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HomeMy WebLinkAboutApplicationGarfield County BUILDING PERM¡T APPLICATION R Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 ::r, iRFr¡Ër-Þ C6¡LJúq¡P) 94s-82L2 r'rri;iilhJi'lYnF\@ Ja cf\L .LT>.\p 5,') TYPE OF DemolitionCommercial/M ulti-Family Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhomel I{,--W.'Àel - MAXIMUM SIZE OFDwellUnit FEET PART¡ËS \ Property Owner: Mailing Address: Email Address: *\L A\\e,/ì Lo 4LLo t k w 5 Phone nTbt Tí7 -tísu ,^cd-e Phone: t1h 1\t -16ù2' lço)Þ i'n{t" g' $/l Q'c Vì^ /\PJI,.^âI/) , L5Î4 Contractor: Mailing Address: Email Address: ß t7\ Ñ¿SJrr.r^.4 zo?Phone: -€,-&r 1t *.vn¿- aa ¿x'cl 5o-."t^-o- a-3 ,*l rc.ÅÞ"tEmail Address: Mailing Address: Arch¡tect: Phone: () tt a\wÐ "lt-' Þ ), - ¿.ø, az-q Engineer: Mailing Address Email Address: Email Address: Phone:Manufactured Home Mailing Address owner'svaluationof work: S 660 t AÞ PROJECT DETAI[S Describe Work: 2\% ,( Iot Height:Sq. Ft. of Building:Í"r""f.í at'ñ) Je- Block Property Size (Sq. Ft. or Acres): Assessor's Parcel Number: Job Address: Sub. #olFloors: 7 ><{nemoaet/$tçgt5q,Addition (rx**à ?"\'r, ftClass of Work:New DetachedÁttached FxÉ*.ir,.rGarage: btþ PROJECT DETAITS CONTINUED Septic:fWTS Community Type of Heat:atural Gas Propane Electric Other Driveway Permit:IExempt Èø Permit #: NOTICE Authoritv. 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. 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 Perm¡t, (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 designer, engineer and/ or builder. I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have provided the required ¡nformation which is accurate to the best of my knowledge. '-l ¿f L\-à'1t-) Property Owner Print and Sign Date OFFICIAT USE ONLY Special Conditions: Adiusted Valuation:-,ð'7s,zz_n u Plan Check Fee:56,74 5"lTy,",KiT. ff'"*"',7AMisc. À/ OWTíNo:F.*t..n.{.t'Åi""åiz,rr 'iffivo Balance 603, Due:ao BP N5:' É';1m'conffiir ù 'Ti'' ot rO"rEr€,occ uffipa BUTTDTNG / PTANNTNG DTVTSION ; Signed Approval 3_17-73 Date ûrlo.*4 Gørfield County BU'LDING DEPARTMENT 708 Eighth street, Suite 407, Glenwood Spríngs, Ca 87æ7 Tel: (970) %s-8212 PLAN REVIEW C HECKLIST úLRE-oz-23-fl/FPermit No: Building lssues Planning/Zoning tssues RU ryEngíneered Foundatíon Driveway Permit Surveyed Síte Plan ñ/A Permít and Setbacks Grade/ Topography 30% Residential Plan Review Líst Subdivísion Plat Notes fvrâ Fire Department Review Valuation Determinati Red Line Plans/ Stam Stícker Attach Condítions Applicatíon Signed Plan Reviewer to Sign Applícation Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Property Line Setbacks fft. str""r Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees rnin únug 1çOO/v4 Gradel Topography 40% Planning lssues Subdivision Plat NA ø.1?67456737 Description & Summary: f/s*2ÁçJ-t ê ,5f 4m^elo x þz?oØ /g :#2rc lîoopøf o(%/1"/e u ^/ùs?brlþárd*4 t/a/u / I f 2Za reâr 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 a a checklist. &*.-^-¿Åcr,à'< -v-.i"\*r*À /lyitr Property Owner Print and Sigñ f 3*L (ttpt@< oulVrrrA"* ít ^$Cø{r c gervn-* a-r> tr',S*\ L LI Date