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HomeMy WebLinkAboutApplicationGorfielú CounQr J l¡., l!ô Þz == z5o(J o t¡J IL 6 !:.rl¡J¡À uJ c3:)(tUl d::.U .'+;l unity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 ls7ol94s-82t2 www.earf¡eld-cou ntv.com BUILDING PERMIT APPLICATION lÉpe or coNsrRucÍtoN DemolitionCommerciaUM u lti-Family Manufactured Home (Single or Multi-Level) x ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET PROJECT DETAIIS Describe Work: Job Address: Assessor's Parcel Number: Sub. ç t*V v[f 7 (uN owner'svaluationofwor ft Ç-or, aao Lot i slock Property Size (Sq. Ft. or Acres): Height:),ç( r or îç,t INVOLVED PARTIES ,!"ùkeé A "l Phone:t4'?,t t L'Vq-.¿þL{Í l ð ø /62-1 l4.o¿- 1\¡>o{ Email Address: Property Owner: Mailing Address: 7a"t --ll ë'6Phone:Contracton \ Nçkr¿o Ltu ,Mailing Address: Email Addressl à r'-\|lu,i,rnon.-7- oI10 Arch¡tect:I'1,,,h^tl Þt1". t'z t ¿2a Mailing Address: Email Address: J lo -o't'tJPhone: (lo , lL'aôl"'0 !o lu ¿ ÇIr, '1,¡oEngineer: Mailing Address: Email Address: Phone: f )Manufactured Home lnstaller: Mailing Address: Email Address: ($emodel/Alteration AdditionClass of Work:New Detached)AttachedGarage: Sq. Ft. of Building:floors:-? - 7 l Septic Electric OtherPropaneType of Heat:Natural Gas Permit #:ExemptDriveway Permit: PROJECT DETAILS CONTINUED Community NOTICE Authoritv. This application for a Building Permit must be signed by the Owner ofthe property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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 Permit, (3) another permit required for use on the property ¡dentified 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. CERTIFICATION I hereby certify that I have read this Application and that the i nformation contained above istrue 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 guilding 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, 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 ¡nspect 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 (21 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 designer ra or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required i n which is correct and accurate to the best of my knowledge' 'Z-t'7'\ Property Owner and Sign Date ðîq oFFlClAt usE ONIY PD. t T tE..t't c,. c.. o3 tz r%rê Special Conditions: 4tre Manu. il Home Fee: /; fíisc. Fees:,u/4Permit Fee:643.75Adiusted Valdation:'4o,ooa.æ Plaí Check Fee:1t8.14 OWTSffo: xlA BP No: ßtR,e -13q5Fees Paid {ttt.'lt Balance Due: - 643,2s'"*lr'Íäz,r? Zoning: Rue.Ar- Const. Type: tR<OCC Group: tf¿r-Setbacks:EK ,Tilï*/lnBUILDING / PTANNING DIVISION : Signed Approval ,/+4- Date Garfield CounQ BIJILDING DEPARTMENT L08 E¡ghth Street, Suite 407, Gtenwood Springs, CO 87607 Tel: (970) 945-8272 PLAN RE VIEW CHE c KLIST ØuRE-oTz-73î5Permit No: Building lssues Engineered Foundation Driveway Permit Surveyed Site Plan ø, AF Septic Permit and setbacks PlanninglToning lssues U Grade/ TopograPhY 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ TopograPhY 40% Planning lssues Subdivision Plat ,/ ./ ^"w-/ soils Report Lt-l-zL en^l7 on vúorK 3 -/ / ./ ./ 3 Valuation Determination/ Fees N4 Red Line Plans/ StamPs/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign APPlication Descri otion & Sum marv: æ Rv^l Sqlrztúêd 'ta/uahfu úargM 70wpç€ oo;h"b þa r)' lu¡u" ^þh,u&¿a-a E,t4/r!¿h * . 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. /aZza,-ô"1 lt Own Print and Sign Date