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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82L2 www.garfie .com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercia l/Multi-Family Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PART¡ES Demolition ---l l Reroof Property owner: ltltt{.tAet e TA ltAM \l Kã)l{ t Phoner (41 C ¡,VL(B ¿2-aI {ð (c 8(ê zMailing Address 4t Na¿ Email Address: contractor: J a. c ob {¿ s R i'Phone: (q1o )'3'/4'tl t59 f a r ¿,4 Mailing Address: Z-5 4¿p Email Address: (.¿^; L> a,t ) ¿t L¿ LC 1{ z Ka)t<i lvÎ l.¿6-^1 Arch¡tect: Mailing Address Email Address: LJ, .I Phone:4ta lvt Mailing Address Engineen Email Address: Manufactured Home lnstaller:Phone: ( ) Mailing Address Email Address: Phone: PROJECT DETAITS sr6.Lt o¡¿5f,tp(t-ÈST. rot l5 Btock_ t8 itionClass of Work: Floors: LHeight:Lß,Sq. Ft. of Building:?uc ¿ f)'l r¡ ^ rt LI #of Assessor's Parcel Number:23q lVo4t:t ûif owner'sValuationofWork:S i 5 iJ, t & 6 Property Size (Sq. Ft. or Acres) Describework: lAuv;n f,tl, Job Address: IU 7 DetachedGarage Driveway Permit: PROJECT DETAITS CONTINUED Septic:Community Type of Heat:Natural Gas Propane Electric Other mpt Permit #: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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 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 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 Build¡ng Division. ln consideration of the issuance of the Building Permit, lagree that land 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 ¡nspect 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 wlth federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect er, en er and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the req uired information which is correct and accurate to the best of my knowledge, þ1t ct.r¡l{t<l Property Owner Print and Sign t lto lzz Date looool ZLOFFICIAT USE ONIY I Special Conditions: Plan Check Fee: +62-q.q+ Permit Fee: i1.,223.76 Manu. Home Fee: x./¿ Misc. Fees: N/AAdiusted Valuation: 150.m\,Ø Balance Due:bt-6ot.þ 9vF€-72q4 BP No:owÍs ¡¡o: u/e Total fees: 6z tot.û r+{Fees Paid:f 6oo. SetbaÉf<s:N//l OCC Group:l.ß.c.Const. Type:l.ß.e Zoning: B.eß..4 t- fi.4,b s¿ap&C%á) Signed Approval z-7-2i4 Date BUILDING / PLANNING DIVISION Garfield County BUILDING DEPARTMENT 1.08 Eighth Strcet, Suite 407, Glenwood Springs, CO 87601 Tel: (97o) 945-8212 PLA NR EVI CHEC KLIST Permit No:øtfuF-zl-22-72?¿/ Building lssues Pl a n n ing / Toning lssues Rur^-( NA t/ /u* t/ - Attach Residential Plan Review List Surveyed Site Plan,'"')"å-ùe seótff eþi-mit a nd Setþcks ,6fq/-r,rg,O end¡nq cradeT TopdgraPhY 30% r ,"ro*tU"y;;ffiP Zoning Sign-Off ø Road lmpact Fees nA nryaSø r)r sq, f* Grade/Topography 40% ,h ./naey'tb)F,Ø¿n€- Engineered Foundation Driveway Permit Subdivision Plat Noçsnadh*zgi& lîhtft; Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manu. Homes Soils RePort /VA setbqcks Aa tàry-t¿r?/eafrâv I Sítbacks/1/4 Property Line ,on.'r1"# /Tr+ r'-v Flood Plain Planning lssues Subdivision Plat 8z-/ ?î2 z?8 36a Descri on&S mma þtØrwaesøb,M ,(ewbt arel, V/azs '6'ilrþri'r øza/e/az/7, no /na/.Aag /h ¿efus Serte/ óa Ourre.-No;;"/,;; ¿ffú" u/â& ;; ;6i;;Þt b àyonl exrw bi #aþn* @e 0Lh 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. &1t¿H4ËL Ko\i¿t i-tt*-L2- Property Owner Print and Sign Date a a