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HomeMy WebLinkAboutApplicationGørfield County Community Development Þepartment 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 www.garfi eld-cou nW.com WPEOFCONSTBUCÍION BUILDING PERMIT APPLICATION r2 DemolitionCommercial/Multi-Fa mily Manufactured Home (Single or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVEDPÂRNES phone: (lZS y 'LiZ-6+5Y (*lèps ê €t¿5o I G t 37 (àu>.'o*. "- A P(^^^ Emall Address: Property Owner: Mailing Address: 1,.,* r*¿-V r ¿-ø u,-EmailAddress: ,rContractor: vl re.t)I <f t ¿t:h¡ t ¿la- 3LrL I lft u ¿or t'rv^r|..) Mailing Add¡ess: 73 Å Phone: Alchitect:Phone: { ) Mailing Address: Email Address: Eneineer:Phone: I ) Mailing Address: Email Address: Phone: ( IManufactured Home lnstaller: Mailing Address: Email Address: Remodel/Alteration sub. €ta 9¡'c¡^ts Los A**¡,o.¡ Flo'Ì tot í5 Bbck PROIECÍ DETAIIS Describe Work: Detached J ition Job Address:( t 0 g ,f, ,u ¿.-<2 ElÅnl 5q. Ft. of Building:312.='Height: Owne/s Valuation of Work:00 tz fof 31 ßatço*., L^ 5lÍ*j.^* ," i\ t \'l, ^t.- Assessor's Parcel Number; Z I Property size (sq. Ft. or Acres): 2,'6] ît"'9 Class of Work: Garage: i PROIECT DgrAllts COiIilNUED Septic:Community Type of Heat:atural Gas Propane Electric Other Driveway Permit: NONCE 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. Lesal Access. A Building Permit cannot be íssued 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 aflter commencement. CERTIFICANON I hereby certifo 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 specificatíons 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 grantíng 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 Buílding Permit may be suspended or revoked, upon notice from the County, if the locâtion, 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 perm¡ssion to the Building Division to enter the property, described above, to ¡nspect 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 construct¡on 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 const¡tute 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 neer 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. Permit f: ?lo "*,*a¿Qt--"zlz'11zoz'\ Property Owner Print and Sign Date oFFt€tAr usE oNrY ?.t . t ot/c :/taucc Special Conditions: Plan Check Fee: I Permit Fee:. , / f I5..'' þ toQ.z¿6 Manu. Home Fee: N/A "o".rñvÆ.Adiusted Valuation:t i. q45 Fees Paid: I Balanc,/Due::f{s.o-f t (ffi,L6 BP No: Bur<E. bltL OWTS No: N/A 'Totál Fees: H n+,Zb F OCC Group: re¡- Const. Type: rf¿c_ Zonine: PUI> UUt*Ør,âLBUTTDTNG / PIANNING DTVTSTON :'t-zJ-Z! Signed Approval Date con ìhon Garfield Coanty BUILDING DEPARTMENT 708 E¡ghth Street, Suite 407, Glenwood Springs, CO 87607 Tel: (970) 945-8272 PLAN R EVIEW C HECKLIST Permit No:6txs-oz-zFb7gla Building lssues Pl a n n i n g / Toning lssues l) Engineered Foundation Driveway Permit Surveyed Site Plan aur) ñ/A ,t/ N/ft Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat coNÞ.. 0R) N/ / ,-/- s"ptic Permit and Setbacks Grade/ TopograPhY 30% Attach Residential Plan Review List L subdivision Plat Notes N/ft Fire Department Rev¡ew Application Signed Plan Reviewer to Sign APPlication Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report ,/ t/Valuation Determination/ Fees '/ Red Line Plan s/ Stamps/ Sticker ¿./ Attach Conditions î/Descri on & Summ Aà¡'vslet) value-- + \1q5 @spersr pt+-|Ð 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 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 lssuance 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. G, eqc, ? t, Yv\ wr s{3 lz, I z..ozl a a Properg Owner Print and Sign hQ4 Date