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HomeMy WebLinkAboutApplicationGørfield County REGEIVED JAN 31 2Û2? co Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82t2 www.garfi eld-countv.com BUILDING PERMIT APPLICATION CONSTRUCNON DemolitionCommercial/M ulti-Family Manufactured Home (Single or Multi-Level) \J ReroofResidential (SF, Duplex or Townhome) Accesso Dwelli Unit - MAXTMUM S|ZE OF 1,000 SQUARE FEET INVOTVED PARTIES ù cì ûTÒtcÌ4',t ctYl?t Email Address: / phon",Property Owner: Mailing Address: (>ç^1-Phone: ( ìContractor: Mailing Address Email Address: 6Zl "7 1 6tPhone -t-F,-.--.t'ì Phone:q C)la 75'lt - Arch¡tect: Engineer: Mailing Address Email Address: Mailing Address Email Address: Phone Email Address: Manufactured Home lnstaller: Mailing Address PROJECT DETAITS frtl öC;* {J, l¿l,L , ci) Iot Heightñq.,7 { f cic¡L Block Sq. Ft. of Building: Property Size (Sq. Ft. or Acres): #of Describe Work: Job Add Assessor's Parcel Number Owner's Valuation of Work: Sub. Remodel/Alteration AdditionClass of Work:New tþ Attached DetachedGarage: Lt,) PROJECT DETAILS CONTINUED Ç.v,=lt Community NOTICE Author¡W. 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 ident¡fied above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. I hereby acknowledge that I have nd understand the Notice and Certification above, as well as, have the required information correct and accurate to the best of my knowledge. \r\Å^\\t lnt lt- Property Owner and oa{e I Septic pe*.''rUþ\' Propane Electrictr OtherType of Heat: '\ FlNaturalcas ârs]-,K Permit #:Driveway Permit: I hereby certif,/ 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 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 regulat¡ons 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 Build¡ng Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construct¡on 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 ra or builder CERTIFICATION er OFFICIAT USE ONIY Special Conditions:6æ atFacltecl ændt hb-z^s Adiusted Valuation: ö7t. a4,5 Plan Check Fee:W.27 Permit Fee:¿/â/. q5 Manu. Home Fee:N4 Misc. Fees: ^)-+Total'Fees: 7øZ- z¿t Fees Paid:æ,n Balance Due: 4à1, ?5 BP No:wE-732b OWTS No: en'eh'nê Setbacks:a^ll\occGroup: t e C ,onst.tvfþL Zoning: R{ tú,I 2-Zl-ZZ Date BUILDING / PLANNING DIVISION Signed Approval Gørfield CounQ BUILDING DEPARTMENT 708 E¡ghth Street, Suíte 407, Glenwood Spr¡ngs, CO 87601 Tel: (970) 945-82L2 PLAN REVIE W CHECK L rsT Permit Noz f¿p,Ç ú?2zqr4 Building lssues Engineered Foundati Surveyed Site Plan Pl a n ni ng lZoning lssues Uwl uq 't.-' Property Line Setbacks / 30 ft. Stream Setbacks Flood Plain lro A Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Description & Sum marv: ìnt ØNÞ ;fuy) efrred ,.Mryrriveway Permit L- rn Seotic Permit and Setbacks e*16*lnø Grade/ Topography 30% SubdivisionFlar Attach Residential Plan Review List PI COND.Fire Department Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker ^, A Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils ReportN.k kt"r&l þas * 867= ëe,roú6 fuf N/A ïln'nímus * ffiAttach co nd itions n6ed{r fFû¡# rvceftìrn urøè _ Ð.27 n {zr aoz?d,o nap(¡>)ù) dgndofþ;n LF (t*dnrplorer fil;ne Trrrinç 'z4l-22 oiatr Y¿,tì9 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.) lhe e I have read, understand and will abide by the requirements of this ist. a a c Pro l( 6t Owner Print sig Date icfv'vd u1 I'