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Home My WebLink AboutApplicationGørfuId Countyß-3Community Development Department-- r rrruo$le88th Street, Suite 401i1i,"Î3å"äi*Pu*fi îËï',:o 8 1 60 1rilww.Earfield-cou ntv.comBUILDING PERMITAPPLICATIONDemolitionReroofCom mercial/Mu lti-FamilyManufactured Home (Single or Multi-Level), Residential (SF, Duplex or Townhome)Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEETDetachedAttached*Garage:Mailins Address:Email Address:Assessor'sParcetNumber, 24e 3'll3 'Ö2 ^ÔÖfli&-Iëv¡Work:IPhone:.(ßr;ltSq. Ft. of Building:¿âFt. orAcres): g'tt / 4cntProperty Size (Sq.Block _eöc) ry-Cfo/r/ ,\J¿¿'-Owner's Valuation of Work:Job AddressHeight:Manufactured Home Installer:Sub.2 ,','l-h "^a-l*Lf' #ofFtoors:phone: 07CIt q6J " 3?eîé)t(Cu-L^/"Lt â ?kej?pt¡ A^,.^ 6* 5,,J" 2attn¿s I td.//o¿Engineer:Mailing Address:Email AddressPhone: ,4?ot 27Ll- lq2lArchitect: frt {tJr,tu ,Tnt l-1,^-JJ}uPhoneLL, Q )o, 918 - î{?S*Mailing Address:Email Address:Contractof:Mailing Address:Email Address:QC/t(-owner: ã.^Ul- tnnon*Propertyk^Phone: t Çld t E?8 -3 1?,5-Mailing Address:Email Address OtherElectricPropaneNatural GasDriveway#:Pêrmit:Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe 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 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.VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0daysof the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.I 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 Permitwill be issued grantingpermission to me, as Owner, to constructthe structure(s) and facilities detailed on the submittals reviewed bythe Building Division. ln consideration of the issuance of the Building Permit, I agree that I and 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, construction 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 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) 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 w¡thout limitation my architector builderrrSeptic:Type of HeatI hereby acknowledge that I have read and understand the Notice and Certification above, as well as, haveprovided the required informationis correctto the best of my knowledge.aProperty Owner Pr¡nt and SignDateOWTS No:3ETfr-&4û32Fees:tflnr,Manu. Home Fee:\\, ABP-NeYl<1Øtr-(åIa2Const, Tvoe:rPð-nce Due:Permit Fee,75n3Plan2Fees Paid: ' ,,8)t)l^-41nËlLoccSpecial Conditions:TaAdiusted Valuation:ö'sof"g¿¿Total Feesl -^ö s"zqß.óYsetba&ïoL/r/1""^ %;ùH,,4*q-21Signed ApprovalBUTLDTNG / PLANNTNG DIVtStON :Date Gørficld CounlyBUILDING PERMITFEE ESTIMATEWORKSHEETCommunity Development Department108 8th Street, Suite 401Glenwood Springs, CO 81601(9701 94s-82t2www.sa rfield-countv.comApplicant: (,ùd..-ct T (b.r'*,<-Project Address:'rlf¿ " Ct3/ ¿'t¿a,;/¿;- CfSubdivsion :.//¿r,, "hi A* ¡Lo,^ ¡' a,L fl., ^r, C-¿¡ þPhone: q)O ¿lW l6'7fLot: f Block:s41.00$1s.oos32.00s24.ooS18.oos12.00So.ooSo.oo574.68t Qttôt qY)5mrìß¿tUncovered Patio/DeckFinished Living Space (N/A for Manufactured Homes)Unfinished BasementCrawl SpaceGarage (Conditioned) (i.e. insulation, sheetrock)Garaee (Unconditioned)Covered Patio/DeckMiscMisc:TotalValuationSo.ooSinele Level (5400)Multi-Level (S600)Total Set-Up FeeSo.ooSo.ooSo.ooAlteration and/or Repair (575)New lnstallation (S123)TotalSeptic Feeso.ooPlan Review FeeBuildine Permit FeeManufactured Home Set-Up FeeSeptic Fee (OWTS)Other (Ex: Road lmpact Fee)So.ooThis Section Determined by Garfield CountyTotal Fees Due***All fees are est¡mates 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 until the 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.7-Arn*3Property OwnerPrint and Signaa Gurfield CountyBUILDING DEPARTMENT108 E¡ghth Street Su¡te 401, Glenwood Springs, CO 87607Tel: {970) 945-8272PLAN REVIEW CHECKLISTPermit No:ßr-Rî-03-2t-b76LPlanning/Zoning lssuest/ EngineeredFoundationBuilding lssuesf\lARora-i,ü4Grade/ Topography 30%l'' Attach Residential Plan Review List'/ subdivision Plat NotesNAFire Department Reviewt'/ Valuation Determination/ FeesRed Line Plans/ Stamps/ StickerAttach Conditionst/ Application signedt'/ Plan Reviewer to sign ApplicationParcel/ Schedule No.NAt/NÊProperty Line Setbacks30 ft. Stream SetbacksFlood PlainBuilding HeightZoning Sign-OffE,B,>rRoad rmpact FeesN k Grade/Topography4o%,/ Planning tssues/,UAt/Drivewav Permit(#å^"ä.öäi"vbn ItÐ|ii,zløi;Ë:rÅ"t^a¡p,*Seotic Permit and SetbackssePT=o3-21-bYla?l,/Subdivision PlatDescriotion & Summarv:(lF: 4z,yo340#snowload Letter-Manu. Homes FLS 5M+ Nç7+,bø = 4fiJ lU4,OOsoirs Report Kurvrar ?þ-742g cruil)l ßü+ X+ lg,@ a nír@, ooSar tzffif X{&z,oo: Zár r/Ø, oo.Pld 5w{ xfi¡glo - ¡rw."-rt 1oy,Sl(L Public l{eøIth195 w. 14th streetRifle, CO 81650(970) 62s-s2oo2014 Blake AvenueGlenwood Springs, CO 81-601(s7o)s4s-6674OWTS PERM IT APPLICATIONtr Non-Domestictr Comm./lndustrialtr AlterationE Transient UseD$ New lnstallationEl DwellingE Other DescribeE CisternE Stream or Creektr SpringEl, wellE Community Water System NamePhone:Property OwnMailing AddressEmailAddress:e:dzkCTa4 æ4.eContraMailing AddressEmail Addressl3? /u,rl¿¿/ ùrL< l/ e.-.âe,,/..L f^one:/a, cEngineeMailing AddressEmail Address:Building or service ¡vp", 5 F tJ 4 *Bed¡ooms: L/ GarbageWas an effort made to connect to the Community Sewer SystemltJu<J<.Assessor's Parcel NumCa.)nønd..l-eDistance to Nearest Community Sewer System:Job AddPotable Water Source& TypeGarfield County Public Health Department - working to promote health and prevent disease Applicant acknowledges that the completeness of the application is conditional upon such furthermandatory and additional tests and reports as may be required by the local health department to bemade and furnished by the applicant or by the local health department for purpose of the evaluation ofthe application; and the issuance of the permit is subject to such terms and conditions as deemednecessary to insure compliance with rules and regulations made, information and reports submittedherewith and required to be submitted by the applicant are or will be represented to be true andcorrect to the best of my knowledge and belief and are designed to be relied on by the localdepartment of health in evaluating the same for purposes of issuing the permit applied for herein. Ifurther understand that any falsification or misrepresentation may result in the denialof theapplication or revocation of any permit granted based upon said application and legal action for perjuryas provided by law.I hereby acknowledge that I have read and understand the Notice and Certification above aswell as have provided the required information which is correct and accurate to the best ofmy knowledge.Property Owner Print and Signl'lìuÈ ¡ ol Jt'p,laieil Drc l{lli""#f2=. oo'^i"å""*'"'^#'ià3. nlssue Date:Surr- b+&3OWTS Permit:'l'ffi.oo(,¡ çc -(o.1!a9Building PermitSigned ApprovalGarfield County Public Health Department:DateSpecial ConditionsJ