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HomeMy WebLinkAboutApplicationGarfield Countyl-zulzËl lì:; )tu.ïO ñ-¡roü:; dú, Ë. lr-.Þ É, o =TLoJu¡ t¡lô ts2 Com munity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970le45-82L2 www. garfi eld-countv.com INVOTVED PARTIES TYPE OF CONSTRUCTION @ Manufactured Home lnstaller:Phone: I ì Mailing Address: Email Address: PROJEgT DETAITS Describe Work:d,+ fc, Sn¿K o{ f¿ lncutr BUILDING PERMIT APPLICATION DemolitionCommercial/M u lti-Family Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET Jll¿zI Phone: tZî'{ I Xîo ^ oöZê I 'ffoc Email Address Property Owner: Mailing Address: Mailing Address: /a-- 6atl",- g,,'/* Phone: û7Ò | -<ö1'oglf Email Address: contractor: þ'rnrr', r(3 ì Phone: (_)I'l¿r*¿ owú¿-/Architect: Mailing Address: Email Address: Mailing Address: Þlart-nqttJ Phone: ( )Engineer: Email Address X AdditionClass of Work:New Remodel/Alteration DetachedGarageAttached Job Address:ß 12. Assessor's Parcel Nu -ber: 2lïs3Zlool2l Sub. Lot Owner's Valuation of Workl t'7, q23,òo Block _ Property Size (Sq. Ft. or Acres),q L. # of Floors: aSq. Ft. of Building:21o ^/e, 1 PROJECT DETAITS CONTINUED Septic:Community Type of Heat:Natural Gas Propane Driveway 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 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 Perm¡t 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 Application, including submittals, and inspections of the work by the Building Division do not constitute an acceptance of responsibllity 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 neer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information is correct and accurate to the best of my knowledge. JXE""rot Permit #: ¡.1-(,--3-' ¿1 -Zct zf- Property Owner Pr¡nt and S¡gn Date E lectric Other OFFICIAL USE ONLY rÞ I o. Lt c.c, Special Conditions: ^ti:hz:i:'rþ Plan Check Fee: lqo, bt Permit Fee: -2q3,75 Manu. Home Feeñ/a *""iö'TA TotalFees:tJg7.5ß Fees Paid: $lqo. ¡t Balance Due:2q3,2ç BP No: 6ur.E- 11 o I OWTS'No:---[/,r. setbact<s^L occ Group: I Rc.Const. Type: t.R.c Zoning: R,U?âL b-b22BUTLDING / PTANNING DIVISION : Signed Approval Date Gørfietd Cowm@ BUILDING DEPARTMENT 708 Eighth Street, 'u¡te 407,ìlenwood Springs, CO 87601 Tel: (970) 945-8272 PI.AN R EVIEW c HECKLIST Permit No: Btç;-¿622'7,fu I Plann ing/Zoning lssues VIL 1o(9 fl dat Building lssues f\tA Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ TopograPhY 30% Attach Residential Plan Review List Subdivision Plat Nlotes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. - Property Line Setbacks 3ûft Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road rmpact Fees rniní nUS 1fu Grade/ TopograPhY 40% Planning lssues Subdivision Plat p/A Descri ot ion & Summ arv: 2w x 74,b9= n)qzv,zp 9w 40# Snowload Letter - Manu. Homes soirsReport H:ff" R*Wrçlç 6ops? aÅ1'v6.led,buildtnj vaJuùon e) (lF = "rnínìmugol 15oo N/*wqlohertEhnrl lø^ bedror'l¿ (t'þlø mæh * 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. kt [/o^ 1*rl>5^q-7csz-2 Property Owner Print n Date a a