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Home My WebLink AboutApplicationGørfield County REcEtvE% FIB 2 5 2022 GARf.IELD COU T.ITY Community Development Department 108 8th Street, Suite 401 lenwood Springs, CO 81601 Í97s1s4s-82t2 www. ga rf ield-cou¡ly¡am COMMIIryITY 7 BUILDING PERMIT APPLICATION rt rÞ? DemolitionCommercial/Mu lti-Fa mily Manufa ome (Sin or Multi- ><Rerooffti¡cential((sr)ouptex or Townhome) ñ;;"it oìGíting unit (ADU)- MAXIMUM SIZE OF 1,OOO SqUARE FEET Ç/ta4 (Phone: Email Address: Property Owner: Mailing Address: Email Address: /Ò3 Phone (o óPhone: Po Architect: Mailing Address Contractor: Mailing Address Email Address: Email Address: t Phone:17o 73ð.- Mailing Address: Engineer: Mailing Address: Email Address: Phone: (_) Z a¿rr-, Height: 1 aa Job Address:yr /( of Work:z{404'î Manufactured Home lnstaller; Property Size (Sq. Ft. or Acres): Assessor's Parcel Number: Sub. Describe Work: *Vonl owner's Valuation Sq. Ft. of Building:#of Floors: P. rot å Block - Class of Work: Garage:Detached Electric Otherral Gas PropaneType of Heat: Briveway Permit: Author¡tv, 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. 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 ãbove, 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(si 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 w¡ll comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWIS 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 ¡er eer and/ or builder I hereby acknowledge that I have and understand the Notice and Certification above, as well as, have is correct and accurate to the best of my knowledge. Z"tl -zø Date provided the ired i Property Owner Print and Sign n which æârra¿L,Ê,4ØNùmÔN!Special Conditions: Manu. Home Fee:\slû PiF'"'o,ootlPlan Check Fee: Lb7q,-70 Perm¡t Fee; r^¿2664.'.'Adiusted valuation:,iqz orf 7ø s6Pr'?365 OWTS No:Total fees: +,zJo7 86 a Zoning: R.UT2ALSetbac'ks:hillÌ> q.t.,61e'-7o Const. t9 occ Paid Du BP No: wre-13 g-2k72 BUITDlNG / PTANNING DIVISION : Signed Approval I Date i frnþIe-d, rowlt w/Ftdflai^BUILDING DEPARTMENT 7OB Eighth Street, Suite 407, Glenwood Spr¡ngs, CO 81601 Tel: (970) 945-8272 3-gJ+ PIáN REVIEW CHECKLIST 2L Permit No: B¿QF-AZ-ZZ-7j ê4 Gørfield CounQ Building lssues Planning/Zoninglssues RUfa elgrrff / -/ ^lA Engineered Foundation Driveway Permit CIND rl4 UNDSurveyed Site Plan "æl=222-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 dr¿"QCr) 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 Planning lssues Subdivision Plat 5t7359 Descri ion & Su FLg 1oîT x Zt/,(st : s6,qba,?b CîM :,,/A 247x '120 x 7NX 3L- + tg=+ lL--þ hTr l Ò+,oo 7,560,û 00K+A 2l-Vb7b Jêtl/Tdsþlwndþ7 Ç.zg-zl 4(ü a$'vøleá, blù valz + gg1rofi. : - 't)=fo7 :.,/ugl-+anyass + Ktn (putN'lr@w¿dt : Framing plans for each floor level and roof. All þeams, 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 ackn checklist. d, understand and will abide by the requirements of this 2'tS'- z,Ð'vu' Property Owner Print and Sign Date a a