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Home My WebLink AboutApplicationGarfield County :., ';..l* rx åÊ s* EHJ>l¡¡ btr3ú-= óã o*ER ll¡ t¡} o¡U ËrxÉ .*"1 Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970le4s-82t2 www.Rarfield-countv.com @r 0N frP BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home (Sinele or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES Phone Email Address: Property Owner; Mailíng Address: CoÀ¡v C*sol^oßr.V 1qe 3ùo-*, cMailing Contractor Email Address: D 811,5â- Phone: (q7ù ) 3t 1 - 71 2F< Phone: (¿T10 )'3\rL¿- 8b1O u\ r . A¿) T) gr Çu ô-s lbfÞMailing Address: Email Address: Phone: t1?¡ I ft|S- 6b+taEngineer: Mailing Address: Email Address: Manufactured Home lnstaller: KçPrCv¿e k +{gWS Phone: tl'tO 1291- lttf k Mailing Address: Email Address: PROJECT DETAITS Assessor's parcel Numb"r, .? t?î t 3 3 Oo ?9 3 Describe Work: Job Address: Sq. Ft. of Building:t'lt2oo Height: Ztl' t lq" # of Ftoors 2 -TßD lY\ih¡o-ô{z,- flr^ LoSotOwner's Valuation of Work: 5 Property Size (Sq. Ft. or Acres): N ,3q Ø *rS Sub.rot G> Block - New Remodel/Alteration AdditionClass of Work: Garage:Attached Detached PROJECT DETAILS CONTINUED Septíc:X CWTS Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit:flexemnt Permit #: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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 Díscharge 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 granting permission to me, as Owner, to constructthe 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)). lacknowledgethatthe 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 (21 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 designer, engineer 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. Vd"-L^U*^*,-' Property owner erint andosign Date Cillfl'il^6'IYZZ oFFrcrArusEoNry P tD, Jþc,,oe ê.c, aa/,ô leozz JÞrÞ tu &t-þa¿Á?¿/ ANÞ:T74MSpecial Conditions: Adiusted Valuation¡,¡t 7b4e6t.ff it Fee: 7,1 an Manu. Home.Fee: f.loo, æ Misc. Fees: .#Rtpsø¡ll. gtl Total FeÉ;íi z.bíØ3T Fees Paid: lioo,Ñ 2 Dce BP No: åut'lî-1Bso OWTS No: s ePl -1sÉl setøícrsþþ OCC Group: l, p.c.Const. Type: f,R,,.C. Zoning:ßueAl BUILDING / PLANNING DIVISION : Signed Approval Date Garfield County BUILDING DEPARTMENT 1O8 Eighth Stree, Suite 401, Glenwood Spr¡ngs, CO 81601 Tel: (970) 94s-8212 PI.^AN REVI EW CH ECKLIST Permit No: ø Lm F-OVZZ-72Ø Building lssues Planning/Zoning lssues /4a*eS Engineered Foundation Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees 4O# Snowload Letter - Manu. Homes Soils Report Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Grade/ Topography 40% Planning lssues Subdivision Plat -/ ,/ry Driveway Permit Surveyed Site Plan vØ Septic Permit and Setbacks ú"'- Grade/ Topography 3o% ./y4 Road rmpact Fees 5 . V. > , NA .- Red Line Pla ns/ Stamps/ Sticker Attach Conditions z Description & Summary: na tbâuas !",o,/ t/ Application Signed Plan Reviewer to Sign Application Parcel/Schedule No. FLS ztoø * 7+, bg = t 64lZ,6,Yf ^cPld bR )¿ lz € 72428,00 / /ú48ãe Zfupth Sb"host r*j.2?-7-lz7 althsþl li,'rUy t^/on*ffi fu r-s,8,ò, d trgt/la 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. Property Owner Print Sign Date a a I