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Home My WebLink AboutApplicationGørfield County Community Development Department 108 8th street, Suite 401 Glenwood Springs, CO 81601 (970) 94s-8212 www.garf ¡eld-co untv.com BUILDING PERMIT APPLICATION ..îv?t ioFcof\tsfRuçTlottl .',' .', . j,,,. . .:. ,., Com mercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES Propefi Owner: Mailing Address: Email Address: Phone: 3 Ctu o cc Phone: t41o,)1q *13t?Contractor: Mailing Address: EmailAddress: Phone: \ G l^/ Phone:t q70 | ? *.t -103ç -0Architect: Engineer: Mailing Address: Email Address: Mailing Address: Email Address: Phone: ()Manufactured Home Installer: Mailing Address: Email Address: Remodel/Alteration DetachedAttached EW PROJECT Describe Work:.Ç Job Address:1:rL Assessol's Parcel Number:Ql?tlJqoroJ sub. 1fP llrr Sor*0.Lot Block Propefi Size (Sq. Ft. or Acres):II Floors: ä 'I òt Owne/s Valuation Sq. Ft. of Building: Class of Work: Garage Ir*oJrn' Height:#of Addition ' pdo¡ecr oeiÁ¡s colvnNUED i , Septíc: Type of Heat: Driveway Permit: mmunity atural Gas Propane Electric Other - - --.j I I I Permit #: I I NOTICE AuthoriW. 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, VoÍd 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 l-80 days after commencement. CERTTFICATION 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 rne, 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, lagree 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, 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 ¡nspections 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 límitation my architect d neer a or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have the required ich is and accurate to the best of my /is Property Owner Print and Date I n \ oFFrcrALUsE oNtY P4 4 tl t1 .GZ cY,4- tt?L oa/þ/zo"-l 'o""^n#I;t¿ e le,ra*ì o7,t ærh Misc. Fees:Permit Fee: -ö2- t g0,7e Manu. Home Fee: / N/A Adiusted Valuation: þztl-zgh.5b Plan Check Fee: þt"4t7,62 BP No: ßt^E 10GO OWTS No: cor^wl\.)F¡\1/ Balance Due: #z,lØ0,î557Tota þ I fees: 3,5q9, Feás Paid: #t,Ntl ,ç? Zoning: P.urt-¡ t-OCC Group:tzc Const. Type: rucK5etbacfts: o q-7-LDL\ BUITD¡NG / PLANNING DIVISION : Signed Approval Date /"¿ø^' Gørfield County BUILDING DEPARTMENÍ 108 Eighth Street, Su¡te 407, Glenwood Springs, CO 87607 Tel: (970) 945-8212 PLA NR EVI EWC HECKLI permit No: BLR¿;î-Oq -2 J-7060 T Building lssues L/Engineered Foundation V/ Driveway Permit n/A ,/ t/ tn Pl a n n i n g I Zoning lssues Surveyed Site Plan NK Septic Permit and Setbacks /Grade/ ToPograPhY 30% Attach Residential Plan Review List 6'l!'1$) ePPltoütr ,*efu.d ,lc\nnt)ni|.l4t/, Uo+ ourrq ^rA_C¿NÞ Property Line Setbacks 30 ft.Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat t/ La Red Line Plans/ stamPs/ sticker C Attach Conditions t/Application Signed Plan Reviewer to S¡gn APPlication Parcel/schedule No' t/ NA Subdivision Plat Notes 4tt?ttz, +tq?!f Fire Department Kevlew Valuat¡on Determination/ Fees 40# Snowload Letter- Manu' Homes "P/4 soirs Report Ucf/d t/ t/ ,î/ þ e /evaJztn¿ Íråí íí,."¿ I Description & Summarv: rLS ô7b7 X74. bg= 29 I ?7lq.Sb " l* 36ı v 3z= 2b, bÚ6,oo u.?Yu Ablí 72x/8= tTLqb,oo t7b r lZ = z) tl2,@ f zt¡ô83,5b 25o0F f (r r tnÉ"D)&2703,Ø 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 lconnection 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. Print Date a a Sign