîJ aF L É fi*'¡t tuY A*c"¿*.uwa . Job Address:ô Assessor's Parcel Number:At77 -þç9 - ¿o- 5ì-4 Sub.AlÅ Lot Block Owne/s Valuation of Work: S ¡ Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: 2-l 5ô Height:27'# of Floors: ? I(ltfrwi . ;.r f:tr Altgrarül?lt I,tr Addltíon E Repair tr Move/RelocationS+sflojwolli fu1¡".¡"0 E DetachedGarage: E CommunitySeptic:Iowrs 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. E Propane E otherE Electric E Permit#: E Natural Gas E Exempt Type of Heat: Driveway Permlt: 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 Buílding Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledee that the Building Permit may be suspended or revoked, upon notice from the County, if the loc of the structure(s) and facility(ies), described above, are not in compliance with Count other applicable law. I hereby grant permission to the Building Division to enter the property, described abc further acknowledge that the issuance of the Bu¡lding Permit does not prevent the Bu requiring the correction of errors in the submittals, if any, discovered after issuance; o construction or use of the structure(s) or facility(ies) if such is in violation of County Rt applicable law. Review of this Appl¡cation, including submittals, and inspections of the Division do not constitute an acceptance of responsibility or liability by the County of r discrepancies. As the Owner, I acknowledge that responsibility for compliance with fe and County Regulations rest with me and my authorized agents, including without lim t;o¡ _{ñ \) neer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certificatir provided the requi red information which is correct and accurate to the best of my knr Property Owner Print and Sign Dete r, ? Special Stz Wot €,¿càìú?i¿tønÀittong. Conditions: gouthTW Permit Fee:*t,b44.q6 Manu home Fee:Misc FeeP rþn.oó ,Adiusted Valuationroz>l,zqq.m Pla¿þl n Check Fee: t144,22 Balance Due:Ø1,&l.lt BP No: sttu- 46bø OWTS No: íEW_ L+wTotal Fees:42044.t7 Fees Paid: ltbb.qto constType: IRC Zoning:RSetbacks: PIR=26,9= lo oCC Group: IRC BUTTDTNG / P|-ANNING DIVISION : Signed Approval Date lr ,I C¿¡u Buildins,l Zonins Plan Review Checklist Permit Number ø-re-ô4-t1-4u.b %rr-ô1- t1 - 4øoø Buildi ns Planning/ Zoning Engineered Foundation '/ Property Line Setbacks Driveway Perm rt/e 30 ft. Stream Setbacks N/^ xtalwtion - General Comments: fuÀlà,:t.5 ?unry UWN Ft2tàtøa l.A,+ttu Plq¡¿Uøec Fire Departme '/ Valuation Determination/ Fees ./ Red Line Plans/ Stamps/ Sticker Attach Conditions '/ Application signed Plan Reviewer to Sign Application Parcel/Schedule No. Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Reside lPlan "/ Subdivis Plat tt/a Flood Plain Zoning Sign-Off Road lmpact Fees '/ Grade/ Topography 4o% Planning lssues / subdivision Plat Irfl1 t,413 gwbtota(2,Øoo t6W(ø,'à¡hortat-) Çav*çruL ÞLc)þ ltlnøvt'v¿& Þ¿¿L ¡tl/e 40# Snowtoad Letter- Manu. Homes 6Ø tuø 349hthôtox +-74.o6 = ?u,FzÞ2.øbq/e72.oo-4 27,øoê,. 7ôø>,øtø,OO =4 ¿t,144, "qçvcÐl2.oO =4 4t-71O Height Soils Report wf^l 42ór,u+. R¡¿tal øpack fre = øtþil. Gørfield County,SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-8212 www.rarfleld-countv.com SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST ln 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: Plçase 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: block, lot, tract, subdivision, filing, or section, township and range. . Owner's name, mailing address, phone, fax or cell. ¡ Contactors name, mailing address, phone, fax, or cell. ¡ Architect and/or 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). e Valuation (labor and materials), see attached worksheet. OTHER ITEMS:. lf 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.e OWTS requires a septic permit application to be submitted with the building permit application.r A separate electrical permit must be obtained from the State of Colorado Electrical Board.o 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.r lf you anticipate excavating or grading prior to issuance of a building permit, you will be required to obtain a separate grading permit.. lf you belong to a Homeowners Association (HOA) it is your responsibility to obtain written approval, if required.o 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 ft. long.. A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups, unless the homeowner is performing the work. 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 þe 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. ---l / ,/'{l /,h-- Property Owner Print and Sign Date Gaffield County ONSITE WASTEWATER TREATMENT SYSTEM (owrs) PERMIT APPLICATIONAPR i 1 ?[11? Community Development Department 1OB 8tn Street, Suite 401 Glenwood Springs, CO 81601 (970194s-8212 www.garfield-countv.com Ú' ruew lnstallation tr Alteration TYPE OF CONSTRUCTION tr Repair E Transient Use tr Comm./lndustrial Non-Domestic TYPE E Other Describe Dwel Mailing Address: Assesso¡/s Parcel N um ber : LtL735 T Ø 521-9ub. Was an effort made to connect to the Community Sewer System: INVOLVED PARTIES ^la Building or Service Type Engi neer: Distance to Nearest Community Sewer System = 5 n,y-eÇ I Phone: { ) PhonProperty Mailing Address: Mailing Address PROJECÍ NAME AND LOCATION Job Address: Contractor:Phone: Lot " -Block*""" Garbage Grinder /: 3F Rn¿ ßçPnÅ'L- #Bedrooms: ¿'l Sept¡c Tank tr Composting ToiletE Aeration Plant E Vault E vault Privy Recycling Potable Use E lnc¡nerat¡on ToiletE Recycling E Rit triny Type of OWTS E Chemical Toilet E Other Depth to 1 Ground water table Percent Ground Slope 57oGround Conditions E Other I wett E Community Water System Name Stream or Creek El Cistern-[o sn;ñs lr E Sand Filter E Above Ground DispersalFinal Disposalby Water Source & Type Effluent Will Effluent be discharged directly into waters of the State? E Yes No rt Iconnaupon seessnt ãc ap 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. A (-/ Property Owner Print and Sign Date 1Þ.2tà.@teL,+I t? tQ:_' $rì Special Conditions: Perm¡t Fee:lo7-Perk Fee: lsb -Total Fees:¿2,ft?-Fees Paid:2:+3- Building Permit Bl?e- qu,s Septic Permit:#f-úlrbb lssue Date:Balance Due:6 BLDG DIV: ( APPROVAL DATE