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HomeMy WebLinkAboutApplicationRECEIir Development Department 8th Street, Suite 401 JUL Z013 (970) Springs, CO 81601 (970)945-8212 GARFIELD CQLINFIww.garfieid-countv.com )MMUNITY DEVELOPMENT - TYPE OF CONSTRUCTION Q Commercial/Multi-Family ^"Residential (SF, Duplex, or Townhome) ❑ Manufactured Home (SF or Duplex) BUILDING PERMIT APPLICATION O Demolition O Reroof O Grading (locate all utilities prior to grading) INVOLVED PARTIES Property Owner: ( 15)� " f Z ijt, i - Phone: (770 ) 5 Mailing Address: //I /; 4,°041 114,, ei6ei44, 05/ Co R/43.2 Contractor: /1 ' A/ri Mailing Address: /444`/4C/ 4 Phone: (f7 SD,2 Gmor n2-, Architect: Mailing Address: Engineer: jri 77;1 7 44c, 1' / Mailing Address: Manufactured Home Installer: Mailing Address: - - Phone: Phone: (770 ) .- Phone: PROJECT NAME AND LOCATION Describe Work: c!,///fe6e ✓c7, c_5-A40e/f;ly Job Address: 7 £ /,,m 0/c -t/13 &NA/ Assessor's Parcel Number: Sub. ITge.tite,Pi 2)4 1;7 Lot Owner's Valuation of Work: $ r' ,37er Property Size (Sq.Ft or Acres): Sq.Ft of Building: - Height: # of Floors: Class of Work: f 0 New 0 Alteration Block 0 Addition Repair 0 Move/Relocation Garage: ❑ Attached Septic: O Detached D ISDS Type of Heat: O Community ❑ Natural Gas 0 Propane Driveway Permit: 0 Exempt ❑ Electric 0 Other O Permit #: Grading Square Feet of Earthwork Cubic Yards of Earthwork NOTICE Authority. This application for a 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. 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 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. 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 structures) and facilities detailed on the submittals reviewed by the Building Division. 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 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 designer, engineer and/ or builder. I hereby acknowledge that i have read and understand the Notice and Certification above as well as have provided the required information whi Ich''s arrett and accurate to the best of my knowledge. Property Owner Print and Sign Dates/� OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: 6Z5iJ W • t % Plan Check Fee: &? 3. Z./' Permit Fee: 9.7 .� T Manu horse Fee: �� Misc Fees: Total Fees: Fees Paid: Balance Due: BP No: ISDS No: Setbacks: OCC Group: Const Type: _ C.- Zonina PV BUILDING / PLANNING DIVISION : .7//z'/ ' 5 Signed Approval Date VI0YIY }.�q. The Building Division 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 1 have read, understand, and will abide by the requirements of this checklist. Property Owner Print and Sign Dat Building Plan Review Description of Work: repair- emergency shoring Bin #: Location Address: 67 RIVER BEND WAY GLENWOOD SPRINGS, CO General Information Case Manager: David Bartholomew Plan Case Number: BLDG -7-13-7632 Parcel: 239512118166 Application Date: 07/1912013 Owner: Judy Alexander Applicant: Judas Alexander Applicant Phone: (970)945-4300 Email: Building Engineered Foundation Driveway Permit Surveyed Site Plan H____ Septic Permit and Setbacks Grade/Topography 30% \\ Attach Residential Plan Review List Minimum Application Questionnare Subdivision Plat Notes IFire Department Review Valuation Determination/Fees Red Line Plans/Stamps/Sticker 7 Attach Conditions Application Signed ! Plan Reviewer To Sign Application / Parcel/Schedule No. 40# Snowload Letter - Manu, Homes Apt Soils Report Tuesday, July 23, 2013 fu/t, Planning/Zoninq Property Line Setbacks 30ft Stream Setbacks Flood Plain Building height Zoning Sign -off Road Impact Fees HOAJDRC Approval Grade/Topography 40% Planning Issues Subdivision Plat General Comments: thta t ei 05/0 0.°' 51,thwr /P/ YAMPAH BLIILDER.S, INC.. PO BOX 669 GLENWOOD SPRINGS, CO 81602 YAMPAH@ROFNEF 970-379-5222 AUTHORITY TO PROCEED 7A7i2O13 Judy Alexander 111 Pilgrim Drive Edwards, CO 81632 RE: Shoring, water service disconnect To whom it may concern Judy Alexander as owner of 67 River Bend Way, Garfield County, CO does hereby authorize Yampah Builders, Inc. to proceed with the repair work as outlined in plans dated 7/12/2013 from Pattiilo and Assoc, Engineers Respectfully Submitted, Virgil R. Howard, Pres. Yampah Builders, Inc. Authorized date: 76 Judy Alexander Signed 4 WJprift name CONDITIONS OF PERMIT BLRE-7-13-2915 Judy Alexander 67 River Bend Way, Ironbridge Foundation Shoring Glenwood Springs, Colorado 1) ALL WORK MUST COMPLY WITH THE 2009 INTERNATIONAL RESIDENTIAL CODE (IRC) AND MANUFACTURER'S INSTALLATION SPECIFICATIONS 2) THIS PERMIT 15 ISSUED FOR STRUCTURAL SHORING ONLY. REPAIRS TO REMAINING STRUCTURE REQUIRE A SEPARATE PERMIT. 3) ENGINEER ON RECORD SHALL FIELD VERIFY SHORING INSTALLATION. ENGINEER STAMPED APPROVAL REPORT IS REQUIRED FOR FINAL INSPECTION. 4) ADDITIONAL STRUCTURAL DEFECIENCIES ENCOUNTERED DURING REPAIR REQUIRES ENGINEER STAMPED DETAIL/APPROVAL. 5) IF GAS METER IS DISCONNECTED, A GAS PIPE PRESSURE TEST AND INSPECTION MAY BE REQUIRED FOR METER RECONNECT. 6) GARFIELD COUNTY FINAL INSPECTION REQUIRED.