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Home My WebLink AboutApplicationGarfteld County eP Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82L2 www.garfi eld-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/Mu Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accesso Dwell Unit - MAXTMUM S|ZE OF 1,000 SQUARE FEET ¡NVOIVED PART¡ES Property owner: %jb i Llf-Phone:tfllOI3 - K6q Mailing Address: Email Address: t7oß (ß tilt ú,LÅ,L rn tlnE ø h}o,r wrwctloraÅo . <t h Contractor:W R\^/Phone: &lp-ln1'F 4t Z Mailing Address:h Itpa Email Address: Architect:Phone: Mailing Address:'hl I VT\n ìr-, *t"ria,-[-p ¡0r Slvzz Email Address: t Engineer:Phone: tl €'?a-t ct¿*-3- bílo Mailing Address:)óft t 6r"^Å" ,4¿&-.l 2 Email Address: Manufactured Home lnstaller:Phone:f ) Mailing Address: Email Address: PROJECT DETAILS I Describe Work: s Job Address: Assessor's Parcel Number: Sub.Iot Block Owner's Valuation of Work: S 16æô Property Size (Sq. Ft. or Acres): Sq. Ft. of Building:âlÊ Height:A "GÈ.f of Floors:_ Class of Work:K New Remodel/Alteration Addition Garage:Attached Detached PROJECT DETAITS CONTINUED Septic:f,WTS Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: Exempt Permit #: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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 Accesi. 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 perm¡ts 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIF¡CATION lherebycertifythat lhave read thisApplication and thatthe information contained above istrue 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 npplication, 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) 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 designer, engineer and/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have ded the required information which is correct and accurate to the best of my knowledge. Property Owner Print and Sign Date YOFFICIAT USE ONtY -t, tsee ôc#adupd ØNÞ/TCINSSpecial Conditions: *o,)1"59 å"'ìf:ä:51'{"åEi^'zE Manu. Home Fee l\T,AAdiusted Valuation:hq.ÒÐ -:lffiBP f{o:ç.1ff OWTS No:ñlA'ë""t]î4.gb Biüh,61 Balance Due: -þ L^l^ze const'rvne¡ pÐt"roWL occGroup: tRA (\^)ir'+'f"lZ-î-ZLBUIIDING / PLANNING DIVISION : Signed Approval Date Septlc GãsTypc of Herl:Propane Electrlc Other Drlvcway fl: Permft musl be slgned by the Owner ofthe property, descrlbed above, o¡ an authorized agent. lf the slgnature below ls not that of the owner, a sepãrate letter of authorlty, slgned by the Or¡vner, must be provided wlth thls Applicatîon. lßrål Accer3. A Suilding Permit cannot be issued wlthout proof of legal and adeguate access to the property for purposes of lnspect¡ons by the Buildlng Divislon, Other Permlt¡. Multiple separate pÊrmlts may be regulredl (1) State Electrical Perm¡t, l2l County OWTS Permlt, (3) another permit requlred for use on the property ldentiffed above, e.g. State or County H¡gh$ray/ ßoad Access or a State Wâstewater D¡scharye Permlt. Vold Permh. A Building Permlt become¡ null and vold lf the rryork autho¡ízed is not commenced within 180 days of the date of issuance and lf work ls ruspended or abandoned for a perlod of 180 days after commencement. Aulhorltv. This applicatlon compteleness of the submittals and approval of th6 Applicatlon. a Euilding Permh wlll be lssued grantlng pefm¡ss¡on to me, as Owner. to construct the structure(sl and facillties detaíled on the submittals reviewed by the Buildlng Division. ln conslderation of the issuance of the Euilding Permit, ¡agree that I and my agents will eomply with provisions of any federal, stäte or locâl law regulating the work and the Garfield County Build¡ng Code, OWTS regulations and applicable land use regulatíont (County Regulation(sfl. I acknowledge that the Euildlng Permit may be suspended or revoked, upon not¡ce fram the County, if the location, constructlon or use of the structure{sl and fac¡lityliesf, descrlbed above, ere not ln cornpllance wlth County ßegulation(s) or any other appficable law. I hereby grant permísslon to the Buildlng Dtvislon to enter the property, descrlbed above, to lnspectthe work I further aiknowledge that the lssuance of the Building Permit does not prerænt the Building Official fmm: {l) requlring the corrsction of errorc ín the submittals, if any, dlscovered after lssuance; or {2} stopping conrt.uå¡on of u5€ of the structure(sl or facility{les} if such ls in vloletlon of County Regulatlon(s} or any other appllcable taw' Review of ttfs ilpplícat¡dn, lncludingsubmittals, and ¡nspect¡ons of the work bY the Building Dîvísion do not constitute an acceptance of responsfblllty or líability by the county of errors, omlsslons or discrepancíes. As the ovyne¡, I aðknowledge ttrat feslonr¡bll¡ty for compliance whh federal, state and local laws and Oounty ßegulations rest wlth me and rny authori¡ed agents, including wlthout llmitetlon my architect or correct.andtgabovetrueIthatreadhaveEhlslnformationcontainedcertifythatandtheApplication otherandtheandthatundectandtheDivlslonthewlthspeclficatignsEuildingacceptsplansalongAppllcatlon, submltteddata a:tcertification açcuracyto Assumin8meonorbehalfbasedbymy(submlttal¡1,ffryupon I hereby acknowledga that I haYc ¡ead ¡nd understand the Notlce ¡nd Certlfrcatlon ¡bovc, ¡3 as, havc the best of ny knowledge. 1 .l ì i ,l I'¡ 'I I II'ìl I ,i I t -tìr ,t I.iII,j "4 J { I I j j l 1 I I ; I I I ! tl 7-L?J Property Owner Prlnt and 5l3n Date OFTIG|AIUsE ot{tY Speclal Condhion¡; Mlsc. Fees:Manu. Home Fee:Pcrmlt F¿e:phn cfeck ryiAdJusted Valuatlon: OWTSNq¡E-Ëg:Balance Due:Fees Pal4Total Fee¡l Zonln¡:Const Type:OCCGrougtTetticr¡: ) BUrLDlltî | Pl"Afvfttltlc Dlvlsloll : Slgned Apptoval Dete G,ørfæÊd CourtÉY BUILDING DEPARTMENÍ 708 Etghth Street, Su¡te 407, Glenwood Springs, CO 87607 Tel: (970) 945-8272 P NR EVI EW HEC LIST PcrsçÊt l*Jo: 6RE-//-ZZ-tl7âry76?6 lrla.l'il"r r ng¡{Zellãng EssuesEut$ding Êss:lieg ,^/r+ ¿.. -/--' -ra -/ rl,+ r l"l* nt lt */ rorn Fb Engineered Foundation DrivewaY Permit Surveyed Site Plan 'n\*Hf*fffia øw4 Grade/ ToPograPhY 30% Attach Residential Plan Review List Subdivision Plat Notes Fire DePartment Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPIication Parcel/ Schedule No' 40# Snowload Letter - Manu' Homes soirs Report tSOApsê- 6K4Ì>- ct5Ò t/ PropertY Line setbacks tl/4 ¡6ft. str"at setbacks /{.+Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ TopograPhY 40% Pfanning fssues Subdivision Plat +79?4 -h *70î5 "4 *79îþ- /nXratød irielL!j i r:;i;i,ui:¡ 8"i 5u, n *"¡a ry i ir' iï#f 'ø-,;*¿ ¿a/ue ë4* r zølø a,,únülby' ¿a/ae É,t aaa *7t/ø fizo x s82-el = fuvørþ* ùtt/5 lrî {."ur'e¿/e/ Framing plans for êach floor level and roof. All beams, columns, jolsts, rafrers and fr¡sses specified. Pre'manufactured structures require the engineers #tp, signature and date. Framing /connaction details, braced wall lines, shEar wall schedule, location and hold downs, NOTE: lf any required information is missing, delays in issuing the permit are lo be expec{ed. lf determined by the Building Officialthqt additional information ls necessary to review lhe application end/or plans fur s)mpliancè, the apþliilation may be placed on hold until the required information is provided. Work may not proceed wfthout the issuance of a permit. The Building Division will collect a Plan Revier¡ fee at time of application submittal. The permlt fee, as r¡rcll as any Road lmpact fees will be collected wtren the perm¡t is issued. The permit application must be signed by the owner or by person having wrttten authority from the owner to act as their representative. Building cannot be occr¡pied untile Certiñcate of Occupanr? (CO) is lssued. Using the building without a CO will be considered an lllegal óccupancy and may ba grounds for vacating he premises- (FinaUCO inspeclion requirements will be attached to your approved field set of plans.) , : I hereby acknowledge I have read,ynderutand and wlll ablda by the requlrement¡ of thls I checklist Property t. \"" Ì Q<d AeW,dc :, I IL ZL and Date i t 1 1.:,iI l,i' {' \.',t r I \"*, I I Garfield County w Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82L2 www.ga rfield-countv.com SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST ln order to understand the scope of work intended and to expedite the issuance of a permit, it is important that complete information be þrovided. Please review this document to determine if you have adequate information to design your project and to facilitate a plan review. APPLICATION FORM: Please make sure the following information is provided on the application. Parcel number obtained from the County Assessor's Office.. Job address (assigned physicaladdress). Legal Description: block, lot, tract, subdivision, filing, or section, township and range.. Owner's name, mailing address, phone, fax or cell.. Contractor's name, mailing address, phone, fax, or cell.. Architect and/or Engineer's name, mailing address, phone, fax or cell.. Building size, height, number of stories and lot size.. Type of Construction (Residential).. Class of Work (New, Remodel/ Alteration, Addition, Repair, Move/ Relocation).. Detailed description of work.. Type of heating (natural gas, propane, electric, other).. Sewer system (Community or OWTS), also see other items below.. Garage (Attached or Detached).¡ Driveway permit (please see other items below).. Valuation (labor and materials), see attached worksheet. OTHER ITEMS:. WILDFIRE MITIGATION - All Garfield County property owners are recommended to employ wildfire mitigation strategies in the development and construction of all buildings throughout the County. Please refer to the following publication: "FireWise Construction. Site Desiqn & Buildinq Materials" which is available from the Colorado State Forest Service for specific wildfire mitigation strategies applicable to your project.. lf you anticipate obtaining a water-tap from the City of Rifle, please provide a letter indicating that the City will provide water service. Required to submit building permit application.. OWTS requires a septic permit application to be submitted g!![ the building permit application.. A separate electrical permit must be obtained from the State of Colorado Electrical Board.. At the time of building permit submittal, you are required to show proof of legal and adequate access to the site. This may include proof of right to use a private easement, County Road & Bridge permit, or Colorado Department of Highway permit, including a Notice to Proceed. The County Road & Bridge Department can be reached at 970-625-8601.. lf you anticipate excavating or grading prior to issuance of a building permit, you will be required to obtain a separate grading permit.. lf you belong to a Homeowners Association (HOA) it is your responsibility to obtain written approval, if required.. Provide copies of any Resolutions and/or Land Use Permits associated with this property. SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST