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Home My WebLink AboutApplicationGarfteld County R Ë c Efi?Ê B "ilr.rr?,,ï:i,:#tp e p a rt m e nt JAN f fi ?pl$l"n*ood springs' co 81601 (970194s-8212 GARF I E L D C O UNiÚìû.earf¡eld-countv.com COMMUNITY DEVELOPMENT BUILDING PERMIT APPL¡CATION OF Commercial Iti-Fam Demolition Manufactured Home or Multi-Level) Reroof - MAXTMUM SIZE OF 1,000 SQUARE FEETUn¡t DUAccessoDwell or TownhResidential (SF, INVOLVED 6/s-3gz/1L Phone: 'h il¿/o- EmailAddress: /' 4¿J*@. e¿t h t, Property Owner: Mailing Address: Phone: €70 | 2/1? ttr t7Cû f¿èt]4a ö c ¿ Contractor: Mailing Address: Email Address: Phone:$p,zaf'4z-l a utr\þr:r*a t l¿ò Å lttr-r't'ttqArchitect: Mailing Address: Email Address: S*ePk¿n /l¿ççler Phone:Engineer: Mailing Address: Email Address: Remodel/Alteration AdditionClass of Work:d ruew Attached DetachedGarage: Manufactured Home lnstaller:Phone: ( ) Mailing Address: Email Address PROJECT DETAILS Describe Work:ß*//ør¿ø.lri çtr h¿ø¿ Job Address: Assessor's Parcel Number: Sub. Owner's Work: /4t T Ft. or Acres): Sq. Ft. of Building:2(Height:# of Floors: I Natural Gas Propane E lectric I Driveway Permit: PROJECT DETAITS CONTINUED Septic:Community Type of Heat:Other Exempt Permit #: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Leeal 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 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. VoidPermit. ABuildingPermitbecomesnull andvoldlftheworkauthorlzedlsnotcommencedwithinlS0days 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 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 designer, engineer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have he requ which is correct and accurate to the best of my knowledge. t/tolr roperty Owner Print and SiSn Date orÈrc¡ar. usE oNLy Pô¡l or/tô/lq ü H"tq\ ó¡ 3¡q. 3V "äü")Wi¿,u,* tigf of q¡,Attiong.Roal lm4çt P¿¿- - Qtv ua) Permit Fee:6lflbþ.%Manu. Home Fee:N/Þ Misc. Fees:41ft2t"27 7 Adiusted Valuation:?Zat¡<Þ.oo Plan Check Fee +ltl1ø.2/. år{,?i[ e.r Balance Due:+tþ4Þ.41 BP Nof FtÎtr-5a12 rTvtnnt úl OWTS No:2-iùtTotal Fees:aaqq.6t Const. Typ-e:-r't?(.ffir\/Setbacks: âÅa.âøvclsÞtL OCC Grouo:*fÎ2r - BUITDING / PLANNING DIVISION Signed Approval 2bl"!1 Date , êgE*àtà coul,t;-. BuÍldins"l ffirnin PI an Review Checklist Perrnit Number:a,R6- 01- 14 - bbP7- B uildine Ø{aluþt Engíneered Founclation Driveway Permít Surveyed Site PIan NA-r"ptic Pei'mít and Setbacks Grade/ TopagraPhY 3Q% / Attach ResidentialPlan Review Líst '/ Subdívísion Plat Notes / Fire Department Revíew Valuation Determinatio nf Fees / Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed / Plan Revíewer to Sign Applicatíon '/ Parcellschedute No' 40# Snowload Letter - Manu. Homes 'r' soils Report N/A ./ '/ Road lmpact Fees "/ Grade/ Topography 4o% Plannlnel Zonine - I Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Buílding Height Planning lssues '/ subdivisíon Plat General Comments: Fat¿ lnp,,c( F.4= 4 (W fl,røsL ,/r,e fazt.zz q^ fteiàaaa. Aw*4t Oo!^N,ql nrî¿h x SH.êø = q20ótblÞ. x þ72.00 = q 26(40. xØlø.00 =s qbrc 2tØÞ uÞ 1Øo Total n:w Arrb j,ooo þ?-zTt-74b.0ô Gørfield County SINGLE FAMILY OR DUPLEX BUILD¡NG PERMIT APPLICATION CHECKLIST Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (s7ol94s-8212 www.garfield-countv.com SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST ln order to understand the scope of work intended and to expedite the issttance 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. o 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. . Garage (Attached or Detached).. 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 perfrom 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 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 c ila/r perty Owner Print and Sign Date