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Home My WebLink AboutApplicationGaffield CounQ Community Development Department 108 8th street, Suite 401 Glenwood Springs, CO 81601 lpTole4s-82L2 www.garfield-co u nty.com TYPE OF CONSTRUCTION E Commercial/Multi-Fam ilv --Dernolition tr Manufactured Home (Single or Multi-Level) fi nesidential (SF, Duplex or Townhome)i[ neroof Phone: tolal I nt' oLn INVOLVED PARTIES Property Owner:h lrìI Mailing lddress: Xþ t¡/ 0 O\J Øt-". EmailAddress:Z4^O-e .lv Contractor:?-.Å t^.,rt* A"ttl l.--l^n Phone: 1410 ¡4þ-ç244 Mailing Address:f t I c^o b0l EmailAddress:l>tvuo rclJw*c¿Nûh \e "{nr" . (â tt* Architect:I a'*r¿Phone: Mailing Address: EmailAddress: Engineer:Lolo r,'ølt 9\r u¿[nr¿ t Phone: tol1O I qm 'ffiLL Mailing Address EmailAddress: tlc¡t ?{9e þn rnll¿c- a col'r^n(o *tr.l .h.n . láfv\ Manufactured Home lnstaller:N /¡.Phone: (_) Mailine Address: EmailAddress: PROJECT DETAILS Describe Work:t-J ¿,n, 4:rqL t^ h.nw-?av, ú ) Job Address:1,8. P, tlv 6pe)1t 9c.()u, , (þ g,lr o I Assessor's Parcel Number L7 q7 0 62tt 0o I Sub. Own Sq. Ft. of Building: Lot I eloct Ê, tìa,A t er's Valuation of Work:Property Size (Sq. Ft. or Acres) ll nepair Move/RelocationI t'Jew l_lAlteration Ll Rddit¡on DetachedGarage:ffinttached Class of Work: 1î1:1.0 4t fr. o Height:qL+# of Floors 2 r 2.q1òr tu. PROJECT DETAILS CONTINUED Septic:frCommunity Type of Heat: Driveway Permit: NOTICE Authority. 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: (L) 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. 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 th¡s 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 considerat¡on of the issuance of the Bu¡ld¡ng 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 regulatìons 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: (L) 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 bu ilder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the req uired information which is correct and accurate to the best of my knowledge. 0'Vof /0.) .tt' and Sign Date if-'lowrs i t-t iflÑ'ru'.urcàs ffi r""*pi n Electric I noil'u' Permit #: -ì : Ij 1 I l l 1 I ! I I i OFFICIALÚSE ONLY Special Conditions: ÅA R z*,, t Manu home Fee:Misc Fees: .tf) Plan Check Fee 1æ<.7 Perm¡t Fee: "À, t 47 J5ation: 5 OWTS No: ¡_l-nmryut¿núu l Balance Due: ?t Ws. I BP No: WW,-r2bl6lzbT.ou Fees Paid:Total Fees: "l:ç4 3, L3 constry"¿aocc GrounTr4lgtflt'ff' n'þ/?,BUILDING / PLANNING DIVISION Zoning: tÅ BuÍtdins.l Z*min FIan R evle\il Checklist p-errnit Number: þcQ î. SS 6 Build Plan 7on Engineered Foundation Property Line Setback t 8,tr ^/" A.Driveway Permit ¡' 3ofr. stream setbacks S$rveyed Site Plan Å/,A.Flood Plain ,V, ß Septic permit and Setbacks ----/G t a rt e / T o p o sr a phy 3 a% / 0 ( Buitdin 4,", g Height Sign-Off Attach Residentíal Plan Review Líst M,#, ^o lmpact Fees Subdívísíon Plat Notes Grade/ Topography 4A% /,4 Fire Department Revíew Planníng lssues Subdivisíon Plat licatíon Signed t\ ---¿v al u a tíon Dete rm i nati o n/ Fe e s '-/ fied Líne plans/stamps/ sti€ker -- ¿ ^nach condítions Parcel/ Schedule No. General Comments: c.s . tl sl "* /8 1 2a,4/.þ L,5 35 27 i' 7'l és ? 2ø3, 376 GfttÌ /, 24 . 2+ â- /4:?7þ )rr,. -31þ' * tL = 47s¿ P to Sign Applícation d Letter-Manu. Homesf'lrîo4o# snowloa ì-/ Soils Report Gu P*.rr l3o * /8 . .?9o 36,%a Gurfield County Community Development Department 108 8th Street, Su¡te 401 Glenwood Springs, CO 81601 l970le4s-82L2 wwr,lLga rfi el d :qo u¡$çqm SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST ln orderto 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: 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. o 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. o Garage (Attached or Detached). o Driveway permit (please see other items below). . 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. 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. 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. Provide copies of any Resolutions and/or Land Use Permits associated with this property. Additional Dwelling Units may require Administrative Review' A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups, unless the homeowner is performing the work. a a a o a a o a o