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HomeMy WebLinkAboutApplicationGarfteld County Community Development Department gT[:{:ÌF:t g\/Fîr} 108 8th Street, suite 401 Glenwood Springs, CO 81601 (970194s-82L2 vrrww.ga rfield-countv.coml,-,*=-l-- il:i'Ji i:i.l i BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) T Residential (SF, Duplex or Townhome)\Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES Property Owner:Brian Derkash Phone: (970 ) 230 1048 Mailing Address: 1574 Huebinger Dr. GWS, CO 81601 Emait Addresr. brianderkash@gmail.com Contractor:Homeowner Phone: Mailing Address: Email Address: Architect:Phone: Mailing Address EmailAddress: Engineer Phone: Mailing Address: EmailAddress Manufactured Home lnstaller:Phone: ( Mailing Address: EmailAddress: PROJECT DETAITS Describe*or¡. Finish an unfinshed basement. (approx. 1'100sf.) Job Address: Assessor's Parcel Number: Sub.rot 5 \ Block- Owner's Valuation of Work:r 15,000 Property Size (Sq. Ft. or Acres) Sq. Ft. of Building:Height:# of Floors: Class of Work: Garage:Attached Remodel/Alteration Addition Detached PROJECT DETAITS CONTINUED Septic: Type of Heat:OtherNatural Gas Propane Community Electric Author¡tv. This application for a Building Permit must be signed by the Owner of the property, described above, 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 Perm¡ts. 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. Permit # NOTICE Driveway Permit: 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, lagreethat land my agentsw¡ll 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 (21 stopping construction or use of the structure(s) or facility(ies) if such ís in violatíon 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 frÊ neer and/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have p anl accurate to the best of my knowledge.L- ?-?i-âb\ Property Owner Print and Sign Date OFFICIAT USE ONtY Special Conditionsr Adiusted Valuation: ¿ß^62q. qv-Plan Check Fee:í/a, oo Permit Fee: 5 32. 66 Manu. Home Fee: r,.ì ,lA H¡'Êffib Qc'/24 TotlFees: 1å2,b5 Fees Paid:#/r)a,q'Balance Due: 6 az,6g BP No: I R¡ çT- QWTS No: Setbacks: N/A no¿lnn¡A Group: ^TBI',occ 2 Const. Tvoe: T1-2',C-, Zo¡ing:Virl-r a-/-2éttXi,T/, Signed Approval Date BUILDING / PTANNING DIVISION : e^t o 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 acknowled I have read, understand and will abide by the requirements of this ,lrtLt Property Owner P and Sign Date Gørfield County BUILDIN6 ÐEPARTMENT 70a Eighth Street, Suite 407, Glenwood Springs, CA 8760I Tel: (970) u.s-8212 PLAN REVIEW CHE CKLIST Permit No:BL<E-az-za:7?fl Building lssues Planning/Zoningtssues PUÞ atulN:9 / Engineered Foundation Driveway Permit Property Line Setbacks 1$ft. Str""rn Setbacks Flood Plaín Building Height Zoning'Sign-Off /ø Surveved Site Plan,SMrærn -/ ^/4 -a'/ tv/4 N+ N¿ N/r Attach Residential Plan Review List Subdivisíon Plat Notes Fíre Department Revíew Valuation Determination/ Fees Red Line Plans/ Stampsl Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application ParcellSchedule No. 40# Snowload Letter - Manu. Homes Soils Report Descriotion & Sumrnarv: heearlffln t¡L û /44 6,f. x ó -/ ./ fuTEEÞ lm Feesnztbtizol* Grade/ Topography 40% Planning lssues Subdivísion Plat Þ âoa É ú 37,68 //ue*/ br,//'itlr 6aæ¿r*rþ ãbt'/* 7$lZî,?z P??*rr/ n/ua-*'ø,