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HomeMy WebLinkAboutApplicationGørfield CountyÈã Ê SãE ü : 3äH ãHä'2, uã<=oE Community Development Depa rtment L08 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82L2 www.garf¡eld-cou nw.com @ WPE OF CONSTRUCTION INVOLVED PARTIES Com mercial/Mu lti- Fami ly Demolition Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET Address: Inêtot Snig-t\¿ Lr)n€ u)a< 3i l-t. ( 0 Kl LogL 9k'ì'rnr^,nt.¡ lâ ti\.n"or i\' Conl-EmailAddress:J Mailing Sarnr¡¿l 5t n^^ttProperty Owner:Phone: t 11O I ¿ì8l- Ôtq 6 Contractor: Phone: Mailing Address: EmailAddress: ( K "t"l \vrn r", \ Phone: t 6t-lo I at R I - 3Þ'1f Engineer:É,r.n"s{ k,rll^n '12-î\ rrf\¿¡i ñ S+. Srr il'e 2nz Phone: Architect: $10 t crLoS* e223 l'.¿irl..,n, ',irolrr (D tlbz3Maillng Address: EmailAddress: Mailing Address: EmailAddress: Phone: {_} PROJECT DETAITS EmailAddress: Manufactured Home lnstaller: Mailing Address: Job Address: T'ß Þ, Sc,¡'rrec. utl. Tår ecÊ , co I I c t O - $ 4Ô0, OOO Propertysize (sq. Ft. orAcres): 35" 5Z gcre Describe Work: # of Floors \\r Sq. Ft, of Building : ") "11-L Height:I{al ( Lot _ Block _ Owne/s Valuation of Work: Sub, Assesso/s Parcel Number: XClass of Work:New Remodel/Alteration XGarage:Attached Addition Detached PROJECT DETAIIS CONTINUED I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have provid lon which is correct and accurate to the best of my knowledge, l,'lIt 7t Owner and Sign o"{" {CWTSSeptic:Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: Exempt Permit #: NOTICE AuthoriW. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Lesal Access, ABuildingPermitcannotbeissuedw¡thoutproofoflegal andadequateaccesstothepropertyfor 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 Applicat¡on, 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)). 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 ín 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 Bu¡lding Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or disoepancies. 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. ırHclALusEoNrv ?d. I ,, t o t, za e.c. tlprfzèzléãñ,> Special Conditions: Adiusted Valuation:-- I Plan Check Fee: øzz¿- b62.?bv /, /oø. zz Permit Fee: - ¿ â/- vÒ4. r"Manu. Home Fee: ñlA RIFilÞÞMisc. Fees:ét*tt Due:îgI Paid: I oJ,22-fz.g/9.t7 Total Fefs:BP No: OLRE.IZúL OWTS No:5€t- 12117 s"tbã"þ"(OCC Group: t, t2,C, Const. Type: l, 2, c, Zoning: Ru cr+ L 24-.AZc%,t*BUILDING / PLANNING DIVISION : Signed Approval Date 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 Building 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. úÈL \.)lt lt Property Owner Print and a a Gørfteld County BUILDING DEPARTMENT 708 Eighth Street, Su¡te 407, Glenwood Spring, CO 87607 Tel: (970) 945-8212 PLAN REVI E W CHECKLIST Permit ¡,to: ßLÆ- //-2/-72/1. Building lssues t/ // t/ t/Engineered Foundation tØnild t2-7-z/ Driveway Permit Surveved Site Plan-" ;47:rr-4-724f Septic Permit and Setbacks Pl a n n i ng / Toning, lss ues ta Property Line Setbacks ilA 30 ft. Stream Setbacks tv4 Flood Plain Building Height t/ Grade/ToPograPhY 3o% / Attach Residential Plan Review List Y- Zoning sign-off Vtrq Road lmpact Fees il F,Þ Grade/ Topography 40% Planning lssues Subdivision Plat reæfhinr ?SrrbZZ /a gîl.oo ad¡usled bu,//,h1 ua/aa,hbn ! Rt F-/v,B.b =g//, aô Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Descriptio n & Summarv: Plan Reviewer to Sign APPlication F¿-6 zTzz x 74.bø= 20427ø,qL Parcel/schedule No êgM loo x 3z =t7J gØ. Ø NA-40# Snowload Letter- Manu. Homes cf/¿5#X lg = /Soils Report #22ç/ lloLJ b K*4 zþ7-g;4 q,z?-2-t zooaø{ ønotle/ Ernìe K Pl'!¿rsF .€.o. z slæ/g*drn1,//tæ€/iØ/heph /2-6-24 CONDITIO NS OF PERMIT B LRE-1 1 -21 -7 246 Samuel Jurmu New S/F Dwelling w/ attached garage TBD Scutter Ln, Rifle s.28, T.05 , R.92, 212728400389 1) ALL WORK SHALL COMply W|TH THE 2015 INTERNATIONAL RESIDENTIAL CODE (r.R.c.)AND 2009 INTERNATIONAL ENERGY CONSERVATION CODE (I.E.C.C.) 2) PROPOSED TMPROVEMENTS ARE SUBJECT TO ALL APPLICABLE ITEMS CONTAINED IN THE ATTACHED "GARFIELD COUNry BUILDING REOUIREMENTS", NUMBER REFERENCES NOTED ON PLANS REFER TO SPECIFIC ITEMS ON THIS LIST, 3) ELECTRTCAL PERMtTTtNG AND TNSPECTIONS BY COLORADO STATE ELECTRIC BOARD, ELECTRICAL ROUGH-IN APPROVAL IS REOUIRED AT FRAME INSPECTION. ELECTRICAL FINAL APPROVAL IS REOUIRED FOR FINAL INSPECTION & CERTI FICATE OF OCCUPANCY, 4) WILDFIRE MITIGATION REOUIREMENTS: COMPLY WITH WILDFIRE MITIGATION AND DEFENSIBLE SPACE REOUIREMENTS PER COLORADO STATE FOREST SERVICE AND LOCAL FIRE DISTRICT. 5) OPEN-HOLE SOILS AND COMPACTION REPORT REOUIRED AT FOOTING INSPECTION TO VERIFY 2.OOO PSF SOIL BEARING CAPACIry. PROVIDE COPY OF ENGINEER'S REPORT FOR BUILDING INSPECTOR REVIEW AT FOOTING INSPECTION. ó) PRE-ENGINEERED ROOF TRUSSES, HAVE ENGINEERING FOR INSPECTOR AT TIME OF FRAME INSPECTION, 7) ENGINEERED SEPTIC SYSTEM: ON-SITE WASTEWATER TREATMENT SYSTEM (OWTS) TO BE INSPECTED BY PROFESSIONAL ENGINEER LICENSED IN THE STATE OF COLORADO. PROVIDE ENGINEER'S FINAL REPORT PRIOR TO FINAL BUILDING INSPECTION & CERTIFICATE OF OCCUPANCY. 195 W. 14th Street Rifle, CO 81650 (970) 62s-s200 Publíc Heakh RECEIVED NOv I 6 202r GARFIELD GOUNTY COi,IM U N ITY DEVE LOPM ENT 2014 Blake Avenue Glenwood Springs, CO 8L601 (e7o) e45-66t4 OWTS PERMIT APPLICATION GørrteM County WPE OF SYSTEM CONSTRUCflON E New lnstallation E Alteration tr Repair BUILDING USAGE TYPE E[ Dwelling E Transient Use E Comm./lndustrial tr Non-Domestic E other Describe INVOLVED PARTIES Property MailingAddress: (,¿cL4 R.is{\cr'oo-.,¿ \,r.Jal S\\tt' CO Rì[¿52- EmailAddress: I I MailingAddressl EmailAddress: (q-ro | saq- szSn MailingAddress I o Å ¿t\(0 I EmailAddress:oet . co{\ô PROJECT TOCATION AND DESCRIPTION Job Address: Assesso/s Parcel Nu mber' 21 2 -1 28 u oD 3 Bclsub,-Lot-Block BuildingorServicerype:Res\À¿rsla,\ rBedrooms:-5-Garbageoisæsa@rud- Distance to Nearest Community SewerSystem:Nlft Was an effort made to connect to the Community Sewer System:N/ r\ Potable Water Source & Type tr Well tr Sprlng E Stream orCreek F. cbtern E Community Wctêr Systêm Nam€ Garfield County Public Health Department - working to promote health and prevent disease Applicant acknowledges that the completeness of the applicatfon is condítional upon such further nidndatorv and additíonal tests and reports as may be required by the local heahh department to be made andÎurníshed by the applícant or bythe local health department for purpose of the evaluation of the appllcation; and tlie issuàice of the permit is su.biect to such terms and cond¡t¡ons as deemed neceisãry to ín-sure complíance with rules and regulatíons made, ínformation and reports submitted herewith'and required tò be submitted by the appliænt are or will be represented to be true and correct to the beit of my knowledge and belief and are designed to be relied on bythe local department of health in evaluating the same for purposes of issuing the permit applíed for herein. I fu rther u nderstand that any falsíficat¡on or misrepresentation may result in the denial of the applicatíon or revocation of any permit granted based upon said application and legal actíon for perjury as provided by law. CERTIFICATIOfI I hereby acknowldge ütat I have read ¡nd understand the Notfce and Certificadon above as well as have prouíded the required information urñich ls correct and accurate to the best of l,ln)zt Owner andSfgn -- -r;T oFFrcrAr usE (xtrY Rt.t llr.êo cll€crt tz3 t| /." r.tz,åb> Sþochl Condltlons: Pormlt Fecr { l¿?.oo Tül For¡:*l¿3.cc Fe¡c P¡ld¡t¡2,3. oe Bulldlry Permlt øLP.e-1LqA OWTSPcrmh:sepr-zz*1 bcüc Drtr: 12t07t2021 l¡hmDuo:,g ,2:-,1 ¡' .,,f"r¿. 12t07t2021 Grrffcld County Pubfc HGrhù ¡þprrùîont¡ sltn.dÄDp¡otnl lna