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Home My WebLink AboutApplicationÇxrfield C*aeretjt B,UllDlFl$ PIRßlllî APPLrc,Aî}O.NCommunity Development Department 1OB 8th Street, Suite 401 Glenwood Springs, CO 81601 (s7ol94s-82t2 www. sa rfjel d:çeq nly.çom Dþ E commercial/Multi-Family fl Demolition E Manufactured Home (Single or Multi-Level) E[ Residential (SF, Duplex or Townhome)n Reroof phone: t Bolt 2-31- G Of<) ê^ I Þ(-ê t v)@ Property owner: êÅ*r*J, LrIa.v C-6 8(Ur.¡ t\Mailing Address: Email Address: ll il t( Phone:6A-*à', Lut^vContractor: Mailing Address: Email Address: tu\Ç Phone¡ (_)Architect: Mailing Address: Email Address: ef 2 Érnìe kol\o.Engineer;Phone:ú1rc\ 1G3-32z-3 LÐ I G?3Mailing Address: Email Address: Job.AdCress: Height:#ofFl Phone: I t s Lb\3l3b Sq. Ft. of Building:\L1ù BlockLot (to CR Sub Describe Work: LO¡* I Dnl '+ Ft. orAcres): %, . t"ZB ÀcntProperty Size (Sq.Owner's Valuation of Work: S Assessor's Parcel Number: Manufactured Home lnstaller: ^/ A Mailing Address: Email Address: I Repair I I Move/RelocationClass of Work: Garage: N ln l_lAlteration Attached l] Detached PRO.IECT ÐfTA¡LS COflTI$IU€Þ Septic OWTS Natural Gas Driveway Permit:Exempt ÐY\"I1 NG Community ElectricPropane I Other Perm¡t # NOTICE 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. ABuildingPermitcannotbeissuedwithoutproof of legal andadequateaccesstothepropertyfor 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 Perm¡t. A Build ing 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. cÊRTlflcATrûN I hereby certify that I have read this Application and that the information contained above is true a nd 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 constructthe 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 Perm¡t may be suspended or revoked, upon notice from the County, if the location, construct¡on 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 OfficÌal 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 w¡th me and my authorized agents, including without limitation my architect designer neer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification a bove, as well as, have provided the required information which is correct and accurate to the best of my knowledge 5/ z"/z* e 311. t7 Prope Owner Print and Sign Date OFFICIAL USE ONIY Special Conditions: Misc Fees: . ,NAPermit Fee:q bt7.1b Manu home Fee: N/APlan Check Fee+7tö.11Adiusted Valuation 44øozø.ao ffi¿-rtro 13oWTS No: ÛIsn*ozt3lBalance Due:s 04a.2vTotal Fêes: Q 1tot2.l4 Fees Paid: uol.qb Zonine: (Const Type: lRz'.OCC Groun: ¡R,Setbacks: F/R.2?,9=lb BUILDING / PLANNING DIVISION Signed Approval þþ4Øn Date PÞ try5 n Gurfield County BUILDING DEPARTMENT 108 Eighth Street, Su¡te 407, Glenwood Spr¡ngs, CO 8760L Tel: (970) 945-8272 PLA NRE VIEW CHEC K LIST permit No: WFE' CFr^ 14'Þ1ø0 Building lssues Pl a n n i ng lZoning lssues ñ/ xVa Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ TopograPhY 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manu' Homes X Soils Report N/A N/A Ftood ptain (t*ie+rX) / Buildíng Height Property Line Setbacks 30 ft. Stream Setbacks Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat N/A General mments: dalwttot't " lrør5 x q%.0ô. Q1bt01Þ.w FoA tmpc<,t tt¿ç= vA' "þo vu^^) rnda*øblc ^'/' ) GnrrteW {*wnty Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e7ols4s-82t2 wwìlU.lga rfieId-cou ntv, corr.r 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: Please make sure the following information is provided on the application.. Parcel number obtained from the County Assessor's Office. - 2913 i,33 ¿ | ao I. Job address (assigned physicat ,Jddt à**in'rç "...t"e.-.^+ - fÞb nÅ),*ss. Legal Description: block, lot, tract, subdivision, filing, or sectlon, township and range.. Owner's name, mailing address, phone, fax or cell.o Contactors name, mailing address, phone, fax, or cell.r Architect and/or Engineer's name, mailing address, phone, fax or cell.. Building size, height, number of stories and lot size. tzt z f¡Sl. Use of building (Rqsidential).o Class of Work (New, Addition, Alteration, Repair, Demo, Move/ Relocation).. Detailed description of work.. Type of heating (natural gas, plgpang, electric, otherþ9f ^r. Sewer system (Community or OWTS), also see other items below.. Garage (Attached or Detached).Nßo Driveway permit (please see other ltems 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.. 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.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 & Brídge permit, or Colorado Department of Highway permit, including a Notice to Proceed. The County Road & Bridge Department can be reached at 970-625-860'1.o 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.. A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups, unless the homeowner is performing the work. BUILDING PLANS: 2 sets of plans must be submitted. Plans must be 18"x24" minimum size, complete, identical, legible and to scale. All plans will be checked at the counter for completeness. lf any of the required information is missing, the building permit application cannot be accepted. SITE PLAN: Please make sure the following information is provided on the site plan. 7* eroperly address/legal description. ;. ffiffiÃrrıi'/ ã'ñ'ilScale on each page. ,/X Show all property lines, building envelopes, flood plain and easements. vo Provide setback distances from boundaries, buildings, septic, well and watenvays.. Location and direction of the county or private road and driveway accessing the property. . Proposed and existing structures. lnclude sheds, barns, decks, patios, and any other buildings.¡ Existing and proposed grade, positive drainage around structure (to be contained on site).o Streams, rivers, creeks, springs, ponds and ditches.o Existing and proposed wells, septic tanks, leach fields and other systems (if applicable).o Retaining walls (engineer stamped detail required for walls over 4 ft., measured from bottom of footing to top of wall). NOTE: Any site plan depicting the placement of any portion of the structure within 50 feet of a property line or not within an established building envelope shall be prepared, stamped and signed by a licensed surveyor. For structures to be built within a building envelope, provide a copy of the recorded subdivision final plat with the proposed structure located in the building envelope. ARCHITECTURAL PLANS: Please provide the following information on the architectural plans ¡f vtinimum of fourr grade to the mid (4) elevations (N,S,E,W)icate he ht between the ridge an eave a di m or ì / dG- _iJ2ñF\â<j \A Rê (- ôô NOTE: lf any required information is missing, delays in issuing the permit are to be expected. If J { ï O",urmined by the Building Official that additional information is necessary to review the application ,È I -fr ¿ - A-nì^a¡ Ceu:h o.,{)^claJ. ,ae''-n\<Å t uö'") Ç /nB= d'f'rqJ-- ,-D'T t jf ::îgi.:¿+É"î:";*, d^^ s^," ^\r,r*v Þ - l^,-il-.þ-; À d;- w'9 uJ -'e fci-.e<r<Å' @N -,\I;rtþ 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 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 checklist. z8 7þt Property Owner Print tgn Date /V\