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HomeMy WebLinkAboutApplicationGarfuld Counly BUILDING PERMIT APPLICAT]ON Community Development Department R E c E r v¿i ffi ::r':ffi'r:,':ï liår, ¡,.i. ii 'r ".i li¡ (97O1945-82L2j'ri !r'' " " "www.garfield-counw.com GARFIELD COUNTY 6e COMMU Commercial/M ulti-Familv Demolition Manufactured Home (Sincle or Multi-Level) Residential (5F, Duplex or Townhome)Reroof AccessorV Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET \ Property Owner: Mailing Address: Email Addressr a Phone: ( q?0 )b Phone: ( )Contractor: Mailing Address: Email Address: Architect: ô \,1Email Address:a Mailing Address:Stz a \itb.Phone:rî10r j04,&72 tæú o 3 Phone: (¿l'?0 ) 1s4 . Ò3?0Engineer: Mailing Address: Email Address: A9Ool,z0ôolt Height: Lot Describe Work: Phone: ( I 2 tÆlt1 ',,\Àn\,t \frù^l\h,rr.FVlT1s¡ SFR, Block Manufactured Home lnstaller: Owner's Valuation of Work: $ Sq. Ft. of Building Propertysize (sq. Ft. orAcres): 2& ^Cffir-6tt # of Fborst Z Mailing Address: Email Address: Assessor's Parcel Number: Sub. Job Address: Fl v Addition€la¡¡ of Workr,. DetachedGarage:Attached .1 i ì Septic; Type of Heat:Natural Gas Propane Electric Permit #: Other Driveway Permit: mpt Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwnerof theproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Lesal Access. A Building Perm¡t 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days of the date of issuance and if work is suspended or abandoned for a period of L80 days after commencement. 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, lagree 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 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 er ineer and/ 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. 08. 0", 4 Property Owner nt and Sign Date d ,;?8r.CIFFrCrÀt usE ONTY Special Conditions: Manu. Home Fee ¡.th Misc. Fees: . å RIF ß.8.0)Tf B II PI ,þ rfâ, t 3 q.q. ch eckna I Permit Fee: þzl+1,35Adiusted Valuation:. "#'205^0L6't{ OWTS No: Å/a Zoning:Lv øAu Total Feeı: 43,543,1" Setbalks:.n< 7oL BP No: 35 Ba DuceFees Paid OCC Group 3qî.18 Const. Type: lrzL -B-zoBUILDING / PLANNING DIVISION : Signed Approval Date /*,/b-¿ Gørfield County B'IILDING DEPARTMENT 108 Eighth Street, Sutte 407, Glenwood Springs, CO 87607 Tel: (970) 945-8272 PLAN RE VIE W CHECK L rsT 6LRE-Cø-21-70ú+Permít No: Building lssues t/ Pl a n n ing / Zoning lssues Engineered Foundation Drivewav Permit Gæ,URffi3-tØ-ltt Property Line Setbacks la Surveyed Site Plan Septic Permit and Setbac Grade/ TopograPhY 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No' 40# Snowload Letter - Manu. Homes Soils RePort 5),'/ Flood Plain ,/ / 30 ft. Stream Setbacks Building Height Zoning Sign-Off Road lmpact Fees , Description & Summarv: o,t,D,*t,øtt t/ t/ Grade/ Topography 40% Planning lssues Subdivision Plat T'tLl LcreS î5q3zs reæfFìon Ul m / 25W4, t+A proi. LI-7'32J Moï Iz2zozl ) 3b,,f-oe"l- FLT 3?3o y- 7+, ¡eS= 2l4l?21b ,W Lfû^r".^tlP&y- Lll = Ltort2ï,Oo o0etnwY' cPld 48Ô x 18 = tl)bw,ffi ucPld 195 x tL = 2)z+t,æ adí\LgleÀ,b ni di^o s 305, tr25jÐ va¡na*rôn= - ñ A alv (5,Ø,Ð = $I Uf\D (zmpÞfor isolû]edpi?Ð ) oı 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. 09,07. z¡ Prope Print and n Date a a