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HomeMy WebLinkAboutApplicationscAil>h¡- ul2ãqô- sË OHJ>- r¡J b ll5ú.= óE o t¡J ¡ l¡Jo ¡¡¡É Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82L2 www. garfiel d-countv.com INVOTVED PARTIES Property Owner:3A¡'/luriL Mailing Address:P,o Bot/ QçG 9,lt Phone: ( q70l 3l q - t)/"vz -þ Qt-¡g -8221 (-0, 8/6-vç Email Address:&rJ q t I Garfield County I BUILDING PERMIT APPLICATION D3WPE OF CONSTRUCÍ¡ON Com mercial/M u lti-Family Demolition M Home (Single or Multi-Level dential (SF Du or Townhom Reroof Accessory Dwelling Unit (ADU)- MAXTMUM SIZE OF 1,000 SqUARE FEET Phone:L,eContractor3 Mailing Address: Email Address: Mailing Address: Email Address: l;t.îEQ,A Ì.48 Æç A Phone: ( )Architect: Phone: úWt Atil'-0q00 ^/Engineer: Mailing Address: Email Address: Mailing Address: Email Address: sua. i€.ut z tVlinlüf, St¿ßîxt1/,'<i(l-lot I øloru Phone: (_) PRO¡ECT DETAITS ¡ 56 t>gÉDescribe Work:u)e ^/l 't iyù Pt Æt Æ-yzkuJó, ù Height: e() I tN uùê gttLJ>t t5 Property Size (Sq. Ft. or Acres):q"?8?of Work: (r't8 #ofF Manufactured Home lnstaller: Q. t'<rÃro É.ÞAssessor's Parcel Number: Job Address: Owner's Valuation Sq. Ft. of Building: Remodel/Alteration dit¡onClass of Work:w- DetachedGarage: Vü s,lr cq gi 6_r2 ,r4:..,i t !'it )a:ir'1,. ,,i '¡i Community 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 specificat¡ons 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 e neer an or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as we ll as, have provided the required information which is correct and accurate to the best of my knowledge. fu-t+'t'z P a/,- ob -Jl r Print and Sign Date PROJECT DETAI Sept¡c: OtherElectricNatural GasType of Heatl AuthoriW, This application for a Building Permit must be signed by 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. NOTICE #: @erntt the Owner ofthe property, described above, "'/7 /zot-toFFrcrAr usE oNLY ¡ul Special Conditions: Misc. Fees: - 'Rltrê.øìt=$t;Perm¡t Fee:6/,44n35 Manu. Home Fee:*/xAdiusted Valuation: ¡ +:iaf) 49l,qll- Plan Check Fee: #qç0,'78 BP No: BLra€' 6S13 OWTS Ño: ¿ s€pr - g&q+iix¿:äTnTotal F6es: { z3çß, t3 $ 8¿r tt{Fees Paid Const. Type: tô c- Zoning: ÈURAL OCC Group tÈc'*o2rÞ b-2441BUILDING / PLANNING DIVISION : Signed Approval L%r-, Date Gørfield CounQ BUILDING DEPARTMENT 108 Eighth Streel Suite 407, Glenwood Spr¡ngs, CO 81607 Tel: (970) 945-8212 PLAN REVI EW CH EC KLIST Permit lrlo:BuRE-0b-21- 6Ø qz Building lssues Engineered Foundation 6 RD 1JÐ=ß-- D riveway Pe rm it (/ Planning/Zoni lssues ,øo,t- '/v+ N+ Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Surveyed Site Plan ftPf-þØteptic Permit and setbacks I/ L/Grade/ropography3o% þakffi) Attach Residential Plan Review List vE5 / tro¿rvision Plat Notes Fire Department Review Valuation Determ¡nation/ Fees Red Line Plans/ StamPs/ Sticker t/ t/ t/Attach Conditions (-/ qa4 açr- | Desçríption & 5umrylq¡y: Kl tr (5,6,Þ)=6bzz. cra)tl nog X tg =+ga,?++,N lWrLtçt,t11 : t/ NA Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manu. Homes soils Report æ0led4 oryhtl¿reqnird 6mp? /'- trtÉ L q0( "lø l1ogx74,bï=þtqfiJ,W 683v 32 1 lqb66,Ø I4lo x l( =¡ i,øze,m a {o ole d b uild¡ rg u d,,e,l 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 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 without 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 read, understand and will abide by the requirements of this checklist. Ésa¿ P.o ì ob-a6- ll Print and Sign DateP