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HomeMy WebLinkAboutApplicationGørfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 leTole4s-82L2 www. ga rf ield-countv.com Manufactured Home lnstaller: Phone Mailing Address: Email Address: PROJECT DETAILS Describe Work:rUQ,t/ /,ArYL e- JobAddress: TBD ' PlNYoF,l MÉ,s4 DA, Assessor's Parcel Number: Z3 q 3 ' Ol .ot. coos Sub.Ftß. J 3 Block- Owner's Valuation of Work:Property Size (Sq. Ft. or Acres): Sq. Ft. of Building:?na t7 # of Floors: 2 Lot é20 BUILDING PERMIT APPLICATION Com mercial/M u lti-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof t Dwell Unit DU - MAXIMUM SIZE OF 1,OOO SQUARE FEET l-ai ¡NVOIVED Property Owner: Mailing Address: Email Address: -.zrû//rn Phone: Se L o o{ m,J n a3PhoneaI O .9 a d -.ul¿/ lrrz oContractor: Mailing Address: Email Address: Phone: tWot%Yq'Z2€ e Architect: Mailing Address: Email Address: Engineen -KV+t, è. fssoctkT€S êPhone: Mailing Address: Email Address: Remodel/Alteration AdditionClass of Work: Garage:d Height:&9,. Detached Qeero PROJECT DETAILS CONTINUED 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. f'*ru --*rr/1r"1 ø /1or1z"z / L-/Property Owner Print and Sign Date ]WTS mmunity Other Septic Type of Heat:Natural Gas Propane Electric Permit #:Driveway Permit: pt 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. 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. Itiple 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. Other Permits. Mu 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) 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. oFFlclAL UsE oNLY ?Å * trezt.* ce ot /or/zr Special Conditions kl z I1,r7g Adiusted Valuation: {zs6"ng"+g Plari Check Fee: tr¡,z.t'rqr- Permit Fee: þtg-,br,35 Manu. Home Fee:u/¡Misc. Fees: RrF-- qq33,0V Total Fdes: öaoBt,la Fees Paid: $ t,¿1,t .o ô Balance Due: ß nuo, ov BP No: ßuRE -G78+ OWTS No: co i,r[4ü N tly Setbacksn rUWI_ÔL OCC Group:rR(-Const. Type: rPc Zoning:PUÞ Mr.r",BUILDING / PLANNING DIVISION : Signed Approval Date i'rit: Garfteld County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701s4s-8212 www.ga rf ield-cou ntv.com lica nt:P one: Project Address bdiùsion:Lot Block ***All fees are estimates until final plan review is completed*** Pfr,u/F..-tlrZLl ,o3 -?¿ ce'' ô¡l.os.zo¿\$-- Gsl. ?¿t',*,+ îct- f ¡ ß78.ss R. l. - frru)torrl4esefuot . Srua/Allen lO - fq?lí.t1 BUILDING PERMIT FEE ESTIMATE WORKSHEET s74.682786Finished Livins Space (N/A for Manufactured Homes) s41.00Unfinished Basement 1435 s18.00Crawl Space s68 S:z.ooGarage (Conditioned) (i.e. insulation, sheetrock) s24.00Garaee (Unconditioned) s18.00309Covered Patio/Deck S12.ooUncovered Patio/Deck so.ooMisc: -*_.{€.aA Misc: 5o.ooSinsle Level(5400) 50.00Multi-Level (S600) s0.00New lnstallation t23 so.ooAlteration and/or s)ir Plan Review Fee Building Permit Fee Manufactured Home Set-Up Fee Septic Fee (OWTS) Other (Ex: Road lmpact Fee) This Section Determined by Garfield County So.ooTotal Fees Due cç* tls/tt . 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 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 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. ot/'ãÁ'z/ rty Owner Print and Sign Date Garfield County BUILDING DEPARTMENT L08 Eighth Street, Suite 407, Glenwood ,pr¡ngs, CO 87607 Tel: (970) 945-821"2 PLAN RE V IEW CHECKLIST Perrnit No: t LRE-0?2þ 6787 Pla n n i ng / Toning lssues U,DBuilding lssues NA ft NA t/ t/ NA- (./ t/ L/ t/ L/ Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ TopograPhY 30% Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes soirs Report (UTUAK 2l'44q N/ Ftood Ptain C1l\IÏ.' Buitding Height t/Zoning Sign-Off \Fl Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat CON¿\ property Line setback , 6e+bvtlKçf Ñ/+ 3o fr. stream setbacks b'Ø' P¡nuon lV FL6L e^q _flq33,07 RtF Descnipti on & Surnmarv: (q-F4) tsoop+/ab,W O¡e)ím,reØtr| V tqırË,ffiy F,L,S, 27gb 7#*7¿/"bØ=zoqoØW ænd 3ú^ o rld crail)l 5gT sl[tf 3z-- tg)79+Ø Lb*ttXlB= 4,bØo',oo t344n"x tg= 241112- AdJ', ßu,ld,hy Valaalion =fa b/9,ß