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Home My WebLink AboutApplicationGørfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 le70l94s-8212 www.ga rf ield-cou ntv.com B BUILDING PERMIT APPLICATION Commercial/Multi-Fam Demolition Manufactured Home (Single or Multi-Level) Residential (SF,or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET Phone: tU ( I 40 /- 19) ZProperty Owner: Mailing Address Email Address: "e, û70 t - 421 -6 fl.fz IMailing Address: EmailAddress: Contractor: t 6fà I lr Architect: Mailing Address: Email Address: Phone: Û1ü ¡ qZq -gü.= Phone: Ú70 ¡ 7ôô* l0O3 0 I I 1',ltt.a.-Tu)n lhu u*wn¿-çEngineer: Mailing Address EmailAddress: sub. ?A^d,\ rå (,tLl+tv Ltwch( TÅD Lot f slock Phone: Describe Work: øf , b3) t Height: Assessor's Parcel Number:0'S II d l"v.[ L\q 0taAI of work: S '7dq ddO Manufactured Home lnstaller: Property Size (Sq. Ft #ofF Job Address: Mailing Address: EmailAddress: Owner's Valuation Sq. Ft. of Building: Garage:Attached Detached XSêptic:twTS Community Type of Heat:atural Gas Propane E lectric Other pt Permit #: Farmit: Authority. 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. Lesal 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. 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, lagreethat land myagentswill 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 bythe Countyof 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 andf or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required info which is correct and accurate to the best of my knowledge. Owner Date Special Conditions Adjusted Valuation 5 e dz,qb Plan Check Fee: $q3c" 'ø'l Permit Fee: btTt,V5 Manu. Home FeeN/¡Misc. Fees: RIF =,,0,,bJa Total-Fees t.,loø3q f+'{ä.0.' Balance Due [a71,7 5 BP No; BLRE- 6818 OWTS No:x/s KSetbacks: o OCC Group:, rzc Const. Type: tÉ-L Zoning: " ù0 tØrr. %,rãtBUILDING / PLANNING DIVISION : Signed Approval f-'^-1 Date Garfteld County BUILDING DEPARTMENT 708 E¡ghth 'trcet, Suite 407, Glenwood Spr¡ngs, CO 87607 Tel: (970) 945-8212 PLAN REVI EW CHE CK LIST Permit No: BLRE- 04-21-bØlS Property Line Setbacks 1^ & .t---- a^rl^-l-JU ri. stream setDacKs Nk Ftood Ptain t/Building Height Zoning Sign-Off ptic Permit and Setbacks l'/ Grade/TopograPhY3o% t/Attach Residential Plan Review List Subdivision Plat Notes l)Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Building lssues 0 Engineered Foundation ûriveway Permit Surveyed Site Plan t/ Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manu. HomesNA soils Repor t. LJ<? n-33fl n/ntlznn Pla n n in g lToning lssues t/ N+ t/ noù 'tî se t/ ^/Á t/ oo // Road lmpact Fees / Grade/Topography4o% Planning lssues t/Subdivision Plat Descri ion & Sum E,e,b ="Ot' E, ß,Þ, Rrr ,w;7737,-"¿,+ RIF =+ a balaucet ñL,5, cYwnl 6 r7z x7 4, bB = +471L,1b 5r/ZXlg =qzqb,oo û 13rotz ,q b - 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. a a ¡.*.1 q-_,nCrJ Property Owner and Sign