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HomeMy WebLinkAboutApplicationGørfteld County RECEFgEUunity Development Department 108 8th Street, Suite 401 i\l{lld i I ltJH¡"n*ood springs, co 81601 ss,ir,ift3,,"?,uffi BUILDING PERMIT APPLICATION Com mercial/M ulti-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET Phone:Ѐ.¡.¡ AJò ¡*sJùt EmailAddress:ßáJî-l.+r¡¿+J¡o- r) MA<-. fauv\ Property Owner: Mailing Address: EmailAddressz lflJ'.tÍ, t ñtel,tstllt D*,/sÐqú*v- " tlrr'r o* ö&¡,¡wb. tßvr't;Bvtvot/.ãef¡+ra- IMailing Address: Architect: Mailing Address: EmailAddress: Phone: I ) Engineer: Nqfrc, æÉ¡¿^€íÊ Malling Address: Phone: t% | f;'¿'t *ut^t EmailAddress: Phone: (_)Manufactured Home lnstaller: Mailing Address: Email Address: DescribeWort: 2,Óp St*Jrræ rq:cf tcprtrÞA .¡e GÁt-<rfr*l thìËi . r¡rrrrrt frJl! sub. [-42¡-l Drr^o^r> A ut t Block- Job Address:(:,o Assessor's Parcel Number: Owner's Valuation Sq. Ft. of Building: s lt4tl.¿t* , ott IuHeight: %q6ß30 of Work:Propertysize (Sq. Ft. orAcres): 6''b ûUzeS f of Floors: 9 ù¿v Remodel/Alteration AdditionNew DetachedAttached ,zägt, c,.Þtv\ Class of Work: rage:Ga PROJECT DETAITS CONTINUED Septic Community atural Gas Propane Electric pt Permit # 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. leeal 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 perm¡ts. 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 withín 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. 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 certifícation as to accuracy' Assuming completeness of the submittals and approval of thís Application, a Buílding 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, ¡f the location, construct¡on 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) stopp¡ng 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, omiss¡ons or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulalions rest with me and my authorized agents, including without limitation my architect designer e eer and/ or builder I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have provided the required information which is correct and accurate to the -t I.¡ best of r4y knowledge. ,,fsf., Property Owner Print and Sign Date orHcl¡rusEoNtY Pd, 1801.1{ ct(it oStr tlltt/tøu,çiFæ¡ Soecial Conditions: 4 Mraarzs // Adjusted Valuation: êt44.4go,Ø Plan Check Fee: þßln 7ç JÊ'i2il:a ¡úanu. Éome Fee: ¡{.rfA M l/// Total Fãesr#2,flff,#Fees Paid: t$ 8,0.ì. "l*Balance Due:.â/,zrlç.75 BP No: Fn'Ral .|e'f tl OWTS No: -þ N/ Setbaiks:DK OCC Group: ! u feo(',. Const. Type: [ . l'1.¡ (:n,. Zoning: S{'tiI?.Al lz-ôBUILDING / PTANNING DIVISION : Signed Approval Date 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 ís 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 Buildlng 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. a o ,É/", Property Owner Print and Sign Date Gørfteld CounQ BUILDING DEPARTMENT 708 Eighth Street, Su¡te 401, Glenwood Springs, CO 81607 Tel: (97o) 94s-8212 PLAN RE V IEW CHECKLIST Permit No:ø1ßE-//-2/-724? Building lssues AJA l/ Ø/1/Þ ,/A Engineered Foundation Driveway Permit Surveyed Site Plan 2lØ. /þ¿/.æm9 Septicfermit and Setbacks 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 APPlicatíon Parcel/schedule No. 40# Snowload Letter - Manu. Homes Soils Report ?'/ Description & Sum marv: Pla n n ing I Zoning lssues Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat A/A n/A L."/ ^/A r/ l/ aeç{lned ?¿a2/5f oPeî ho/e reqortiy;,r/þLrÐ RtF- o#o" (or,?bn,H >:/"?É ,n d-K & r ¡cr"srrrzdvoà /,u/ % tu/4/2a,/ /æt;, 1. zaØ'n9 ,çrí g.,* a/crþíH o//.ezaaU V-zthaútt'ætç t/ â / i e kd ór, U,,y Ø !'tqr4 eø, "ola/aaþoni ' -=E-