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Home My WebLink AboutApplicationF-l Community Development Department RECEIVED 108 8th Street, Suite 401 Glenwood Springs, éO SrOor (s7ol94s-82L2 GARFIELDCOUW TOMMUNIÏY Gurfield County BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION DemolitionComulti-Fam Manufactured Home (Single or Multi-Level) I ReroofResidential (SF, Duplex or Townhome) Dwelli Unit U - MAXIMUM SIZE OF SqUARE FEET INVOTVED PARTIES Property Owner: Mailing Address Pâhn^ 47/ Email Address:t77)r)o t^ t. r',un. .,rn.-.- /r. ã /ro/'/ Phone, t?7û I ?42 - 7tF/ ¿r1 Cn g/14/ â í17¿- Phone: ( )Contractor: Mailing Address: Email Address: ¿L¿ phone: tÇ7Ot " 747tArch¡tect: Mailing Address: Email Address: qi rnEngineer: a¿) AN </7N5êM ^',J-ff Phone: t77C¡ 377 - qá q / Mailing Address: Email Address: /VA Phone: ( )Manufactured Home lnstaller: Mailing Address: Email Address: Class of Work:Remodel/Alteration Addition DetachedGarage:hed PROJECT DETAII.S Describe Work:r 4 '2a.,¿F^r/ ;* / hr,.- t'¡'t a¡t/ nu-/¡>, ,¡l / robAddress: /qâL CJZ lV2- Assessor's Parcel Number: Sub. 'L/lqL74no¿stz Lot Block Owner's Valuation of Work: S Property Size (Sq. Ft. or Acres): I , I f Sq. Ft. of Building: áô, Height:/7'# ol Floors: / + ba. c-t?l 4.^/ t Electric OtherNatural Gas PropaleType of Heat: Permit #:Driveway Permit: Exempt 1 PROJECT DETAITS CONTINUED Septic: NOTICE 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. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (L) 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 grant¡ng 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, 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 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 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 neer an or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the req uired information which ¡s correct a to the best of my knowledge. 5-2A-2/ Property Owner Pr¡nt and S¡gn Date P.,/c/q6 Community { Lørrræ- OFFICIAT USE wedel remMed 0r n\r 0 WAw 0,0,rConditions:Specia P.ermit Fee:öt.çç.71 Manu. Home Fee: Pi'ËfË'.v.0\=*7, AdiustedValuat¡on ölos-toz t . lo9 Plan Check Fee:bqql.z+ -ropÉ-iq BP No: f\r1Dp OWTS No:p"p¡ì- 'ÐL28"+ Paid 59Fees $¿/ Balance Due: òrrbY,¿lû Total Fees: #t,z\b.g1 conffi flins: (occ uïþc-Setbacks:(frND. b-zl-zl Signed Approval Date L6 LDING / PLANNING DIVISION I 00 Gurfield County BUILDING DEPARTMENT J.08 Eiqhth Street, Suite 407, Glenwood Spr¡ngs, CO 87607 Tel: (970) 945-8212 PLAN REVIE W CHECKLIST Permit rvo: $ffi e -05-21-bîry Building lssues Engineered Foundation e\r:nll Driveway Permit I Pl a n n i ng lZoning lssues êOND Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Grade/ Topography 40% Planning lssues Subdivision Plat h'{izg rUft t/ (/ NA t/ Surveyed Site Plan sepric Permit and Setback t yES Grade/ TopograPhY 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions t-Application Signed Plan Reviewer to Sign APPlication L. NA L/ Zonine Sisn-Off þ*,#Èiirv,;;infrL," N* t-l- ReæñiØ4772Çtz 8a4 uq-ol Desc ion & Summa Ft-S 57lo t- 7¿1, bØ --tl3"0t6 bb parcet/schedute No. unl bas 354 V 4l = 15 t7 44 40# snowroad Letter- Manu. Homes ctrw)l IQZ x I8 = 4¿l5le soirs Repor, Lplà tQL ¡ 16 = 4 LlSb ll¡dníc þ'le B0A - znû- ô I V o,ni,anû. +wm mín g{nam EelúMiç úreæþ on -77 2q,ù ì nàuàeç bv iilínq urtnlo po' {o " e ì n.1b. 4¡t4 I ta l^-r"^t, Ct*+,rr," rekr,;r4Ð adJ'. bvità,tn1valu-o- - + qS, b!.þg (lF= (t,ø,b)=#726 Gøffield Coun ty Community Development Department 108 8,h Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 www.garfi eld-countv.com SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST ln order to understand the scope of work intended and to expedite the issuance of a permit, it isimportant that complete information be provided. Please review this document to determine if you haveadequate information to design your project and to facilitate a plan review. APPLICATION FORM: Please make sure the following information is provided on the application.þ6 Parcel number obtained from the county Assessor's office.t/. Job address (assigned physical address)t/e Legal Description: block, lot, tract, subdivision, filing, or section, township and range.t, Owner's name, mailing address, phone, fax or cell.t, Contractor's name, mailing address, phone, fax, or cell.l-. Architect and/or Engineer's name, mailing address, phone, fax or cell.i.- Building size, height, number of stories and lot size.t) Type of Construction (Residential). t) Class of Work (New, Remodel/ Alteration, Addition, Repair, Move/ Relocation).kr Detailed description of work.¿t Type of heating (natural gas, propand, electric, other).,.. sewer system (community or owrs), also see other items below. /,14. Garage (Attached or Detached). NA. Driveway permit (please see other items below).t/.. Valuation (labor and materials), see attached worksheet. OTHER ITEMS:t''' W-ILDFIRE MITIGATION - All Garfield County property owners are recommended to employwildfire mitigation strategies in the development and construction of all buildings throughoutiheCounty. Please refer to the following publication: "FireWise Construction: S¡te-Oes¡qn ä guilOìn-q Materials" which is available from Ûre Colorado S nstrategies applicable to your project. NA' NÃ. L' t-< lf you anticipate obtaining a water-tap from the City of Rifle, please provide a letter indicating thatthe City will provide water service. Required to súbm¡t ouilàing pérmit apptitàiion. OWTS requires a septic permit application to be submitted gdlh1he buitding permit apptication.A separate electrical permit must be obtained from the StatiliColorado Electricat Board.At the time of building. permit submittal, you are required to show proof of legal and adequateaccess to the site. This may include proof of right to use a private easement] County Road &Bridge permit, or Colorado Department of Highway permit, including a Noticå to Þroceed. Thecounty Road & Bridge Department can be reached at g70-625-g601. lf you anticipate excavating or grading prior to issuance of a building permit, you will be requiredto obtain a separate grading permit. lf you belong to a Homeowners Association (HOA) it is your responsibility to obtain writtenapproval, if required. Provide copies of any Resolutions and/or Land Use Permits associated with this property. ¡.j /V,+. ll/t' SINGLE FAMIIY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST t^ 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. Þó 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. )).,n'r- n /1o u--.íts'21 Property Owner'Printzand Sign Date