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Home My WebLink AboutApplicationDocusign Envelope I D : FD 1 D630 1 -5A89-4 1 E8-80 5E-7 47 E93CC 1 847 Garfuld County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81501 le7ol945-82t2 www.EA rfiel WPE OF CONSTRUCNON E- 9_ojn re4lq.!/M q l!!:f:nt!y__. E Vqnyl.ctqreQ Hom_e or Tiny -3 Home (!ingle or tM-q!!i-!eygl| Demolition tr Rerooftrownhom _[ A-.!9'lo'v_Qyte!!i!g-!U! l4PU-:U4!tvtgM slzE oF 1,209 sQlrARE FEET hivotvED PARTIES I Phone: (ql\tVlq'Tzbl o 8ltoSO Property Owner: Mailing Address: Email Address: L BUILDING PERMIT APPLICATION l'n s Phone: tn) tLq|-q TZqContractor: Mailing Address: EmailAddress:a Architect:t/\ rt Phone: (- ) Mailing Address: EmailAddress: Engineer: Mailing Address: Email Address: Manufactured/ Tiny Home c Phone: AV< l '644K w\ rnstarer: Rr tt'ol't'S ?fe}i\f, Con Phone: Mailing Address Email Address: PROJECT DETAII.s Describe Work: Job Address: Assessorr's Parcel Number: sub. Cnllonf n f?1 W 2111 ',l-oll1ab1 inol.tot 1 Block I\.4 whTl Height: Owne/s Valuation of Work: Sq. Ft. of Building: Class of Work: Property Size (Sq. Ft. or Acres): 6 ,(!Llb q E *y* i E Remodel/Alteration r E Attached # of Floors: I ElRepair ln Move/Relocation b D;ilEdGarage: I I E Rddition Docusi g n E nvelope I D : FD 1 D630 1 -5A89-4 1 E8-80 5E-7 47 E93CC 1 847 PRO'ECJ DETAI tS CONTINUED Septic: Type of Heat:E Propane EI other Driveway Permit: NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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 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 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)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and Development Code. 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 architect designer, engineer and/or builder 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 valentin Lorenzo Bustillos Pena Fimado por:6/to/202s Property Owner Print and Sign 3E9C044A...Date tr OWTS Bru"ir*Gl' --l "n Lt"tpt E Community E Electric b p"irit r' OFFICIAI USE ONLY n 6e? a/*a 77atFSpecial Conditions: "a&\"w isc Fees:Plan Check Fee37q.d5 Permit Fee t5683.Adiusted Valuation 4.7.a04. od BP No: P-r mF q?,M OWTS No:Fees Paid: 4aa,e 'il22'i20TotafFees:/362 u a Const zonff:"'FlitSetbacks: BUTtDtNG / PLANNING DIVISION : Signed Approval Date Docusi gn Envelope I D : F D 1 D630 1 -5A89-4 1 E8-80 5E-7 47 E93CC1 847 MANUFACTURER'S AND/OR ENGINEER'S STRUCTURAL PLANS: Provide the following information.o SOILS REPORT - lf the project is located in a subdivision with a final plat requiring site specific soils investigation report or if Structural plans make a specific reference to a soils report, then a copy of the soils report is required to submit a building permit application.. Design specifications to include roof and deck snow load, wind and seismic design and frost depth.o Foundation plan showing complete footing and foundation dimensions.o Footing and foundation details specifying reinforcement and referenced on plans.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 untilthe required information is provided. Work may not proceed without the issuance of a permit. The BuiHing 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. por: nt and Sign valentin Lorenzo gustillos Pena 6/L0/202s Date Garfteld CounQ BUILDING DEPARTMENT 108 Eighth Street Suite 401, Glenwood Springs, CO 81601 Tel: (970) 94s-8212 PLAN REVIEW CHECKLI ST Permit No: BLm Fib-26- ?32 Building lssues H'/D Planning/Zo ing lssues L*z Property Line Setbacksun ats?s-D riveway Permit Surve d e pt Grade/ Topography 30% Attach Residential Plan Review List Valuation Determination/ Fees Line Plans/ Stamps/ Sticker ch Conditions n // -/ 35 ft. Stream Setbacks Flood Plain Building Height Subdivision Plat Notes .^. wftdD'w P/e*nafi4.lA Fire Department Review \'/ Zonin g Sign-Off d lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat/-+* IANDJ,,^ Yl'"t- qqraq Des --.--fur o.qP= 1- Application Signed 3b"{-out- oPEi\N'HotE $Olt r r"' r-'i /Jr]^y' l$ Po^' "',', , ._ . ,,",,"JT|NG & Sum Energy Compliance Path/Plan Received Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manuf. Homes Soils Report /s/"r natTF f laa avu/ /LZtx2( 327 4 5r7or,oo ,I\ISPECTION PSF