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HomeMy WebLinkAboutApplicationRECEiVU Jkit-2 Garfield County GARFU ELL !k* Y )MMUNITY Corr-qunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION 0 Commercial/Multi-Family ,g Residential (SF, Duplex, or Townhome) Ll Manufactured Home (SF or Duplex) ❑ Demolition ❑ Reroof ❑ Grading ; ate ail utilities prior to grading) INVOLVED PARTIES Property Owner: ,/ AiY) .2)0 R 0 / Phone: (?7 ) (76 - 2 3aV Mailing Address: 0 VOS _M/Z)-- 14//9/ e ,l,�gu) e437, C4. Contractor: r'') 1i 00,e S PO] 4A/2 Phone: PO ) E30-0 Z 0 f _s Mailing Address: / •fids v��J Architect: Phone: ( ) Mailing Address: Engineer: _ _ Phone: ( Mailing Address: Manufactured Horne Installer: Phone: ( ) Mailing Address: PROJECT NAME AND LOCATION Describe Work: 41 01 b Ir j I 1/0 //7 E,X t St) +t) (a STIZ OC.,1-01C' Job Address: - / f% 11 1/J 11 4 Assessor's Parcel Number lr, 1 2) 101 . ub. /1 - r f 4l UOcr2. Lot 7 - 8 Block Owner's Valuation of Work: $ 'Fg (.)C.e Property Size (Sq.Ft or Acres):,4 , Sq.Ft of Building: 381.3?V . ,k1, T/Unl-leight: / ' 6'' 74y0flR,t ',# of Floors: / Class of Work: 0 New ❑ Alteration II& Addition 0 Repair 0 Move/Relocation Garage: Septic: Type of Heat: 1E1 Natural Gas ❑ Propane Attached ❑ ISMS Driveway Permit: '.: 0 Exempt Grading Square Feet of Earthwork 0 Detached 0 Community 0 Electric 0 Other 0 Permit #: sd 4/6/0RD. Cubic Yards of Earthwork, NOTICE Authority. This application fora Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If 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 ISDS 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 completenE 1 of the submittals and approval of this Application, a Building Permit will he issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. In 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, ISDS 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 1 have read and understand the Notice and Certification above as well as have provided the required informatin is corr tan a u d r,t• t of my knowledge. Property rwner Print and Sign 41 / P ."64‘tiOile' 7- n - Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: 44 4.21.1 l Plan Check Fee: 365, 61 Permit Fee: 5q 3. Z5 Manu home Fee: �`.' Misc Fees: Total Fees: q7 8, 84 Fees Paid: 2,280.5Y-4' Balance Due: 6 98.4.9 BP No: ISDS No: C---` Rai Setbacks: FZS, ,az-3", 5/o OCC Group: S Const Type: 'RGfi Zoning: BUILDING / PLANNING DIVISION : 1///"/;" " Signed Approval Date 1 gyp, ° `1 R3q5/ 7 -as • is Building Plan Review Description of Work: addition to existing structure Bin #: Location Address: 405 MID VALLEY DR SILT, CO i General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -7-13-7637 Parcel: 218107302006 Application Date: 07/23/2013 NV Owner: Ham Dubois Applicant: Ham Dubois Applicant Phone: Email: Building Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks / GradelTopography 30% Attach Residential Plan Review List Minimum Application Questionnare Subdivision Plat Notes Ny4 Fire Department Review Valuation DeterminationlFees f Red Line Plans/Stamps/Sticker Attach Conditions NSA Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Planning/Zoning Property Line Setbacks 30ft Stream Setbacks r Flood Plain 7 Building height r Zoning Sign -off Road Impact Fees HOA/DRC Approval GradelTopography 40% f Planning Issues Subdivision Plat General Comments: 1 0 Fret. Ltulliq SpAzC 384 x 74.6$ 2q 677.1z_ Uptrio, 3 P f/t4 394 x41.U° : 15,-744 bD TO AZ- V4(' ovt _ ,4Z[, 1Z - Wednesday, July 24, 2013 The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Septic or Road Impact 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 4e1P,,,,•011111r A liefifT0e--- C3 Property Owner Print and Sign Date