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HomeMy WebLinkAboutApplicationGarfield CountyffS EF()cr Hffi L¡- l-l- z z. UJ =o-o:)o(J J u.l UJff,o Community Development Department t¡¡108 8th Street, Suite 401 l.L Glenwood Springs, CO 81601 @ É, o 2¿ ==oc) l970l94s-8212 www. ga rf¡eld-cou ntv.com BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION Com mercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) ><.ßesidential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: Phone: t 1,. t. PhoneContractor: Mailing Address: Email Address: Emait Addres st nffi'¡r Ð rx-rtot*iúí" -(br+'t Phone úZet rÍ,a*ffiføffi't aÌ-ßi Architect: Mailing Address: Phone:/pEngineer: Mailing Address: Email Address: Phone: ( IManufactured Home lnstaller: Mailing Address Email Address: Class of Work:New lffi nemodel/Alteration Addition DetachedGarage:Attached PROJECf DETAILS Describe Work: Job Address Assessor's Parcel Number: Sub. Owner's Valuation of rct l1-3 uocr,1l^ax * Property Size (Sq. Ft. or Acres): (t Sq. Ft. of Building:3t4 Height:# of Floors:_ lvSWTSSeptic: Electric OtherType of Heat: XNaturalGas Propane Permit #:Driveway Permit:ffit*u'o' NOTICE Authoritv, ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Lesal 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 ¡dentified 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. 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 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 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 npplication, 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 d ner ra or builder PROJECT DETAITS CONTINUED Community I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. ñA)C Property Owner Print and , lzø lzt- oatÉ | OFFICIAT USE oNtY ?d , t 2115. 2, cß,t g21O a2.lot þaZZStæ special Conditionç .ã¿APe et K,(flL?Cseund 3bÈ4 aãdttzaz<' anr/ Adiusted ValuatioruÈzz.u4q,6z Plln Check Fee:4te a 'wiÏrç Manu. Home Fee: n/n Misc. Fees: N/Æ Total Fães: û22.*b Fees Paid:tl{l.r'Balance Due¡ -377.25 BP No: FL.r<e-l3.27 OWÎS No: CaMrùlU^r llY setback:lz OCC Group: l, p..c.Const. I Type: . R¡(.Zoning:7,v,D, Qco**t*) BUITDING / PLANNING DIVISION C ' l: ?'t'22- Signed Approval Date Garfteld County BUILDING DEPARTMENT L08 Eighth 'treet,,uíte 401, Glenwood Spr¡ngs, CO 87607 Tel: (970) 945-8272 PLAN RE VIEW CH EC KLIST Permit No: êUP{¿Z-ZZ-F2/ Building lssues Planning lZoning tssues PU^> Engineered Foundation nO L,9 Driveway Permit Surveyed Site Plan N /A septic Permit and setbacks Property Line Setbacks OO 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off ilAlA 4/A ilA dønys .4, Ntry / Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No 40# Snowload Letter - Manu. Homes ¿ soils Report Planning lssues / subdivision Plat Description & Summarv: Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Va luation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions nínínlsRoad rmpact Fees 15Ø= VA 3t4f r 41 b8= 27rtlt/qøz- allLe,te/ ért//i 1 tza/uah'o-vu .JæF: 2-n¿ a//,ho=^ elory tt1 ,( û,1'ea- AfØk//"/ - 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 Officialthat 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. Ð (p Property Owner Print and Date a a I