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HomeMy WebLinkAboutApplicationGurfield Countyl- IL¡ =o- C)J uJ t!c: l-- === z ,,..: o:.i (Jf;"r o lx tL É. (9 6l¡t luoul É, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 www.garfield-countv.com 13BUILD¡NG PERMIT APPLICATION Commercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) Residential {SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET IûN'OLVEDPAAT.I Propefi Owner: Mailing Address: Email Address: Jnclc üt\cc Phone: t ?0S I'lt?D . 6540 qL S 3 \F o a contractor: A{Am Shnt' \N Phone:q 3tol.th+O Mailing Address: Email Address: tN zl q \Architect Phone:q L Mailing Address: Email Address:t^ Engineer:.Ð Phone: (B1t +&-06'l+ Mailing Address: Email Address: s A\I L Manufactured Home lnstaller:Phone: Mailing Address: Email Address: N\ /.4.l\.t'\ Describe Dfç110 qÑñ,u\Eì$[- Ê$0ff10f{ dP 2-\l s.Ê, dd l,,qN/r Job Address:t Assessol's Parcel Number: 2 I 30 sub. A<oul dd^rot lÚD' ß Btock--Ì- Owne/s Valuation of Work:BS ,600 Property Size (Sq. Ft. or Acres):0.bs Ac Sq. Ft. of Building: Height:tNA # or rloors: lÉ, G\e I Class of Work: Garage:Attached Remodel/Alteration Addition Detached I PROJECT DETAIT.S CONTINUED Natural Gas Septic: Propane Community Electric Other j , I l I I Permit #: NOTICE Authoritv. This application for a Building Perm¡t 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 Appl¡cation, 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 w¡th County Regulation(s) or any other applicable law. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,tolnspectthework. 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 w¡th me and my authorized agents, including without limitation my architect ner, en eer and/ or builder I hereby that I have read and understand the Notice and Certification above, as well as, have the uired information correct and accurate to the best of my knowledge. a-CC fu -/L-?rl DatePrint and Sign açy#usEoNtY 9¿ tsr{.!l c.¿o 0 Special Conditions: Manu. Home Fee: *s/s Misc. Fees:NlAAdiusted Valuation 6'z^Q Io¿4- Plan Check Fee:fst.l!Permit Fee:iga,25 BP No: BLRE -bT4I Total Fees: #ß,l,3lo Fees Paid:ì srt.t! Balance Due: #93,2ú OWTS No: ¡t/¡ Setbacks: .ÔL OCC Group: I n-C- Const. Type:tac Zoning: Pr/ Þ BUITDING / PTANNING DIVISION : Signed Approval Date ¿l 2-21 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 Uy tfre Building Official that additional information is necessary to review the application and/or plans ior complianðe, 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 wi!!o_ut a CO wilfbe 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 understand and will abide by the requirements of this checkli a a 0g- d,-?-4 n Date Garfield County BUILDING DEPARTMENT 108 Eighth Street, Suíte 407, Glenwood Spr¡ngs, CO 81607 Tel: (970) 945-8212 PLAN REVIEW CHECK L rsr Permit No: 0tRz-03-21-b74 I Building lssues Planning/Zoning lssues Nfr /\l4 NK l./ t/ t/ t/ t/* A/rt A/L t/ AlL Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Engineered Foundation Driveway Permit Surveyed Site Plan 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. t'/ subdivision Plat Qrc' Descri & Summ ) a47þ x þø 5 þ2,4t,1 ,0O NA 40# snowload Letter- Manu. Homes Soils Reportt/