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HomeMy WebLinkAboutApplicationGarjield County REC EçgEÐun¡ty Development Department- 108 8th Street, Suite 401 AUü u 2 2ÛFf"ntood springs, co 81601 3,îfi5,1Fi3,fi?.ffi BUILDING PERMIT APPLICATION WPE OF CONSTRUCÍION Commercial/Multi-Family Demol¡tion Manufactured Home (Sinele or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET INVOI.VED PARTIES propertyowner: DnD GRÜEI{CFËLDí phone: Address: P.Õ,BOx [qtO ßÊSÊL-r,Co R1þa( ÐÊú å GRdË'úËFËLD"'. COf 5bs Mailing Email Address: vþ s fì l{É Phone: I )Contrector: Mailing Address: Email Address: Email Address: ?t" v RGU ÊßÕ RÐ . cÊRrÐNDÊLÉ, co at b?3 ÊLu(ú à SoFetS, NÊf gÊMÉ phone:¡Q-1O¡ q,ß -q b+3Engineer: R ÊK'O$SKí - ¡'1l ttn?Ð Mailing Address: Email Address: Phone: ( )Architect: Mailing Address FSffü ÉQuEsTflPtJ FtgÉ[ot ß-" Brock - ru[p UJ 5. F,Describe Work: GRÈÐGø?" ËGLlËsrR{Arr uipv' L3ql -=tz- \r-cffi" tdg-#ofFHeight:Sq. Ft. of Building:2817 Property Size (Sq. Ft. or Acres):,?.5 rcOwne/s Valuation of Work:( Phone: ( I wl Frrircr+sP Job Address: PROJECT DETAITS Manufactured Home lnstaller: Assessor's Parcel Number: Sub. Mailing Address: Email Address: RemodeUAlteration AdditionClass of Work:New Garage:Attached Detached PROJECT DETAI IS CONTINUED Septic:twTs K Community Type of Heat:atural Gas Propane Electric Other Driveway Permit:FlExemnt Permit f: NOTICE 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 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 Permít, (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 Permlt. 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. CERTIFICATIOIV I hereby cert¡fy 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 Buíld¡ng 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 ís in violation of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the work by the Bu¡lding 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 andl 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 rete to the best of my knowledge. zlzlzt Property Owner Prlnt and Sign Date oFFrcrAt usE oNLY ?{ S t I 355.1rt tßf qq t o Ot lol l¿c¡'l ç}Þ R P gv"LÍn..e Special Conditions: Plan Check Fee: t b5<11 Permit Fee:2aw 7î Manu. Home Fee: l\lh Misc. Fees:z-îO3. ÐòAdiusted Valuation:za44ut Balance Due: 2e8S.7t BP No: BmE'1Oll' OWTS No: ¿dr^r uN t7y Total Fees:344t +1 Fees Þaid: Str35t'1.!t Setbacks:OCC Group:rßc Const. Type:rÈ€Zoning:P9D BUITD¡NG / PTANNING DIVISION : Date -?ÿl Garfield County BUILDING ÐEPARTMENT 708 Eiqhth Street, Su¡te 407, Glenwood Spr¡ngs, CO 81607 Tel: (970) 945-8212 PLAN REVIEW C HECKLIST Permit No:BcQT -Totþ Building lssues Planning/Zoning lssues ^/,0 E ngineered Foundation Permtr Surveyed Site Plan Septic Permit and Setbacks ch Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees d Line Plans/ Stamps/ Sticker Attach Conditions Appl ication S igned Reviewer to Sign APPlication 0 ,lL Property Line Setbacks ,v ,4.30 ft. Stream Setbacks ø/( Flood Plain Building Height /oradel ToPograPhY 3o%Zon Sign-Off - Roa pact Fees G Topography 40% Pla lssues ivision Plat Descri ion & Su m -ry l) pr+-,>v|-. il,L .-/soils Report parcet/scheduteNo. ¿,S. ¿Bbj r. Z4,t"E=Z/4,/Dg 4o#snowroadLetrer-Manu.Homes c.J. 2gG7 */&.Ao c 5t8aç r:J *n ;;3o : '22ñtr6n C,D" 214,1ø¿ 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, locatíon 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. I.lz( Property Owner Print and Sign Date a a