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HomeMy WebLinkAboutApplicationGurfield Coanty rãz.= ri ãË;.t ,; H':::, .-J >,. ulbd. u-5-ti. ú= óã r3 'r.l,,, i) uú Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82t2 www.garfield-countv.com BU¡LDING PERMIT APPLICATION @ TYPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home (Single or Residential ,D or Reroof Dwell Unit - MÐflMUM SIZE OF 1,000 FEET INVOLVED PARTIES propefiowner: J,ofSA çl¿ r¡eti Phone: ú10 | 3+4-8q67 Mailing Address:11 la ßÅiord Ave SÌr+-¿o H6fa Email Address: Contractor:fùt h,¡rsl.¡Urh'An Phone:¿/- 0 Mailing Address:+¿ ßôx ,+A (ìll,- tt¿A tÁre Email Address:È v Architect:ünt Phone:r?xf I ?lAq,A Mailing Address: Email Address: Engineer:Phone: ú41 t366'9óQo Mailing Address:I I I Email Address: Manufactured Home lnstaller:Phone: (-) Mailing Address: - Email Address: Assessor's Parcel Number: zl21 365 Û Õ C-8 7- PROJECT DETAII.S Describe Work: EW r90,t 41.56 4 s of Work: # of Floors:t,4 lv Job Address: 5ub. Size (5q. Ft. or Acres): 1 'O?î fr,efe|Owne/s Valuation Sq. Ft. of Building: Propefi q'tHeight: _ rot rl3 Block - Class of Work:Remodel/Alteration ttachedGarage:Detached PROJECT DETAILS CONTINUED Septic:Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: NOTICE Author¡W. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Legal 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 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 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 information conta¡ned above ¡s 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, lagreethat land 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 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 (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 respons¡bility 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 {gt_!en"_t g¡qin-eg¡ aI!{gf Þylls gf, 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 and accurate to the best of my knowledge. çe-aa Property Owner Print and Sign Date Permit f: ore¡cLqrusroNLy PilÞ."4 ?77,1t c.c. ol/oslzczzæ ¿hthd ØllbtnoMsSpecial Conditions: âiêA a Manu. Home Fee:N/A Misc. Fees: f RITNRD I3?2CheckFee:IPlanq77, t Permit Fee: 1503,"5Adiusted Valuation:[ao H4 & BP No: BLR€ -1509 OWTS No: t sÉ?1. ?troFees Paid: $ qr?,18 Balance Due: 160V,352 ¿lø0,ç,Total Fees: Zoning: RURALocC Group; I Rc- Const. Type: t, R.<k- Setbacks: 0 BUTLDTNG / PLANNING DIVISION Signed Approval o-t-77 Date ttil,',rl4n Gwffietú Cowrn@, BUILDING DEPARTMENT 108 Eighth Street, Su¡te 401, Glenwood Spr¡ngs, CO 87607 Tel: (970) 945-8272 PLAN R EVIE WC HECK L IST Permit No: B ¿Rg-O5-2-7507 ryarìfl NA NI 4zo62q Property Line Setbacks 3û ft Stleam Setbacks Flood Plain Building Height ZoningSign-Off Building lssues ./ EngineeredFoundation Driveway Permit Surveved Site Plan €Eirr-7fla Septic Permit and Setbacks Grade/ TopograPhY 30% Attach Residential Plan Review List Subdivision Plat Nlotes Fíre Department Review Application Signed Plan Reviewer to Sígn APPlication Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Planning/Zoning lssues NFÞ ^Jâ Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision PlatValuation Determinatio ¿/ Red Line Pla ns/ Stamps/ Sticker Attach Conditions -Descri otion &Summarv: /\JA Ft^S tTzz ß Zt/,69 -- f l7?r7ol,eø craùl trvx t8 = $ 3t2î96,æ.Jú 5rø x aZ = i, tg)¿132,oê .Pld 7þ x r€ = lÉ oru.oo i t14 t44,3bK+A p-i.zz-7-l^- 2-24-22-Qo*f"ç)dalruele/ ór,/ilg'/ vâ/uâhb-?, l)æLkr N,ß.>: 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 Officialthat additional information is necessary to review the application and/or plans for compliance, the application may be placed on hold untilthe required information is plovided. 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 havíng 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 GO 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. Jeçeo Flôulprç s- t- ee Property Owner Print and Sign Date See gûn aI I pr ,Al'q] Ps ( a a