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HomeMy WebLinkAboutApplicationGarfuld Coanty Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82L2 www.garfield-countv.com v, BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION ulti-Fami Demolit¡on Manufactured Home (Single or Multi-Level) ?esidential (SF, Duplex or Townhome)Reroof Dwelli Unit - MAXIMUM SIZE OF SqUARE FEET INVOLVED PARTIES þØOW¡\t tG ØPropertyowner: VAv lQ Co þ¿rtrdt-+'),Cqn Phone: Mailing Address Email Address: âx¡ contractor: Rerot+ 2e'teto7nerrt h-lldtq phone: fllo ,hoat S11o *"UrnrOOO EmailAddresr, goldoff 5@ c?ol ,con пv> tr? 6zputx! G'rnòphone:Arch¡tect: Mailing Address: Email Address: phone: þ"Z r82s -0771 co 80 ttzØerntall++7 J¿sn VoLÊZAcEngineer: úîa't L</aMailing Address: "leæl@ cTLEmail Address:n .LN) Phone:Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS Assessor's ParcelNumben LÒ 8Z q16 ÉlLQertnaS Lot 5b Btock tl r.J¿¡ *komeDescribe Work: (ñr@5 41o5 Height: 2+'-4t' ßt&ot¡roorcz 2 Owner's Valuation of Work:( Sq. Ft. of Building: Property Size (Sq. Ft. or Acres): NJb,þc$t Nocrc) Sub. Job Address: l.N€w Remodel/Alteration AdditionClass of Work: DetachedGarageAttached 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 schedLrle, location and holrl clowns 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. 5- il-Z Property Owner Print and Sign Date a PROJECf DETAILS CONTINUED Septic:CWTS nity Type of Heat:ral Gas Propane Electric Other Driveway Permit:[fx-emnt Permit #: 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. 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 designer, engineer 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. D tô,,^,_ î_/r_27 Property Owner Print and Sign Date OFFICIAT USE ONTY Special Conditions: ôee atÈaahe/ØNÞ/77A/9 Adiusted Valuationl ,.im, gâ,í-ta Plan Check Fee;,\":r.a.O Permit Fee: ¿ P2,b17' ''a Manu. Home Fee *OAJ"TA '"'liitnrq i...ä,..a1 Balance Due:z btz 75 BP No:Ñlv-(tr¿)OWTSIo '"'ft\)NÞ OCC Group:const.ryf'p2 'Ptip p"r Et.6'¡t-t?-zvBUILDING / PTANNING DIVISION : Signed Approval Date Gørfield County Community Devclopment Department 108 8th Street, Suite 401 Glenwood Sprlngs, CO 81601 (970) 94s-8212 www.garfield-cou ntv.com BUILDING PERMIT FEE ESTIMATE WORKSHEET t,J(ñ % ror, 4'4too Block: o-icant C>u t9V¿w P Address:roject tvsto Finished Livins Space (N/A for Manufactured Homes)z o5 Unfinished Basement ô ,00 s18.00Crawl Space a ,to I 5ç 6t? .e. insulatio sh z7 45 q2 Sgz.ootC¿ Garage Unconditioned s24.00 6+Z s18.00o Uncovered Patio/Deck 12.00 Misc Misc So.oo Sinele Level (5400)s0.00 Multi-Level (S600)So.oo s0.00 So.oo Plan Review Fee Building Perm¡t Fee Manufactured Home Set-Up Fee Septic Fee (OWTS) other (Ex: Road lmpact Fee) This Section Determined by Garfield County Total Fees Due $o.oo l ***All fees are estimates until final-,plan review is completed*** Gørfield County EUILDING ÐEPARTMENT 708 Eighth Stteet, Su¡te 4O7, Glenwood Spr¡ngs, CA 87607 Tel: (970) 945-8272 PLAN RE V IEW CHECKLIST Permit No: BLRE- 01-Å8- gry Building lssues Pla n ning/Zoning lssues fun ,\IA AtA t/ l./ t/ (/ c¿tt/- ,,,/ 0.ar Engineered Foundation Driveway Permit Surveyed Síte Plan Septic Permit and Setbacks Gradel Topography 30% Attach Residential Plan Review List ch Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manu. Homes Soils Report t/ t- Line Plans/ Stampsl Stícker î028t b tùî/ Property Line Setbacks 35 ft. Stream Setbacks Flood Plain Building Heíght Zoníng Sign-Off Road lmpact Fees N/A Gradel Topography 40% Planníng lssues Subdivision Plat ,/Subdivision Plat Notes frþcntíl'aøÇím P/aj" ü;;åfV,W{rnt4,oÐ Valuatíon Detèrmination/ Fees 4lrL -'/DescriBtio n & Summarv: "/ lvA €en*¿¿reúla/e//v 6-6zr; re¿eivc/ Arreúbrs a#r o/ækoat 6'?¿7,' r;:çi/vre/â'o/ ns ??o ly, 74 b8= / zî/r 625, {o orw¿/ 3/o/ x /l fq g/&æ //2ø x a2 E,f â4 ?aô, 367x /8 êÒ ¿/2b.oo oo 351 80ã çoaúheþ¿ /a//tnt¿ ra/eah'oá; # ca¿ø/aal ) 7, ooA Ft /-raVtf ,"{-raoø/^/ ã21 4lâ a S2 4dFASnau,ba/Toàa/h 7aê/b/"rú ls6 l/ç,fç f lu* czø,=rstu* F,1 2-T1n "L^h/ tt2b_.zz *ooo f ,{ funøu/o^/F 4