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Home My WebLink AboutApplication$tA[$[$Hm Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82t2 www.ga rfi eld-countv.com >äl- uJz"ã E '-ì ãE t¡,| ':7- f] äg :.j dË=E Ëãã Gørfuld CounE BUILDING PERMIT APPLICATION WPË OF Commercia Ir¡-Demolition Manufactured Home (Single or Multi-Level) D<Residential (SF, Duplex or Townhome)Reroof Dwell Unit - MAXTMUM SIZE OF 1,000 FEET INVOTVED PARTIES æ\ê \l¿Ll l(-. \r¡v-v Property Owner: Mailing Address: Email Address: Y Phone:t'lV-l &n4 1791 ?Y c o rn t)( o Contractor:o Q¿d¿ lL Phone: Mailing Address: Email Address: Arch¡tect f q [f =l.nhns'It Ct Phone: ( 7?Ô I 3 (¿ lq 6+ Mailing Address Email Address: 13 6 Lo: t Tlr r.¡l s -ts R,Llo aD c}tr 4.çor\ Engineer:AIv t,\RnKou.rç kï Phone:1 Mailing Address Email Address: \'ù'\)ò Lò t > trr 5¡>" ú./ Manufactured Home lnstaller:Phone: (_) Mailing Address: Email Address: PROJECÍ DETAITS Describe Work: Job Address:tvor Assessor's Parcel Number:2 f - olL,30,ôsÕ 5ub.(Lot t O Block - Owner's Valuat¡on of Work: S á;ø. ùëë Property Size (Sq. Ft. or Acres): Sq. Ft. of Building:7o sâ Heightr a3' .l r¿l #of ag 7 Class of Work:x New Remodel/Alteration Addition Garage: þ< Attached Detached PROJECT DETAILS CONTINUED CERTIFICATION 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 to the best of my knowledge. þ Property Print and mmunitySeptic:OWTS Electric OtherPropaneType of Heat:ral Gas Pernrit #: lllExemutDrlvewäy 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. 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 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. 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 Perm¡t 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 ¡nspect 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 d er, engineer an or builder oFFlclAt USE ONIY Pt rÞ .f i,4rs,er o t/z_q ¡nzz-ptãCR.t toal *ee at*a¿/e/ U[V> I nOl(SSpecial Conditions: Manu. Home Fee: st /x P'þffr 42tu*Adiusted Valuatio¡+l; .1t l'. t75:3Ø OWTS No: Con¡.rr,tbJ rfY BP No: ßuse-t sHÎ'"-{:;:44.r,Bala +t PePlanVL,t fi, Due:'t? eck F Paid: t3.ct (¡ú Zoning: P. U.Þ,OCC Group:tpu Const. Type: t. R.. ê Setbaéki: . C¿N}Þ úe7-ÆBUTLDTNG / PTANNING DIVISION : Signed Approval I Date Gørfield County ÙU'LÐING DEPARTMENT 1O8 E¡ghth Street, Suite 4O7, 6lenwood Spr¡ngs, CO 87601 Tel: (97o) 5-8212 Building lssues 4 LAN REVIEW HE KLIST Permit No: ARE- 4â-ZZ-7,U/$ Plan ning/Zoning lssues EEng Driveway Permit Surveyed Síte Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Val uation Determination/ Fees Red Line Plans/ Stampsl Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcell Schedule No. 40# Snowload Letter - Manu. Homes NA 35 ft. stream setbacks þ,JA fi'z Setbacks Flood Plain Building Height Zoníng Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues 6-oî-IJZZ neu/aurî¿r 5-1727Luîr*lt Soils Report no ohanf? Sevual desfin chuçc; / on ç.tr d n'/e uør/, o*h/t l'oí¡e loi r¿á)þ se/erj rn6,t de/e /e/ t;ê h .óasza4n ft,€/aþr cratzl -f*// ær//ør rt rt i"tt rytl/r€l @ #goþ /a/o, 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. a a r '-/o crlnrø7 Owner Print and n 05 >1 -2> Date