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HomeMy WebLinkAboutApplicationGørfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-8212 www. ga rf iel d:CSUnlY.cam BUILDING PERMIT APPLICATION Demolition TVPÊ OF CONSTRUCTION Commercial/Multi-Family Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES Property Owner: Mailing Address: Phone: (t7Ò I qr6 -72q6 fia Ò Email Address:o"q,(A Irhr Contractor:0wnel Phone:( Mailing Address: Email Address: Arch¡rect: Ken bvnon phone: ú)otq*1 \b3-7 Mailing Address: EmailAddress v¡4 Engineer:Frn îe kolî"r Phone: û7a) 16\3?f3 Mailing Address: Email Address Q-(hiel.ôI*¡4hiaìl,6\nt Manufactured Home lnstaller:Phone:() Mailing Address: Email Addressi PROJECT DETAITS Describe Work: C uc*;or,, ÒÐ A¿w ù f-^í \ì s côJob Address: Assessor's Parcel Number zl{Ð f t LL,l 002Á3 Sub.Lot Block Owner's Valuation of Work: S 0oo Property Size (Sq. Ft. or Acres): Sq. Ft. of Building Lq7 t Heigh t' lJ' L"#ofF iÐ,?-.Ll Class of Work: Garage; v ñew Remodel/Alteration Addition Attached Detached PROJECT DETAITS CONTINU ED Septic: Type of Heat:Natural Gas Electric Other Driveway Permit: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Applicatlon. 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days 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 Build¡ng 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 Bu¡lding Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (21 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 with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect desi , engineer and/ or builder @Prooane Community Permit # 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. Ir¿vor Rnonatra-ala' 7'?a"-¿ Ø'4-- Zl u { Uz'u ¿Date t Property Owner Print and Sign OFFIC|AI USE oNtY PD, 4l,aS7 .2-6 aK # lç,3 øsf o"/zszz &,ı Special Conditions: See attaclqø øvl Þt TaOAlS Adiusted Valuatíon:-, 62t z --72þ,tQ Plan Check Fee; t.067.2à Permit Fee:. -¿l^bzb,æ Manu. Home Fee: t¡/*Hì'F'ä'iào þt.+qh Total Feðs: -fz, bg3,8l Éees Paid: i l,oí7,zd Balance Duet--, l.l,"Lb,e? BP No: Br-R€ --7373 OWTS No: ser4.- 137q Setbatks bk OCC Group: l.R..c-. Const. Type: r.R.c Zoning: f¿ÚT1AL (il,f BUILDING / PLANNING DIVISION ;3-2? 2L DateSigned Approval Gørfield Coanty BUILDNG DEPARTMENT 708 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 87607 Tel: (970) 94s-8272 PI.^AN REVIE W CHECKLIST PermitNo: 8Æ072-7ã72 Building lssues ,/ -- -/ ^14 Planning/Zoning lssues Engineered Foundation Driveway ß,ifl"r/*a/a/z Property Line Setbacks 30 ft. Stream Setbacks Site Plan Septic Permit a Grade/ Topography 30% 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. 40# Snowload Letter - Manu. Homes Soils Report ?.20.07 -"'/ Ftood Plain 6'Aøî-A-2.734 nd Setbacks Itrî Klr g,B.b.= -É l)619:ê - Description & Summarv: Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat tlPjeeløh /o7oô2, /øpf ,fhla rTre4 "tå ZotzY74.Lt > *t10r4,tb cTM bTqY 3z=+ LôttLg.Ø Lp/d 22ß* tß = { 'il04,û,r ltL v t8 =+ Zr\tb,oo c"anrtr ZcVx IB = # A6rzlb,û n!'uo led bu ild rhl w t ua# 6yt Z t L)7 LO,t b 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 until the 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. a fu6(7ÀLL Property Owner Print and Sign Date