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HomeMy WebLinkAboutApplicationGørfield County l--¿ UJ5 o_oJ TU trlÕ !- z.;:.,i 3,.,: ot){ìr-¡ o/-'...r J ;..a t¡J :.:*! l!"\, ú C3 Ë) t¡J uto ¡ÀJ &, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970le4s-82L2 www.garfield-countv.com TYPE OF CONSTRUCTION Commercia ulti-Fami Demolition INVOLVED PARTIES Aør^y.."rt 0'þn,.¿n Phone:.Ìffi - ++3 o a-hoo , (Òrr) Email Address:gtt?+ Manufactured Home lnsta ler: &tPrøK cRæK phone: ( q7o I L,þq -tl+g Mailing Address:P,o , Box se+L ilLonlm b8l 2- Email Address eatt +h'e' @ k¿ wtz Uak- . (Àvvt Property Owner¡ Mailing Address: PROJECT DETAILS BUILDING PERMIT APPLICATION PIF Manufactured Home ReroofResidential (SF, Duplex orTownhom Accesso Dwellin Unit - MAXIMUM SIZE OF SQUARE FEET lø47CO Phone: (11o ¡ qzl-'+431contractor: JIN*n"¡;"uho b f2J éNI Mailing Address: Email Address: MaitingAddress: ?.a, f3of e11ô4A5. glaÈ,¡A?"þ¿r s?É-ttJk5 h Aô +++ -ÞL+Va Phone: l97o ) ß+q - 5454 EmailAdd ress: BEÞ€- 6\tD ô rnr üDSPI¿,N|ù(', ¿Ðt\^ Phonel I I Engineer: Mailing Address: Email Address: Architect: t\t'fl â<aa HáR-lø R-Hr Describe Work: ^lç,1 t?L- Mô>UL4-ø-2 Stòw Job Address:24 (ou¡'tTn-ú.I Assessor's Parcel Numb er: L*6363+ø 4q Sub Owner's Valuation of Work: S ,A co &/ Block Property Size (Sq. Ft. or Acres): . AÔ1 ft ceæ Height ' * 2a + # of Ftoors: 2- Lot Class of Work: Garage: Remodel/Alteration Attached Addition Detached Sq. Ft. of Building l6ôo læ,6ò6 PROJECT DETAITS CONTINUED x Communityf,WTSSept¡c: Electric OtherType of Heat:Natural Gas Propane Permit #:Driveway Permit: pt NOTICE Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by 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 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 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 r 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 which is correct and accurate to the best of my knowledge. MkLLe-€ê) * o,øpteù /ilau-lce-ø A . D'/ht'o,n L, , 2ô- 2þ 22- Property Owner Print and Sign Date OFFICIAT USE ONLY ?A ID . lÞboÉ). --¿K.!f l01Z Oí/zo/z¿zz å4a- Special Conditions êee a#ached ØNÞ/77ô/vs Va Plan Check Fee:Manu. Home Fee: tàoo,æ åfå'däi¡ #r,+tl! 3b Fees Paid Bala BP No: BLM F.?60 740o,gù OCC Group:Const. Type: OWTS No: se,PT- 7 bO& Zoning: R\,RA L 8'5'22BUITDING / PLANNING DIVISION : Signed Approval Date 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 ior 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 witho_ut 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. Anrle't -tLaureunlt 'ßn¿n L, tl. êoøx- Property Owner Print and Sign Date a a ANN€ M rtL,t p-ea|l¿'5ereN Ç,ørfu,Id Cownty BUILDING DEPARTMENT 108 Eighth Street, ,u¡te 401, Glenwood Spr¡ngs, CO 87607 Tet: (9701 945-8272 PIåN REVI EW CH EC KLIST Permit trro: êLfnF-O6-Z- 7¿ Ô 7 Building lssues Planning/Zoning lss¡,¡es Rural E C n/ Ð rro pe rty Li ne setbacks \6-----r----- NA --7 ønaíleà ø0L Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Application Signed Plan Reviewer to Sign APPlicat Parcel/ Schedule No. 40# Snowload Letter - Manu. Soils Report Y6 bü05? ? VAKA-il-ru-Sgl5 Descri io Sumrna 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees 6, B,Þ. Grade/ Topography 40% Planning lssues Subdivision Plat i: ,/ -f Attach conditions pvínb lr{ ,;r,ng tt"¿a? /ØlVF-,ryoú¿ØnPeú* uxt?(eøø a¿ Æe d.nnl ,hhÐ *o oarlirn ddrúill ë6 ç74, ?o- bwiry 4tr EE.>. =