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HomeMy WebLinkAboutApplication>b " Fur" z.=,ô F.; ÐRU iiì 9t - L.r>ul Lç' oä() ¡i**! J >l¡J ..-r uJ =g ::: u-5É'= óã GurJield County l Community Dæelqment lÞpartment 108 8s ttreet, Suite ¡1{t1 Glenrpoad Springs, CO 81601 {9701 945-S212 gìaujß¿t fi êld:Eq$ätt .glql CommerciaUMulti-Family Manufactured Home {single or Multi-t-evel} {51 DuBlex or ïownhome} ll lDemolitio¡r ifJneroor Accessory Dwellìng Unit {ADU)- MAXIMUM SlIf OF 1,O0Û SQUÀRE fËET tr{Y¡orvtDt$rng¡ Property Ownen o¡r¡rcl l.Phone: t ?tt ¡ ¿31*rt*=___. MaitinsAddress, är¡e"$fgl.8 dr!ãt Êsfi>_åfr g.:loð r{1¡$ü0ooÞJf&b*tp*Êt¡ot Ernail Addre¡sl Conträctor:Phone:{q?ô I zBO"OOEO Mailing Âddress: Email Address:åLI Architect:Phone¡ rl10 I Iüf ,lzeo Mailing Address: Ernail Address;af,ir¿- ùJ!.¿t4 È Ê r*ne.as¡ç', l¡€f. Engineer:LruÞortøÊ-1¡¡r-Phone:tq1o | ãll fsA¡ì EmailÀdd¡ess: Manufactured Home lnstaller:- Phone: EmailÄddress:. . ,. PnclErgfrfiLs Deseribe Work;tIø.,¡ llr*r¡¡ få¡rqrr¡rtfl aü rob Àddrcss: :gMtlç-.C{rål¡ùç*Þ@ ì Assessoy'sParcell{umber: ¿t13 9¿l 0? -e?t -.*- Suü.tr-r¿ åFll¡¡ltrÉ rct 1{ Bbdr 1 owner's Yaluarion of work: s tSq . qq-o- : - Froperty size {5q. Ft, or Aøes}:3.1¿ sq. Fr. of Buildins: 3f5:- f¡eiglrt: tf' I T¡" # of Ffoots;**l*- ArJditionÇlass sf Work: 6araget ffirue* ,ffion*tt''*tt iÜ RemodeUAìteration tetached . PN{UfCT DETAITS OOilTIâIT'EO r Septic: ; Type of tleat: 1f-]wts ffi*ututu'uut Propane Community Electric Permit #: iil Other Ì Driveway , Fermlt: , NOTTCI i ¡C!þSI&, This application for a Building Permit must be signed by the owner of the property, described above, cr ar¡ aulhoriaed agent. If the signature below is nôt that cf the Owner, a separate f etter of auih*rity, signed by I the Owner, must be provided with this Application. 1 tgëêl åSgåã. A Building Pernrit cannot be issued without proof of legai and adequate access to the property lor . ;purposes of inspectíons by the Building Division. . ; Olhef Peroüs, Multiple separate permíts may be required: (r) State Electrical Permit, (2i County OWTS Permit, . , {3} another perrniT required fr¡r use cn the propeúy identifieel ab':ive, e ,g, State or County Highway/ fioad Accessj or a State Wastewater Discharge Permit- V+id Pef$it, A Building Permit becornes null and void if the work authorized is not commenced withín 180 days : , of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. : CERTIFICATIOI{ I hereby certify that I have read this Applícation and that the information contained above is true and correct. I' understand that the 8r-ríicling Divisior¡ ac{epts the Application, aìong with the pians arici specificatíons and other . , datasubmittedbymeoronmybehalf{submittats),h¡aseduponmycertificatíonastoaccuracy.Assuming . , co¡tpleteness af the suilr*[ttâls and approval of this Application, a Building Perruit will be issued granting ,: : permissïon tû me, as Owner, tÕ constrllct the structure{s} and facilities detailed on the submittals reviewed by :ì the Buiid¡ng Division. ln consideratíon of the issuance of the Building Permit, I agree that I and my agents wiil 1 , con:ply with provisions of any federaf, state or local larv regulating the work and the 6arfíeld Cartnty fluif díng , Code, OWTS regulations and applicable land use regulations {County Regulation(s}). I acknowledge that the : Building Permit rnay be ruspended or revoked, upon notice frorn the County, if the location, construct¡on or use . : of the structure{s} and faciliÇ{íes}, dexribed above, are not in compliance with County Regulaticn(s) or any other applicable law, I hereby grant perrnissian tc lhe Ðuilding Lllvision to enter the prcperty, described above, to inspect the wark. I further acknowledge that the issuance of the Building Permit does not prevent the Buíldíng Official from: (1) rec¡uiring the correctíon of errors in the submittafs, if any, discovered after issuance; or {l} stopping construction or use of the strr-rcture(s) or facility{ies} if sr¡ch is in violation of County Regulation{s} or any other ; applicabie law. Review of this Application, includinË submiitals, and inspections of the work by the Building I' Division de: not constítute an acceptance of responsibility or líability by the Ceiunty of errers, omissíons ar i discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws . and County Regulations rest with me and my aulhorized ägents, including witirout lintitation my architect i designer, engineer andl ar builder. I hereby acknowledge that I have read and understaftd the Notke and Certification above, as çell at have pr+vickd the required inform;¡tion nrhich il dûrre{t ar¡d accurate to the best of my knowledge.ttrJftT#f*' zösJh4 er Prûp€rty ûwner Print and Sign Ðáts ,,t,,(00 Mr*%4ø-f-î'zL t,oFFrcl*r. ust oNrv cc Adlusted Valuation: 97?,ß.QVl tz Special Conditions: rmit Fee:t5 Misc.Fee$l- I- -N/ A lKlþ= Total Feés: $z-qz*.ø Manu, Hsme Fee: Balance Due:t9 E9-t*s:Paidl l5 ¡.to Fees I Igufit_ss: N/A Setbacks:æNT>OÇC Group: rac Const. TypÊr lRc Zoningl PUD BUILÐlNG / PLANNING tlVISlON r Signed Approval DatÊ Gurfield Coanty BUILDING DEPARrMENT 108 Eighth Street, Suite 407, Glenwood Springs, CO 87601 Tel: (970) 94s-82L2 PLA N REVI EWC HECKLIST Permit N"' útRE -ô7- 2 F bq(L Buílding lssues eenfY Nh / lr/ t/ Attach conditions LnefÅø yfùþ Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No' 40# Snowload Letter - Manu. Homes lndþ ry:ired Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ ToPograPhY 30% Attach Residential Plan Review List Subdivision Pl.at Notes loØl-71+ Fire DePartment Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Pla n n i ng I Zoning lssues /^ t lf Properry Line setbac r, (6,E) N4 30 ft.Stream Setbacks N* Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat il ( / t?ecep1on b81774 Descri & Summa ñ \1--î462,o1 "tlzllznzt fptat-,rrola " 3* lo15 * 3L= ¿Pl¿,1q4 x ß-- ""Pld "ú x lL= Q.ttr = 0,OO ft6 L75qx 1+,bØ= $ tbgt7y2¡z crurl zzSq y lg = 40?b6L 2\llô 4+1L ?)87 t a{juole/ buit/"val,u t Øort}'-F #Ð bo /\Jdi- Sc,+hl sul K+A neporl @ s+"pte p lo^ n{lor]" p"i r,",'{- Crñ Þ I TloNl S a Framing plans for each floor level and roof. All beams, ælumns, þsts, raffers and trusses specified. Pre+nanufactured structures rcquire tlæ engineers stamp,, sþnature 1$ 91:. ¡IOTE: lf any required information is missing" delays in issuing the permit are to be expcted. lf determined by the Building Official that additional information is necessary to revigwj|g application provlded. Work may not proceed withor¡t the issuance of a permit. wel! as any Road Impact fees will be coltected when the permit is issued. to acf as their representative CO w¡ll be considered an illegnl occupancy and may be grounds for vacating the premises. {FinallCO I hereby acknowledge I have read, unden¡tand and rrill abide by ttre rcquiremênts of this T. 2-l Owner Print and Date