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Home My WebLink AboutApplicationGørfteld County ßL Community Development Department RECEIVED 8th Street, Suite 401 Glenwood Springs, CO 81601, " l, ,', (970) g4S-92L2 GARFIELD@ COMMUNITY DEVELOPMENT BUILDING PERMIT APPLICATION Com mercial/Mu lti-Family Demolition Manufactured Home (single or Multi-Level) Residential (SF, Duplex orTownhome)Reroof Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET Propertyowner: lÜttf* ¡i cvtÊf¿rsç. Fg.t'Er6gAPhone: 61P-l a4Í#- zst¿¿- MaifingAddress: l# \ æ\\f.tfr \z-.; \P7-7 r*æ.t<tÞfrrçZ CÐ g,Y& Email Address: T¿' þ'* p¡ærf=¡¡Ylrsr-\ËÞ Phone: ( ) EmailAddress: Contractor: Mailing.Address: æ,'"ua- ñ Arrqtttr-e¿-Slffione: 1a1al3#Æe EmailAddress:?s=r>A+zcjrl. @ ¿áþ\rtt å-*/"rnp¡r' Mailing Address: Architect: Engineer: Érus :tr K¿pu-t Af< E:+Jre'.t1.\ffiebone: fiJ¿¡ ntÊ ?:4' Malling Address: EmailAddress: PBOIE TDËIAIIs Phone: ( )Manufactured Home Installer: Mailing Address: Email Address: Job Address: t4ç- \ .rrã,Jùìtrt t<Þ lÒZ- c:rÇfZ[scvL) bA¿.p Describe Work: Property Size {Sq. Ft. or Acres):'?.-:9.'L 't¡.\ ew Remodel/Alteration f of Floors: dition lë€.æ)a* tot t-tzT Í Btock _ Garage:ched Assessorrs Parcel Number Owne/s Valuation of Work: $ Sub. Class of Work: "- ?;/v\ (L(c3'-B Sq. tt. of Building: - Height: i pno¡ecr oerÁ¡fcorunnuED I I Septic: Propane =üA.lÉ hailË Community Electric Other Permit f: _ of Heat: j Driveway ' Permit: Natural Gas Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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. 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 Bu¡ld¡ng 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 guilding 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 l¡mitation 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 req information which is correc't and accurate to the best of my knowledge. tAt?ÇÉ:z-lf"7-Ç 7 Property Print and Sign Date oFFrcrAr usE oNry ?Þ. t ZLa.+: cc . ú4æU Special Conditions: Adjusted Valuation:2lo 2A Õ Plan Check Fee:rqt +s Permit Fee: 2b7^ 4 4 Manu. Home Fee: N/A Misc. Fees: Total Fees: b7B 99 Fees Paid: $261.+'l lance4t Due:' 1,46 Ba P BP No: BLRË- G-TII OWTS No: nl /rr Setbacks; 2.( b /ocúD) OCC Grouo:iH Const. Type:z2o,(Zoning: 3^/S'2o?;I Date BUITDING / PLANNING DIVISION : Gørfield County Community Development Department 108 8th Street, Sulte 401 Glenwood Springs, CO 81601 19701945-82L2 wtryw.sarf ¡gld-cou ntv.com BUILDING PERMIT FEE ESTIMATE WORKSHEET licant: Block: ne Õ Address Þ&t æ.ålt)ç r(ÞfProjectt \ rvsronbd Lot:&q,N 574.68Finished Living Space (N/A for Manufactured Homes) Unfinished Basement $41.00 S18.ooCrawl Space tö?F) <ß-r=s32.00rGarage (Conditioned) (i.e. insulation, sheetrock) 524.0OGarage ( Unconditioned) Covered Patio/Deck 518.00 Srz.ooUncovered Patio/Deck So.ooMisc; so.ooMisc: s0.00Sínsle Level(5400) Multi-Level (5600)so.oo 5o.ooNew lnstallation So.ooAlterationtr Plan Review Fee Building Permit Fee Manufactured Home Set-Up Fee Septic Fee (OWTS) Other (Ex: Road lmpact Fee) This Section Determined by Garfield Countv Total Fees Due So.oo ***All fees are est¡mates untilfinal plan review is completed*** Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses specified. Pre-manufactured structures require the engineers stamp, signature and date. Framing /connection details, braced wall lines, shear wall schedule, location and hold downs NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf determined by the Building Official that additional information is necessary to review the application 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. C\&r¡c.,fu :f.rsx-xzq€ù P and Sign Date a a "7 Gørfield CountY BUILDING DEPARTMENT 1OB E¡ghth Street, Suíte 407, Glenwood Springs, CO 81607 Tel: (970) 945-8272 PLAN REVIE WC HEC K LIST Permit No: Building lssues Engineered Foundation l, /,I Driveway Permit rveyed Site Plan ,û' '1.Permit and Setbacks Grade/ TopograPhY 30% h Residential Plan Review List Subdivision Plat Notes fuf E- o2- Fire Department Rev¡ew Valuation Determination/ Fees h Conditions lication Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes ils Report 2'l^ b PlanninglTo ning lssues o,x I ,'1' ^/.4 -t/4):,, Grad Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height tng Sign-Off lmpact Fees e/ Topography aO% , ,,,, /^"iline Plans/ stamps/ sticker Å/ 'r/ Ptanni ng lssues K./î Subdivision Plat Descri ion & Su ma 8n * 37,2ç, z1ı l)+u,,trro*r