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HomeMy WebLinkAboutApplicationGarfield County\F.-¿, Lll Õ ! , EX¡rr ':í O!{ :. (JJ> lru¡ = \"rþu r,\. 5Ht¡J uJ hü, t.4,ú¿<tr9E Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-8212 www.garfi eld-cou ntv.com BUILDING PERMIT APPL¡CATION @ TYPE OF CONSTRUCTION Commercial/M ulti-Family Demolit¡on Manufactured Home (Single or Multi-Level) ç Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address:, (o/476, /q7 âr/âr.t t1//9 X 2 6/r,vatæÐ gf/ì/êÍ (o.-êtilq ur+ L Phone: tufl75 Phone: (_) ZtO Aír o¡*ô Fnd¿e (MContractor: Mailing Address Email Address: Ar6h¡teçt: 5 c¿yr¡ê q,s Con t-ô.-c-at r PhOne: Email Address: Mailing Address |.c¡ 2-7 Phone: ( ). { Cans¿fi '-{ol. s. pt ørte t \Engineen þ¿.Mailing Address Email Address: Email Address: x/a Phone: I IManufactured Home lnstaller: Mailing Address PROJECT DETAITS owner's Valuation of Work: $ 1 ,l t" O ,oC- - Property Size (Sq. Ft. or Acres) Describe Work: Job Address: # of Floors: tHeight: Assessor's Parcel Number:731 t22 2o2ao 7 ,7.oî (ÊP PaP T Sq. Ft. of Building:âoo s"b.Onîllènûa'rs rct ? Block - Class of Work:Remodel/Alteration DetachedGaragerAttached PROJECT DETAITS CONTINUED CERTIFICATION I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required inform ts and accurate to the best of my knowledge. îfft*Y kBqufl¿6 .?> Property Owner Print Sign Date Communitys/¡SWTSSeptic: Electric OtherType of Heat:Natural Gas propane ñl,A Permit #:Driveway Permit: Exempt ñl* NOTICE Authoritv. 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. 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 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. 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 not¡ce 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 ineer an or builderner oFFrcrAr usE oNrY pAtÞ. t qq.6l cK.ü gg8 ob/2Ù/eøzz Special Conditions: Adiusted Valuation:,þ'zs/-a,*Plan Check Fee: þ qq. bl Permit Fee:lla,ze Manu. Home Fee: N/* Misc. Fees:N/A TotalFees: ,f 252,ab Fees Paid: { qq. r,l Balance Due: 16?.25 BP No: ßLe.€,'1L21 OWTS No: *t ¡n Setbacks:OCC Group: t.e-.Q Const. Type: r. "_. c. Zoning: :É.vrzAJ- I 8-4ZZ-BUILDING / PTANNING 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 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 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 a L ¿Å rhøe e and Sign Date / / &ørfuId Cøwnty, BUILDING DEPARTMENT 708 Etghth Street Suite 407, Glenwood Springs, CO 87601 Tel: (9701 945-8212 PLAN REVIEW CHEC K LIST Permit No:øLgF-ab-Z? 7¿27 Building lssues Planning/Zon!ng lssr¡es Rufal ry Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks 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 Application Signed Plan Reviewer to Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Property Líne Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat NA NA _/ N4 ?50 zbh- wh;tebínda* QnoÞ,e. on reærdeÅ evlra LìJÞ mmaru:escn Ption PI^Ðu) ¿foos.î. carpol.t Õ ubmt.t/€/ t/a /¿/ ah'r4 7ta1 6Øpf hola