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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 leTol94s-82t2 www. garfield-countv.com rNvowED Qt Property Owner: Mailing Address Email Addressl pnonezflþ_L 3lÎ- 59.oq oo( + ctured Home lnstaller:Phone: PROJECT Describe Work t?,*+ tt,ô (?-'/^or\ uJ uehl E¿,o-rlno trja-l |r r Job Address: Assessor's ParcelNumbert â3 a S O3Z OO AIO Sub.Lot 27 Block lú) OÒ +a Owner's Valuation of Work: S Sq. Ft. of Building:2z g'7 ) CÞ oor Property Size (Sq. Ft. or Acres)r # of Floo tu ).s oe BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET 11a-r1 B*i //er j Phone -777ft.eì/4 7útno-,,Je zCe+tr¡cto¡¿ tUa¡linA*tress -Email ACdress: Phone ress: Phone: I ) ress: EmailAdd ress: Mailing ew Remodel/Alteration Addition o o\Or-Class of Work: Garage:Attached Height;{o-\ t Detached t. tt4-t n-c so"-o.\ 5.r{-r LYee Propane Electric OtherType of Heat:Natural Gas Driveway Permit: PROJECT DETAITS CONTINUED Septic:Community Permit #: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Legal Access. ABuildingPermitcannotbeissuedwithoutproofof 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 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 approvalof 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 Bullding Permit, I agree that land 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, 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. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. I further acknowledge that the issuance of the Building Permit does not prevent the Building Official 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 with me and my authorized agents, including without limitation my architect d neer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. 3.-22-2( Property Owner Print and Sign Date r, oFFlclAL UsE oNLY på .* 2 t. t? ce o15h3/ùer.\ Special Conditions: Permit Fee:ézz. L€Manu. Home Fee: u/¡¡ Misc. Fees:Ul4 mthm Balance Due: ß zz, /,ç BP No: Bur¿E- 68"O OWTS'No:- NZ. Valuation: 70/.oÕ f zr. ¿3 Adi P Check Fee: Fees Paid 2 Fees: 53, Const. rype: / RC Zoning: rev rrA l*setbackTrO oCC Group: I RO BUTTDING / PtANNtNG DIVISION Signed Approval b-/Þzl Date Mr, Gurfield CounQ BUILD'NG DEPARTMENT 708 Eighth Street, Suite 407, Glenwood Springs, CO 87607 Tel: (970) 945-8212 PLAN R EVI EW CH E CKLIST Permit No:Bt<?45-z/ -bØtro Pl an ni ng lToning lssuesBuilding lssues Nfr Ø/vD tr' ./ n/A 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 Soils Report Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% /Ur+ Planning lssues Subdivision Plat t- Al4 tu* f (ea/ /,bþn'>t 0/rê43?of s-/sltr/J \ Description'& Summlv: rZúrza ) a(us/-e/ /r,//r1 t/a/^€ â-/ d 7o/, oo - 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 Officialthat 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. -22-2 a a Property r Print and Sign Date