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HomeMy WebLinkAboutApplication-411E:: ay-�zci cvin:;. zi72 108 8i1r Street, Suite 401, Glenwood Springs, CO 81601 Ph:970-945-821 2 Fx:970-384-3440 Inspection Line: 888-868-5306 wtivw.gartield-count .cora 1 BUILDING PERMIT APPLICATION 1 Parce h /ivti. arra o available ur f h/e us • ears office 970-945-9134) Lot No: Block No: Subd./ Ekemption: 2 Job Address: (if an address has not been assigned, please provide CR, HWY ar Street Name & City) or and legal description 3 Owner: (property owner) 17A0t/ A ki,V 1,.1 Mailing Address: ioe izIvE 1Jt7 r7 ., Ph: cis-7,15-3Z- is7,15-3Z4 Alt Ph: 4 Contractor: N/LL i vt tQ5# ' ii -)G. Mailina Address: "F. c7.--0/ 17-08 Ph: 379.55- /5 Alt Ph: OCC Group: � Alanufactured home ins er: ( ILA P vil UG6"Architect: Mailing Address: Ph: Lie #: APP OVAL / DATE ' AP OVAL DATE Mailing Address: Ph: Alt Ph: 7 Engineer: TF 1 AN kLX1-1 Mailing Address: rf"©!L Glz 15-' Ph: ('i loSoc- Alt Ph: 8 Sq. FBuilding: D Sq. Ft. or Acres of Lot: Eleght: lir No. Floors: 9 lise of Building: ❑Residential ❑Commercial DOther Class of Work: ❑New DAlteration ['Addition DRepair ❑Demo DMove 1(1 Describe Work:cowptcrid1J-14 TN 11 Garage: ❑Attached ❑Detached ' Septic: ❑ISDS 0Community7Nat. Type of Heat: Gas ❑Propane ['Electric DOther 12 Driveway Permit: Owners valuation of Work/ fZ5,000, 0 NOTICE Authority. This application for a Building Permit must be signed by the Owner of the properly, described above, or an authorized agent. If 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 Department. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County ISDS Permit, (3) another permit required for use an 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 daysof 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. 1 understand that the Building Department accepts the Application, along with the plans and specifications and other data submitted by me ar on my bebal f (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 Inc. as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Department. In consideration of the issuance of the Building Fermit, I agree that 1 and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, ISDS regulations and applicable land use regulations (County Regulation(s)). 1 acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, lithe 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. 1 hereby grant permission to the Building Department 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 die 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 Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner. 1 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 andl or builder. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: .7 r OS .4 ! 11 OWNERS SIGNAT i. DATE STAFF USE ONLY Special Conditions: Adjusted Valuation: 2-5000,° Plan Cheek Fee: d / Permit Fee: ..- 59/. z5 Manu home Fee: Misc Fees: -- Total Fees: 61/5. 5.625(1-5 Fees Paid: 1 Balance Due: j / / • z, BP No & Issue Date: ISDS No & Issued Date: pr-- t3 t,,, l - Setbacks: / A-0,5 z f/ 5d/�! V OCC Group: � Const Type: .� Zo ting: ,{ j� i/ ( DE e//z, 2 -/- APP OVAL / DATE ' AP OVAL DATE Building Plan Review Description of Work: Foundation Repair Bin #: Location Address: 108 RIVER BEND WAY GLENWOOD SPRINGS, CO 1' Genera! Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -8-12-7361 Parcel: 2395121 18163 Application Date: 08/29/2012 Owner: Paul & Kandice Allen Applicant: Paul & Kandice Allen Applicant Phone: (970)987-1532 Email: Building N�A Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Minimum Application Questionnare Subdivision Plat Notes Fire Department Review Valuation Determination/Fees Red Line Plans/Stamps/Sticker Attach Conditions Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. N/4 40# Snowload Letter - Manu. Homes Soils Report Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Building height Toning Sign -off Road Impact Fees HOA/DRC Approval GradelTopography 40% Planning Issues Subdivision Plat General Comments: Vth,thz91 2,5/ 61-5 5440/II& fietfzew few V. 3 I 7e/i4-0/1e€ / 57/ 25 Thursday, August 30, 2012 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.) hereby acknowledge I have read, understand, and will abide by the requirements of this checklist. Signature of O ner Date Garfield County Building & Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.garfield-countv.com