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HomeMy WebLinkAboutApplicationGarfield County Development Department 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.earfield-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/Multi-Family O Manufactured Home (Single or Multi -Level) O Residential (SF, Duplex orTownhome) O Demolition O Reroof INVOLVED PARTIES Property Owner: Mailing Address: 1� no eo 9 5-kg.0siNc Phone:( 7d } 3 -.3.265 ,c/,/7/ Ga /o sir 6 5—Z Contractor: C ro +^ / Phone: (17e } 37y n .726s— Mailing 2 G5 Mailing Address: _ ° VO 7 5 '' /� C=pl v / E _5-Z P Architect: Phone: ( Mailing Address: Engineer: Phone: ( Mailing Address: Manufactured Home Installer: Phone: ( Mailing Address: PROJECT NAME AND LOCATION Describe Work: OFF' rr ' I Fe., Job Address: Assessor's Parcel Number: Sub. St-rZ 43 V\ 5 Lot 2.. Block Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres): 22. IVO( /a? �vS (�•�c� / s U Sq. Ft. of Building: '/gp Height: 7& f # of Floors: Class of Work: 0 New 0 Alteration 0 Addition Garage: 0 Attached Septic: ❑ OWTS Type of Heat: 0 Natural Gas 0 Propane igx Exempt Driveway Permit: O Repair 0 Move/Relocation O Detached 0 Community 0 Electric O Permit #: 0 Other I NOTICE Authority. This application for a 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 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. 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, 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 h required information which is correct and accurate to the best of my knowledge. i20 Prope wner Print and Sign /'zv,'4, t. OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: 4752 Plan Check Fee: 7Z�, Permit Fee: orZs Manu home OU .J�,r-. Misc Fees: Total Fees: 583.5d` Fees Paid: 60 fQ � Balance Due: /BA 5.b BP No: OWTS No: S ET's - (SLrr L1(8 LOL4 Setbacks: Fs 0 sill OCC Group:Const Type: 71'45t�u� Zoning: BUILDING / PLANNING DIVISION : /v ` 02 /0 /6 Signed Approval Date F d. i • , o leo J* ,2oo2S NOTE: If any required information is missing, delays in issuing the permit are to be expected. If 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 Septic or Road Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by a person having written authority from the owner to act as their representative. I hereby acknowledge I have read, understand, and will abide with the requirements of this checklist. Property wner Print and Sign Garfield Courrry uIlllinn ®ni Zia.' Review Checklist Permit Number: Building Engineered Foundation N)//1 Driveway Permit Surveyed Site Plan 7 f Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions / Application Signed Plan Reviewer to Sign Application / Parcel/ Schedule No. 40#Snowload Letter—Manu. Homer Soils Report Planning/ Zoning Property Line Setbacks 30 ft. Stream Setbacks Flood Plain / Building Height Zoning Sign -Off AJf4 J Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat General Comments: j4je- !!a ,y9.(2,0 0 4, -73-z.. SCANNED CONDITIONS OF PERMIT BLCO-1-16-4028 Una Development Temp Office @ Strong PUD Lot 2 Parachute, CO 1) ALL WORK MUST COMPLY WITH THE 2009 IBC AND MANUFACTURERS INSTALLATION SPECIFICATIONS. 2) ALL WORK MUST COMPLY WITH THE CURRENT PUD GUIDE/RESOLUTION # 2009-08. 3) ACCESSIBILTY REQUIREMENTS PER 2009 IBC, CHAPTER 11 AND ICC/ANSI A117.1-2003. PARKING, SIGNAGE, ACCESSIBLE ROUTE, AND ENTRY. 4) SEWAGE HOLDING TANK REQUIRES OVER -FILL ALARM AND PUMP -OUT LOG. 5) VERIFY C.D.O.H. FACTORY BUILD LABEL PRIOR TO FINAL/COMPLETION INSPECTION. 6) ELECTRICAL FINAL APPROVAL IS REQUIRED FOR FINAL/COMPLETION INSPECTION. 7) LOCKS, LATCHES AND LANDINGS PER 2009 IBC, SECTION 1008. 8) LIGHT AND VENTILATION PER 2009 IBC, CHAPTER 12. 9) GARFIELD COUNTY FINAL INSPECTION REQUIRED FOR FINAL/COMPLETION INSPECTION.