HomeMy WebLinkAboutApplication.pdf2 3 4 5 6 7 Manufactured home installer: -Enginee-r: CJezrfieZd · ~9Un~· ... ~ 108 ~h Street, Suite 401, Glellwood Springs, CO 81601 Ph:970-945-8212 Fx:970-384-3440 Il1spection Lil1e:888-868-5306
\\'\V\\'.!.!arfield-cQUlltv.com BUILDING PERMIT APPLICATION Mailing Address: Ph: ... _-Mailing Address: Ph: Alt Ph: Lie #: AltPh: 8 Sq. F!. ofBuilding: ~1(.1<;''iI~<sj Sq. Ft. or Acres
arLot: ? No. of Floors: N I" '-kt..Iu:~S Height: Use of Building:.-I'_ I Class of Work: }Q.Residential DColl1mc rcia! DOlher ONew DDemo DMove 9 DAlteration ~ddition ORepair 10 II G,araoc
' TyJ)? of Heat: N /A D Anached ODetached I;JJAt iC: O ISDS DCommuni ty Nt ~ DNa!. Gas Dl'ropane DElectric DOther 12 Driveway Penn it: IJ /A Owners valuation OfWOf1t \ .... 1 u z..",
0 NOTICE i\ ufhority. TIlis application fQr a BuilJing Pennit must be signed by the Owner of the propel1y, described above, or an aU!horized agent If the signature below is Hot that
of the Owner. a separate leller of authority. signed by the Owner, mUSt be provided with this Application. Leoa l Access. A Building Pennit crumot be issued without proof of legal and
adequate access to the property for purposes of inspections by The Building Department Other PermiTS. Multiple separate pemliTs may be required: ( I) Slate Electrical Pemlit. (2) County
ISDS Pennit, (3) anOlher pemlit required for use on the property identified abovc. e-s_ Slate or County Highway/Road Access or a State WaSTewater Di scharge Pemlit Void Permit. A Building
Penni! becomes null and void if the work authorized is nOI commenccd wiThin 180 days of the date of issurulce and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION I hereby certi(\' thai I have read this ApplicaTion and that the infonnation cOn1ained above is true and correc\. I understand that the Building Department accepts the
ApplicaTion, along with the plans and specifications and other data submilled by me or on my behalf(s ubmiltals), based upon my certification as 10 accuracy. Assuming completeness of
the submillals and appro\-al of this Application , a Building Pennit will be issued granting pennissioll to me, as Owner, to const ru Ct the stnlclllre(s) and fac ilities detailed on
the submittals reviewed by the Building Department III considera tion of the issuance of the Building Pennie I agree that I ruld my agents will comply with provisions of any federa l,
state or local law reg ulating the work and the Garfield County Building Code, [SDS regulations and applicable lruld lise regulations (Coullty Regulation(s))_ I a~kllowledge that the
Building Pennil Illay be suspended or revoked, upon notice from the COUllty, if the location, constmctiOIl or use of the structure(s) and fac ility(ies). described above. are not in
compliance with County Regulation(s) or any other applicable law, I hereby grant pennission TO the Building Depallment to enter the property, described abo\-e, to inspect the work, I
further acknowledge th at the issuance of the Bui lding PenniT does not pre\'entthe Building Official from: (I) requiring the correction of errors in ttle submillais, if any, disco\'ered
after issuance: or (2) stopping constmction or use of the STruCl\lre(s! or facility (ies) if such is in violation ofCoutHyRegulation(s) or rulY oTher applicable law, ---------------~
---~-~ ----~-----Rc\iew orThis Application. including submittal s. and inspections of The work by the Building Department do not constitute an acceptance of responsibility or liability
by the Coullty of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal , STate and local laws and County Regulatiolls rest
with lIIe and Illy authorized agents. including without lII1111ati01l my arclntect deSigner engmeer andl or bUIlder I HERE~\!OW J'-'Z l HAVE REA.D AND UNDERSTA.ND THE NOTICE & CERTlFI
CATlOl'i ABOVE A/.J· /O~ " h' \. It I "'OWI'iEGS SIG~A 'r U RE DATE 'STAFF USE ONLY Specinl Conditions: Adjusted Valuation : Plan C heek Fcc: Permit Fcc: Manu home Fee: i\'Iisc Fees:
167Z -hb. -ZO -Total Fees: Fees Paid : Balance Due: BP No & Iss ur Dalr: ISDS No & Issued Date: /09 . 2-3 66.20 -~OI5 Setbacks: OCC Group: Const Type: Zonin g;
Building Plan Review Description of Work: addition to deck off front & south side of house Bin#: Location Address: 2 IO MAROON DR GLENWOOD SPRINGS, CO Case Manager: David Bartholomew
Plan Ca.e Number: BLDG-5-11-6841 Parcel: 218527316042 Application Date: 05/02120 II Building E ngineered Foundation D riveway Permit S urveyed Site Plan S eptic Permit and Setbacks G
rade/Topography 30% At tach Residential Plan Review List M inimum Application Questionnare S ubdivision Plat Notes F ire Department Review Va luation Determination/Fees R ed Line Plans/Stamps/Sticker
A ttach Conditions A pplication Signed P Ian Reviewer To Sign Application P arceliSchedule No_ 4 0# Snow load Letter -Manu_ Homes S oils Report Contacts Owner: Gary & Pamela Brewer Applicant:
Gary & Pamela Brewer Applicant Phone: Email: Planning/Zoning P roperty Line Setbacks 3 Oft Stream Setbacks F lood Plain B uilding height z, oning Sign-off R oad Impact Fees H OAlDRC
Approval G rade/Topography 40% P lanning Issues S ubdivision Plat General Comments: \JAtu.k-h01A IZWtew ~ 'e. Pet'lMlt Pte-I, B72. -(M5IA-bl'Ul#trJ) 43.01 ~b. z.o fOTAl. ,4w1-t-pd /09·2.'3
-~_..:4.. .~:-'-(-)' '=}>----
FEE ESTIMATE FOR~FSTICKBUnTHOMES (ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED) Applicant: ~'--'t-jlj;j l-.{ £.. c:.,.~"i>l]L\J~.:n.~ Co. I~ Job Address: '2. lo MA-P-oocl I:?IL
6,. S. c.::. I Subd-Lotlblock: Lor --\-'2-/;, -MII..t. .ct¥,,\l FINISHED LIVING SPACE: ----------s-f X 74.68= 4 -----~----------UNFINISHED BASEMENT: __________ ....:s"--f X 41.00= -------ii~-------CR
AWLSPACE: ---------------------sf-X 9.00= ;I GARAGE: _____________ --'s'-f X 18.00= ___ ~p~ ___ _ UNCOVERED PATIOIDECK: ( S(P sf X 12.00= ( b l'l.. . 00 --~~~--~ --~~~~~--COVERED PATIOIDECK:
sf X 24.00= e ----------------.~--------MIS~ __________________________ _ p AfIS~ ____________________________ _ TOTAL VALUATION: (f>1'Z..60 THIS SECTION WILL BE DETERMEND BY GARFIELD
CO NTY BUILDING & PLANNING PLAN REVIEW FEE; 'L.f3,03 PERMIT FEE: TOTAL: PERMIT: SEPTIC= PERC:
NOTE: If any required information is missing, delays in issuing the permit are to be expected. If 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 department will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Septic or Road Impact 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. 4!}-' Date Garfield County Building
& Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.garfield-county.com