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HomeMy WebLinkAboutApplicationGørfield County @Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 www.ga rfield-countv.com NTY NT BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/Multi-Fam Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accesso Dwell Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES ,".,\ta¡ttq/trb\7 -I JA)I L/4Ll- rI S.," Gi s c¿tLProperty Own Mailing Address: Email Address: phone: 81b t3'r 3 åe'iTcontractor: V¡>o J D r^¡ I {Ls 6J e-l &otç Mailing Address: Email Address: le-^s,-¿ Architect: t, o .' fj I,.n *--,'., Le*-- A (t*\¿#., I ,., /-*-tr rr,on"?, t, (ì-,:,1 /çl 7 UD V ¿ CAttL h n-(A n-c,a e Mailing Address: Email Address: -0 58"å Engineer An,¿er\) f<a-e-{* ? (., . LApùoJ A"t[**SoJ Aúl 5 /e-VoMailing Address: /,J-.sEmail Address: L Phone: $2a ¡ Phone: ( )Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS (.-Describe Lot Block Sq. Ft. of Building:qrTb Height: AçP4 #ofFloors C> 1 3 c)v ãlV fr t Ê'-N ¿r./ Owner's Valuation of Work: S 2tt7 282 OO tzz €rl¡.tGr*\ Job Address: Property Size (sq. Ft, or Acres): 5 d r-r¿ , 5 Rt,tU/ Assessor's Parcel Number: Sub. Class of Work:Remodel/Alteration n Garage:Attached Detached PROJECT DETAI[S CONTINUEÐ Septic:Community NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Lesal Access. A Building Perm¡t 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) ar ru Ll rer per rr riL req uirecl f,rr use orr the property identified above, e.g. Stste or Cou nty llighway/ Road Acccss 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 read and understand the Notice and Certification above, as well as, have the required information which is correct ccurate to the best of knowledge. /¡/ Owner Print and Sign l, Propane Electric OtherType of Heat:Natural Gas Permit #Driveway Permit: Exempt 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 constructthe 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 acknowledgethatthe issuanceof the Building Permit does not preventthe BuildingOfficial 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 respons¡bility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect designer, e neer an or builder CERTIFICATION OFFICIAT USE ON iv H,â19f.?8 e'c, at/s,f?LtZr-Sr* speciar conditions: 15æ atkaúdoa¿l/¿t¡naN5 Adiusted Valuation:-tqâ7a6,ru 'löä'ytr Permit Fee: --/,531, æ Manu, Home Fee: N/A Misc, Fees:N/ft Total Èees: qz2'l%.'"Fees Paid: lqql..?8 Balance D.ue¡ -l,6al oo BP No: êLRE-7nq OWTS No: s6Pr- 73Zo setbact<sbL-OCC Group: i. R.c. Const. Type: l. ß. c. Zoningl RV¡¿.AL tfl,'&"223-2_BUTtDTNG / PLANNTNG DIVISION Signed Approval Date Garfield CounQ BUILDING DEPARTMENT 708 E¡ghth Street, Suite 401, Glenwood 'pr¡ngs, CO 81607 Tel: (970) 945-8212 PLAN REVIE WC HECKLIST permit No: 6Ll<ã-O þ,A:- 73/f Building lssues Engineered Foundation Driveway Permit Attach Residential Plan Review List -/ Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/Schedule No. Pla n n ing lToning lssues ,,/ '/ Surveyed Site Plan -' Grade/Topography 3o% NA Building Height '/ Zoning Sign-off N/A Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat NK Snowload Letter - Manu. Ho Description & Summarv: t¿-6 /tî0x 7468= fq,Sé1,2 c/^r ígJ x ız = /qrb,ró,oa +^iadt/ z*ux 65 ggtru.oo ils Report (ap?llple ./1ø7sP 7r'd) valuath'o'a { t ?ø,7â5,22 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 wilibe 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. tl Print and Sign a a