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Home My WebLink AboutApplicationGørfield County Community Development Department 108 8th Street, Suite 401 RECEAIr¿t¡yood Springs, co 8L601 leTol s4s-82L2Å\pRi5@ GA BUILDING PERMIT APPLICATION Demolitionulti-Fa miCommercia Manufactured Home le or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accesso Dwelling Unit U - MAXIMUM SIZE OF 1,OOO SQUARE FEET Property Owner Mailing Address Email Address: f*u, ^ *krrs a fr,IeM r rv rff.none, q47 t) 349-1j95 tIL^Jb I r,l*?f¡t {?5* ¡üf-,{¿û\ Át*ttoIþ{t*i Email Address: Contractor: Mailing Address ûasenrfu fs :S{ t" iq¡Snrnrt Phone SÛED W;nlu-,. 'f<rj Phone: ( )Architect: Mailing Address Email Address: PhoneEngineer:atvubtv^i'r¿ Mailing Address Email Address: Phone: (_)Manufactured Home lnstaller Mailing Address Email Address: 'l¡ u'1 LDescribe Work: Height: t" dlss Sub./)urtr /,;t r"' 3 u k tiv {^ 4¿ û ü 1Assessor's Parcel Number Job Address: Property Size (Sq. Ft. or Acres)Owner's Valuation of Work: S Sq. Ft. of Building:,':.-r'i" I # of Floors: I Block _Lot,) *New Remodel/Alteration AdditionClass of Work: DetachedAttachedGarage: ,] PROJ ECT DETAITS CONTINU ED CommunitySeptic]WTS P ropa ne Electric OtherType of Heat:Natural Gas Permit #:Driveway Permit: mpt NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwnerof theproperty,describecl above, oranauthorÌzedagent. lfthesignaturebelowisrroLLlr¿LuILlreOwtret,¿sep¿r¿teletterofaLtthority,sigrrecl by the Owner, must be provided with this Application. Legal Access. A Building Permit cannot be issued without proof of legal and adeqcrate access to the property for purposes of inspections by the Building Division. ple 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. ng 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 Other Permits. Multi Void Permit. A Buildi 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 specìfications 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(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 Iaw regulating the work and the Garfield County BLtilding 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 ol"lrer 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 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. €L "/2- Property Owner Print and Sign Date OFFICIAL USE ONLY A rÞ.qt{.8f c.c. o1 tt/z-o¿¿ Special Conclitions:6ee a-tþad¿e¿ &AlÞ/T¿/1/ € ^'ä'i^Dä)ïp 'i+gr[:vF 'ròvü36 Manu" Home Fee: N/A *".N'/A Total Fles:dL\54. Fees Paid: .r +ç{.r+"wT:',r6 BP No: BLR€-7'IS I owis ruó: x/a s.tbárb,L OCC Group:tR¿¡ Const. Type: l.fL. c Zoning: R.IJ R4 L t/,7#,6-tBUILDING / PLANNING DIVISION : Slgned Approval Date Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses specifieì. Pre-manufactured structures require the engineers stamp, signature and date. Framing /connection details, braced wall lines, shear wall schedule, Iocation 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 ior 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 wilibe 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 acknowtedge t have read, understand and will abide by the requirements of this checklist. b ï-l /-Z z^, rty Owner Print and g Date Gørfield County BUILDING DEPARTMENT 108 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 87601 Tel: (970) 945-8272 PLAN REVI EWC HECKL I ST Perm it ¡,to: ELRE--ó44+42- 4,5/ Building lssues Pla n n i ng I Zoning lssues -1 - Building Height -/ l,lA Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Zoning Sign-Off Road lmpact Fees ?*"ë9 Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks -.- Grade/ Topography 3o% Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes soirs Report ll -B 1'281'2ô16 o t¿/52-oØ/ -/3 Ç-- Attach Residential Plan Review List -/Subdivision Plat Notes -/ Grade/ Topography 40% -/- Fire DePartment Review Planning lssues (/ Valuation Determination/ Fees -/ subdivision Plat reryh'ãn 527þ0/ NA a Descri otion & Sum marv: "?400x 424=5vØ 4r*/bail,h3Vn/aa*'**^14_ rþ lìvinq t(rn i 5/â u/ /þb ,4a lÞ N/A