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Home My WebLink AboutApplicationGarfuld County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 19701945-82L2 www.garfield-countv.com BUILDING PERMIT APPLICATION PE OF CONSTRUCTION Com merciaUM ulti-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 Property Owner: Mailing Address: Phone: t lFlO ,3a- sG11 Email Address:b ln,iâ l^tru¿ ø lô.oÅo . ¿ "- Contractor:'\AJQrn,¿Phone: Mailing Address:'ì B¡rp Email Address: Architect:\S Phone: Mailing Address: Email Address: Engineer:Phone: Mailing Address:ve Email Address: Manufactured Home lnstaller:Phone:() Mailing Address: Email Address: PROJECT DETAII.S Nert kr lt IDescribe Work: Job Address: Assessor's Parcel Number: Sub.Lot Block Owner's Valuation of Work:Property Size (Sq. Ft, or Acres): Height:f of Floors:_ Class of Work$(New Remodel/Alteration Addition Garage:Attached Detached I PROJECT DETAITS CONTINUED Septic OWTS Community Type of Heat:ural Gas Propane Electric Other Driveway Permit: pt Permit #: NOTICE Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by 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 Perm¡t, (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 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 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) orany 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 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. Property Owner Print and Sign Date LoþOFFICIAT USE ONIY 5 ee hbÞaalu ¿ u/vb / nau/sSpecial Conditions: g'usted Valuation:3g.ev),Plan Check Fee:6 zzÇ,ú å*äl2.ss Manu. Home Fee:ñln vti,".r"U/4 bbFees Paid:+339 '$t"$"))"dg BP Nó: PLtæ-]ffi4 OWTS No:lttlA2lT¡tal Feés:î 862 a Setbacks: ralL OrrUro"Orl <î const.rvTp6 t"4n' t2-8-ZBUILDING / PLANNING DIVISION ttJ,'r^#- Signed Approval Date Septlc Communlty T|Fr HcrÈ 6Þs Propane Electrlc Other Drtvcwey Permlt: Permh S: Authorlty. Thls applicatlon for a Euildíng Permlt must be slgned by the Owner of the property, descrlbed above, or an authorl¿ed agent. lf the slgnature below is not that of the Owner, a separate letter of authorlç slgned by the Ovuner, must be provided wlth thls Applícation. lß¡âl Accers. A Euilding Permit cannot be irsued wlthout proof of legal and ãdeguate access to the ptoperty for purposes of lnspe€tion$ by the Buildlng Divislon. Othe¡ Permlts. Multiple separate pÊrmlti may be requlred: (1) State Electrlcal Permit, l2l County OWTS Pêrmlt, (3) another perrnít regulred for use on the property identified abovq e.g. Stäte or County Highway/ ßoad Access or â State Wastewet€r Dlscharge Perm¡t. Vold Permh. A Euildíng Permlt becomes null and vold lf the rryort authori¡ed is not commenced within 180 days of the date of ¡ssuance and if work ls suspended or abandoned for a perlod of 180 days after commencement. I hereby certify that I have re¿d llrls Appllcation and that the understand that the Suilding Divlsion acceprs the Appllcatlon, along with the planr and specificationr and other data submltted by me or on my behalf {¡ubmlttals}, based upon rry certiffcstion as to accuracy. Assuming completeness of the subminals and approval of thls Applicatlon a Building Permit wlll be lssued Srantlng perm¡ssion to me, as Ownet to construct the structure(s) and facilities detailed on the submittalr reviewed by the Euildíng Division. ln consideration of the ¡ssuance of the Building Petm¡t, I agree that I and my agents will comply with provisions of any federal, state or local law regutating the work and the Garffeld County Building Code OWTS regulations and applicable land use r€gulat¡on¡ (Gounty Regulation(s)). I acknowledBe that the Euflding Permit may be su¡pended or revoked, upon notice from the Coung if the locatíon, construction of use of the structure(sl and facllity(tesl, der¡lbed abovg are not ln comptiance w¡th County Regulation(s) or any other applicable law. I hereby grant permíssion to the Bulldlng Dlvlslon to enter the property, described above, to lnspect the work I further aiknowledge that the lssuance of the Buildin8 Permlt does not prevent the Building Official from: (f) requiring the correctfon of errors in the submlttals, if any, dlscovered after lssuance; or (2) stopping conrtrrãlon or use of the structure(s) or facility(les) if such ls in violatfon of County Regul¿tlon(s) or any other appllcable law' ßeview of ttúr ¡lpplícãt¡dn, lncluding_submittals, and inspestlon¡ of the n'ork by the Building DMsion do not const¡tute en acceptånce of responsíbility or liabllity by the county of enors, omlsslons or discrepancies. As the ourner, I aãknowledge that responslbllity for compllance with federal, state and local laws and Oounty Regulations ¡est wlth me and rny authorized a¡ents, including wthout llmitatlon my arch¡tect is true and correct. Icontalned or builder' acknowlcdgc rùat I havc rcad ¡nd underst¡nd the t{otlcc l¡ conest ¿nd ¡ccur¡tc to the best of my knowledge. ¡bove, et urell ãi, have i I i i I I .tj I J I I.l I .ì l t ...1 .tI .! J 'lI l :1 I { I : ! I l I I I I I I I hereby r tl L L7r Propeßy Orrner Prlnt ¡nd Slgn Date Speclal Condition¡; Mlsc. Fee¡:Manu. Home Fee:Permft Fee:pÞn cfeck ryiAdj.¡sted Valuatlon: t OWTiNo:E-îls:Balance Due:Fees PelúTotalFes¡: Ionln¡:Conrt TyPe:ACCGrougzSetb¡ck¡: sUtLDtNG I PlAlvf{lfÚc olvlSlotÚ : Shned ApproYal D¡te G,ørfi.ehd Cou:ntY BUILDING DEPARTMENT 708 Etghth Street Su¡te 407, Glenwood Springs, CO 87607 Tel: (970) 94*8272 PLAN R EVI EWC HECK LI T PeÈ't-dì!E i'JÛ:6tRE*//-zz-797/7â?1 767é FÍanninglZonËr"lg lssues 13 iri I Ë d r *"1 g Ë ss F-¡es ryEngineered Foundation Driveway Permit Surveyed Site Plan Application Signed Plan Reviewer to Sign APP|ication Parcel/ Schedule No' 40# Snowload Letter - Manu' Homes soirs Report tSOOfâê- -/ Property Line setbacks tll4 ¡6ft. stream setbacks t/r+Seotic Permit and Sqtba.cks .'"ï r,J *¡ k7/szb7þ / 4 4/2¿4 Grade/ ToPograPhY 30% t' Attach Residential Plan Review List -/ subdivísion Plat Notes N,+Fire Department Review Valuatíon Determination/ Fees Red Line Plans/ StamPs/ Sticker ( f,"1,*Attach Conditions -/ subdivision Plat + 7e14 - dok + ¿ anh /e/er/ /^U *larâ - e;i,;rrù /oru ?a/fu)/L *79îþ- /nXratutd'P;o/ -/ Grade/Topography4o% -'/Planning lssues ri,Ji'L( i i:ì:iorr 3i 5l;r"ìar I û,11 l"if; ilL Flood Plain Building Height Zoning Sign-Off Road lmpact Fees ult #ï#f "o¿*,;*l ¿a/ue éry*" rzølø o,,b,nnülby' ra/ae Éts, a22ê¿ *7t/ø fizo x ss2-ç,1 =fuVø/0æ6441>- r ern Fb ct5Ò rr'ø¿e/Quq/draøh 5 tl /." . Freming plans for each floor larrel and roof. All beams, columns, joists, raflers and þusses specified. Pre,manufactured structures require the engineers stamp, sígnature and date.. Framing /connection details, braced wall lines, shear wall sçhedule, location and hold downs. NOTE: lf any required information is missing, delays in issuing the permit are lo be expected. lf determined by the Building Official thqt additional information is necessary to review lhe application and/or plans fur cÖmpliancè, the apþlícation may be placed on hold untilthe required information is pmvided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Revier¡r fee at time of application submittal. The permlt fee, as ruell as any Road lmpact fees will be collected wtpn 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 occt¡pied untila Cerlificate of Occupanqr (CO) is issued. Using the building without a CO will be considercd an illegal ócanpancy and may be grounds for vacating the premises. (FinaUGO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, checklist and wlll ablde by the requlrements of thlsunder¡t¡ndI .l\ \'',, t e+a Ae\tt"elc It tLlzu Owner and Date tì i J ,¡ 1 \'',, r I \,',, i ì