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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 RçC f.rvËt) P7o) 94s-82t2 www.garf ield-countv.com 1. i GÉi" BUILDING PERMIT APPLICATION Dwell Unit - MAXIMUM SIZE OF I,OOO SQUARE FEET \{Reroof'Residential (SF, Duplex or Townhome) Manufactured Home (sinele or Multi.Level) DemolitionIti-Fam DetachedGarage: EWClass of Work: Assessor's Parcel Number: 7JL1 I LZCIO3b9 5.1Ø5 qc sua. Kdla;,nil eXemB\ion Describe Work:u ,5'Height:, 1,7þOSq. Ft. of Building 3t?4 cg- zLcz, TZi{l*- tot I Block - Job Address: Property Size {Sq. Ft. or Acres) fof lt Owner's Valuation of Work: PhonerManufactured Home lnstaller: Mailing Address EmailAddress: Phone: (Engineer: Mailing Address: EmailAddress: EmailAddress: Phone: ( )Architect: Mailing Address: lToo os ( nôt 7Q51)bLPhone I Contractor: Mailing Address Email Address: Property Owner: Mailing Address: Email Address:do.coont/qun* @-*r 70Phone: LG T2 u"z-1qnar+4 Colo Co %l øsa(bo t.,l iiì tnt;t1 lt) of b¿ ilqo,\erl ne Other mpt Permit #: NOTICE Àuthoritv. ffrii applicàtion for a Building perm¡t must be sìgÀea 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 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 constructthe 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 d er en eer an or builder i piorÉcr ourÀis cbr,rnnùso atural Gas I Driveway I Permit: Community ri"itii.. understand the Notice and Certification above, as well as, have rrect and accurate to the best of my knowledge. jo ZL Date I hereby acknowledge provided the required that I have read co /uu'-- Property Owner Print and Sign DateSigned Approval BUITDING / PLANNING DIVISION :tl-î-23|,ilúrht t"'EffN> locccroun' tpù zo¡[nc:Const. rr'",l Q O owfs No: rum- eP nto:ÑQç-NZI4Balance6aaaPa¡d an Checkrctad , 06 Manu. Home Fee:NIA wTn 6?þ ûttaúel úNÞ /va,4/€Special Conditions: ?aOFFICIAL USE ONLY 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 untilthe 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, und nd and will abide by the requirements of this checklist. tz-q -zL Property Owner Print a tgn Date a a GærfuId Counq, BUILDING DEPARTMENT 108 E¡ghth Street, Su¡te 407, Glenwood Springs' CO 87607 Tel: (970) 945-8212 P1.A N REVI EWC ECKLIST Permit No: BlflE- /O-A3- flef/ Building lssues Pla n ni ng I Zoning lssues Kum - Property Line SetbacksEngineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Gradel Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valual.iorr Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions 40# Snowload Letter - Manuf. Homes ry NA NA ./ ./ 35 ft. Stream Setbacks Flood Plain Building Height Toning Sign-Off N/ft -Road rm pact Fees n0 FLçt" F Grad e/ TopographY 4OYo Planning lssues Subdivision nat l7i¡þ Application Signed"äki,km^slr Descri pti on 8l5u![ ¡oely: -*"*"¿ Plan Reviewer to sign Application -+- Parcel/ Schedule No. NA WM soits Report ofet?hal€ r?'/!Ø7rÇ