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Home My WebLink AboutApplicationGurfield County7moflltïtUP6)=Þ1x(= Tt7. -:=mH(]sC)59=Zm-¡=<Community Development Department108 8th Street, Suite 401Glenwood Springs, CO 81601l970l94s-8212www.Ra rfiel d-cou ntv.commilyDemolitionManufactured Home (Single or Multi-Level)ReroofAccessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEETfesidential (SF, Duplex or Townhome)><INVOTVEDPropertyowner: lì*,- ^¡*dï?.n d.afrnPhone;I AlD I o.41 - *îtàrLMailingrJAddress: 7{,þ Ë;nt ktsø" ùr Kiú cÒ <tcÇLEmail Address: Oa.nlnh n 6 ama,-l. co m!u<)Manufactured Home lnstaller:Mailing Address:Email Address:PRO'ECT DETAITSDescribe Work:Job Address:Assessor's Parcel Number: 11L716 I0O0-?osub. Aant+u l,kJ.in'<.',0¡, {xt,a,¡l;oaPhone:f-çi,t Mdnlk l^ 6;,,+ /e <L<2-Owner's Valuation of Work: SSq. Ft. of Building:qtAf-Class of Work:EWLot lA BlockProperty Size (Sq. Ft. or Acres):\)lContractor: Ot,lfL{- Phone:ìIMailing Address:EmailAddress:V.qnbvøat þ t{"+¡rt'il .cor"Phone:(q.no I qffi .4/-37Mailing Address:Email Address:Architect: ú¿¡ 6vøortEngineer: ßr;o.¡ Krrtz^ y' l(uùz onrl k<o.iol<s irl¿-phone:1T7e IMailingAddress: ,çott C¿,*{.y î-oal Fa Gh^veøcl <Fi¡s. fe qtbeìqH(-l-.bqEmail AddressAdditionRemodel/AlterationGarageAttachedHeighttl-t€''l!' #ofDetachedll. *q PROJECT DETA¡tS CONTINUED, Septicof Heat:atural GasCommunityPropaneOtherDrívewayPermit:XlPermit #NOTICEAuthoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe Owner, must be provided with this Application.Lesal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property forpurposes 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 Accessor a State Wastewater Discharge Permit.Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 daysof the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.CERTIFICATIONI hereby certify that I have read this Application and that the information contained above is true and correct. Iunderstand that the Building Division accepts the Application, along with the plans and specifications and otherdata submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assumingcompleteness of the submittals and approval of this Application, a Building Permit will be issued grantingpermission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed bythe Building Division. ln consideration of the issuance of the Building Permit, lagree that land my agents willcomply with provisions of any federal, state or local law regulating the work and the Garfield County BuildingCode, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that theBuilding Permit may be suspended or revoked, upon notice from the County, if the location, construct¡on or useof the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or anyother applicable law.I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. Ifurther acknowledge that the issuance of the Bu¡lding Permit does not prevent the Building Official from: (1)requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stoppingconstruction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any otherapplicable law. Review of this Application, including submittals, and inspections of the work by the BuildingDivision do not constitute an acceptance of responsibility or liability by the County of errors, omissions ordiscrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local lawsand County Regulations rest with me and my authorized agents, including without limitation my architectdeereneer and/ or builderI herebyacknowledge that I have read and understand the Notice and Certificatíon above, as well as, haveprovided the requiredwhich is correct and accurate to the best of my knowledge3-iæ-l ìProperty Owner Print and SignDateMisc. Fees: rfuf = çl"gllOWTS No:seFr - G7 56Zoning:R.v t¿lt-Home Fee:/eManuNBP No:Bt'KÊ - b?sConst. Type:tllcFee:,Check Fee:nY5Due:nceFees Paid:I tfo,l.qtOCC Grouo:'tl¿LoFFlclAr usE oNtY pá t gO{ .lg cc o3/asf*21+ ]5+l ,38Special Conditions:Val0Total Feei:$ ôqz,l3Setbacks:DK/-7-21Signed ApprovalBUILDING / PLANNINC DIVISION :Datet¿er* Gørfield CountyCommunity Development Department108 8th Street, Suite 401Glenwood Springs, CO 81601(970194s-82t2www.earfield-cou ntv.comBUILDING PERMITFEE ESTIMATEWORKSHEETPhone: q7o-qá7-Zèt2Lot: Lot tA Block:1a$trvrfalls fid 5¡r+ co <!Çsz1¿"5plicantroject Addbdivsion574.68s41.ooS18.oos32.00Sz¿.ooS18.ooSrz.ooSo.ooSo.oo2rlo+tgqLlatLãl¿{Finished Living Space (N/A for Manufactured Homes)Unfinished BasementCrawl SpaceGarage (Conditioned) (i.e. insulation, sheetrock)Garage (U nconditioned)Covered Patio/DeckUncovered Patio/DeckMisc:Misc:So.ooSo.ooSingle Level(5400)Multi-Level (5600)ffiso.ooSo.ooNew lnstallat¡on (S123)Alteration and/or Repair (S75)Plan Review FeeBuilding Permit FeeManufactured Home Set-Up FeeSeptic Fee (OWTS)Other (Ex: Road lmpact Fee)***All fees are estimates until final plan review is completed*** Framing plans for each floor level and roof. All beams, columns, joists, rafters and trussesspecified. 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. lfdetermined by the Building Official that additional information is necessary to review the applicationand/or plans for compliance, the application may be placed on hold untilthe required information isprovided. 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, aswell 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 ownerto act as their representative.Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without aCO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/COinspection 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 thischecklist.3-7o-zlProOwner Print and SignDateaa Gørfield CountyBUILDING DEPARTMENT708 E¡ghth Street, Suite 401, Glenwood Springt CO 87607Tel: (970) 945-821.2PLAN REVIEW CHECKLISTPermit wo: fflffi= -03-Zl- b755Planning/Zoninglssues WRALt/Building lssues/yE9-riveway Permit¿/-72/Property Line Setbacks30 ft. Stream Setbackst/ Attach Residential Plan Review ListL/ Subdivision Plat NotesNftNn Flood Plain,/ Building Height-/ Zoning Sign-offt/ Road lmpact FeesL/- Grade/ Topography 40%Planning lssuest/ subdivisíon PtatDescriotion & Summarv:Surveved Site Plan'ü'iqh'cø;;:ñ"1'UnginØ.sSepiic Permit ánd Setbackssefr3-zl-b75bGrade/ Topography 30%N /A Fire Deoartment Review------- no pþi|-nolesl/ Valdation Determination/ Feest/ Red Line Plans/ stamps/ stickerl/ Plan Reviewer to Sign ApplicationN,t.b,7zrrØ: $ rratt Æru' Attach ConditionsApplication SignedParcel/Schedule No.40# Snowload Letter - Manu. HomesSoils ReportF.L.o. \otzslx?+,bg=Ç2ffi, bt6, tb,V4c-3*c p/olvcPldev"Üüll,oZoAtb+x1løs7-ótp7x 3L - þ 32) (oia,ooxlg =g z)qlLÞ"x 12- = $ ¿t:2 ôzôoox lg = ( s, 6€0"oAàiuo+ed blàjval,ufiqn: Ë O+d)loØ,tk