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HomeMy WebLinkAboutApplication108 8th Street, Suite 401, Glenwood Springs, CO81601 A U G 0 3 201? Ph: 970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306 www.garfield-county.com 6A1;1-Id.LU UUUN r Y 91ill nlrlr ^ l!Illmf BUILDING PERMIT APPLICATION l STAFF USE ONLY Special Conditions: Parcel ; ; (rtu.� r�rej nturrytt i�u avertable 0!t the s s office 970-94.5-913a) Lot No: Block No: N�u bd./ Exemption: 2 Job Address: (Van address has not been assigned, ple.3ase provide CR. HWY or Street & CiV) or and Legal description 2/6'8 e- /5] 7/>151,i Y i (ft 3 Owner:I'#(property owner) pp (Ai i-}t�A(,5e. l L LLI Mailing Address:�_ � 3p t4- _ T `ruk5 e o ,)7017 yEs-- 2 � 0j - 'eD, Alt Ph: 4 Contractor: Mailing Address: Ph: Alt Ph: 5 Manufactured home installer: Mailing Address: Ph: Lic #: 6 Architect: Mailing Address: Ph: Alt Ph: 7 Engineer: Mailing Address: Ph: Alt Ph: 8 Sq. Ft. ofIld�ng: alP t? Sq. Ft. or Acres of Lot: 1 lcight: No, of Floors: 9 Use of Building: Residential ❑Commercial ❑Other";y Class of Work: Alteration ■Addition ['Repair ❑Demo ❑Move 10 Describe Work:A K 1 r,)1 3-rn-r2-n4 11 Garage: DAttached ❑Detached Septic: SDS ❑Community Type of Heat: ❑Nat. Gas ►.'ropane DElectric ❑Other 12 Driveway Permit: C Owners valuation of Work: NOTICE Authority. This application fora Building Permit must be signed by the Owner of the property, 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. 1.eeal 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: (I) State Electrical Permit, (2) County ISDS 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 Department 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 Department. In 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, ISDS 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 Department to enter the property, described above, to inspect the work. 1 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 eller 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 Department 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 designer, engineer and/ or builder. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: • ( // aa Z OWNERS S[ NATURE DATE l STAFF USE ONLY Special Conditions: djusted Valuatiot 9 4 P aManu n Check It Permit Fee: home Fee: Mise Fees: Total Fees: g 3 x.75 Fees Paid frT83'. Valance Due: „itz:.--- BP Na&Issue Date: ISDS No & Issued Date: PP— X55 Setbacks:f / ,� .�, t2z$1 Sr© OCC Group: � `Const Type: Zoning: Bl DEPI�; .'- t4.% ,�Z PL, DE z/; f z APPROVAL DA'fl': / APPROVAL DATE Applicant: Job Address: Subd- Lot/block: FEE ESTIMATE FOR S/F STICK BUILT HOMES (ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED) FINISHED LIVING SPACE: sf X 74.68= UNFINISHED BASEMENT: sf X 41.00= CRAWL SPACE: sf X 9.00= GARAGE: sf X 18.00= UNCOVERED PATIO/DECK: se X 12.00= COVERED PATIO/DECK: sf X 24.00= MISc: 1 S\--\,EM,1•2 ) 33, MISC: TOTAL VALUATION: THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING PLAN REVIEW FEE: PERMIT FEE: TOTAL: SEPTIC= PERMIT: .FERC: 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. 6/5(a Signature of Cjwner 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