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HomeMy WebLinkAboutApplicationGarfteld County n Manufactured Home (Single or Multi-Level) ReroofXl Residential (SF, Duplex or Townhome) BUILDING PERM¡T APPLICATIONCommunity Development Department 108 8th street, Suite 401 Glenwood Springs, CO 81601 (s701945-8212 www.garf ield-cou ntv. com WPE OF CONSTRUCTION E Commercial/Multi-Famil Demolition INVOLVED PARTIES J^)5 t-<- bar I e-l-S (. ttt*- PROJECT DETAIIS vDescribe Work: Job Address: ,a L-ø Parcel Num Sub 0 2s Owner's Valuation of Work: w b r/ Btock A.ff+0ô Property Size (Sq. Ft. or Aggg) l-h{ Contractor: Phone: U-4-- Email Address: Mailing Address: Email Address: Property Owner: Mailing Address: 0-.Y"\Phone: ,8lor 3LL -Ó399 Sadrn 8-t8-t-. <-tr t,-0Ò¿- //\ {rd ScL-!. Email Address: Mailing Address Arch¡tect: 4r J)-[rJ "¿¿s il l,,JtoÌ-S tlp t,L/-Sf û11 *f A il,,+..g,,u'70c Phone:5- .2r/ ;2-o I Engineer: Mailing Address Email Address: Mailing Address: Email Address: - Nl+Phone:Manufactured Home lnstallerl n Rodition ! Repair | | Move/Relocationffittew! AlterationClass of Work: ! oetachedffintta.t''eoGarage; aÅ-a- Sq. Ft. of Building:Height:å?,? s/4 # or F loorr; & PROJECT DETAILS CONTINUED Septic OWTS Community Natural Gas Propane Electric Other Exempt l_l 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. Lesal Access. A Buildi ng 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) stopp¡ng 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 r,e neer an or builder I hereby that I have read and understand the Notice and Certification above, as well as, have the which is correct and accurate to the best of knowledge. 7 Property Owner Print and Sign Date d r ,q4 Type of Heat: Driveway Permit: OFFICIAL USE ONLY Special Conditions: Adiusted Valuation:+zØttbn.o Plan Check Fee:tþh2414 P¡rmit Fee:*1fl4b.1b ManuÑ%lee:'t"#\37.01 Total Fees':+?2t0A1 'iî#,q4 Balance Due:?tr+lz.qry BP No:gt IF,-53?t) OWTS No: Setbacks: tsl¿a.Ølwlaot occ Group: lRc_constType: IRC 'uiT b -T I qfio /zotøBUILDING / PLANNING DIVISION Signed Approval Date /#tØ3 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701 94s-8212 www.garfield-co untv'com BUILDING PERM¡T FEE ESTIMATE WORKSHEET divsion Applicant: Project Add 6t¡S, Block 1 Lot: P one: tn of, rn4-Sq. Þ+',7 o tr\0Ì\ n\.a__ 2ÅL 0 t{-}- 574.68Finished Livins Space (N/A for Manufactured H omes) s41.00Unfinished Basement S18.ooaceCrawl s32.00Garaee (Cond itioned) (i.e. insulation, sheetrock) s24.00UnconditionedGara S18.oob.r(Covered Pati s12.00Uncovered Patio/Deck so.ooMisc 50.00Misc TotalValuation $0.00 so.oosinsle Level (5400) $o.ooMulti-Level (S600) Total Set-Up Fee 5o.os 50.00New lnstallation (S123) So.oo so.oo Alteration and/or Repair (S75) Perculation (5150) Total Septic Fee $o.oo s0.ooPlan Review Fee So.ooBuildPermit Fee so.ooManufactured Home Set-UP Fee 5o.ooSeptic Fee {OWTS) so.ooOther (Ex: Road lmpact Fee) This Section Determined by Garfield County so.ooTotal Fees Due ***All fees are estimates until final plan review is completed*** BuíldÍns,l Zl.ni Review Checklist Perrnir Number: BI.FE'04'tØ- çAqo Yot* How à^(àwç çfP Buildine Engineered Foundation Driveway Permit '/ Surveyed Site Plan Planni 7on '/ Property Line Setbacks Nldw Nl\ '/ soils Report 30 fl. Stream Setbacks Flood Plain Buílding Height Zoning Sign-Off Septic Permit and Setbacks / Grade/Topography3Q% Attach Residentíal PIan Review List '/ Subdivision Plat Notes Nl,Fire Department Revíew ,/ Valuation Deterrninatíon/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed 40# Snowload Letter - Manu. Homes / Road lmpact Fees Grade/ Topography 40% / Planníng lssues Subdivision Plat General Comments: '/ Parcellschedule No. N Ølm¡a.¡ F¿< ^ Ð433.tq G* ãA) ttÅait" l4u4L tþnL,awl ) 2,64ø V^Wøhiotn tñ% tfi4o q,wv ß¿Qìà'u,cc øtwû14L Ara^,| ?^æ Cøtot,r& Þ/.dL 2¡Øb x Q74.b6 = boo x477.Ô0 ¡ Iñ?b x + 1Q".00 2 +?bx4l?'.0Ô = 0 e a + 2l¿o, 144 , alt2o . tut t4o. Øo4' TÔTAv +zq)bvq.00