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HomeMy WebLinkAboutApplicationaz.Fulz. =,i:"-.1 - O-¿^l,-:i1 O =(-'| (.)5 Õr3 OHJ>--r tub ;..) tI 5 <=(J3 ôlu UJ() ulÉ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 ls7ol94s-82t2 www.Fa rfield-cou ntv.com Gørfield County BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Com mercial/M ulti-Familv Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET INVOTVED PART¡ES Property Owner: Mailing Addressr tillZf dF " ¿ "' Phone: t¿f10t Ç48-/t20 Email Address: Phone: tfft I -e'/a'44f8 Mailing Address: Email Address:)¿aE /¿¿ó t FF¿ùtaø fl¿¿têU¿at{ 7Û cr oror t . fu tø arcnxec:tfrrut+a/ 4¿/4t8tr7¿Æy'/ë, phone: êVt I ô/f -ûþ?A Mailing Address: Email Address:ë,êt1¡ Engineer: ¿Ey'f ' vëi 4"zz¿¿¿n¿ t î-<'i / Phone: (qr^ I f/?'AfVs Mailing Address: Email Address:/t,/tt/ 1/,/ " F l¡sztr'E_9ø*zr " Manufactured Home Installer:Phone: ( ) Mailing Address: Email Address: PROJECÍ DETAII.S Describe Work: Job Address:(a Assessor's Parcel Number: rct Ð Block- Owner's Valuation.of Work:Ura4¿¿ z, or ø.6¡Å-property size (sq. Ft. or Acres): 4ll/g ft¿ø,S 14' #ofFloors¡ /Sq. Ft. of Building:Height: .f.fy Class of Work:l/ñew Remodel/Alteration Addition Garage:Attached Detached vr CommunitySeptic: Other @erooane Type of Heat:atural Gas Permit #:mptDriveway Perm¡t: PROJECT DETAITS CONTINUED 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. legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor 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 identif¡ed 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 180 days after commencement. CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true an d 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 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 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 desi er eer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the req uired information correct and to the best of my knowledge. Owner Pri and lrEl'l ,rl¿ cK.lll. IOFFICIAT USE ONtY 2{,Ð ë1 tt Þ7¿ 6ee a'ttaùed'aNÞfl72NsSpecial Conditions: Manu. Home Fee: N/A Misc. Fees:Plan Check Fee:Lrq+.w Ziïiil.c,ïüü'ïäit.b BP No: grR,E - l bto OWTS No: 5g?1. 7 bâ I Fdes Paid: $ l,tq{.q6 Balance DueL¿ L,qM+,55 Total FeeS: +.9û91 Zoning:p. u.D. Const. Type: l.¿.c.'*W)NÞ ttOCC Group: l, ß.c. BUTTDTNG / PTANNING DlVlSlON : Signed Approval g-lv--, Date )i,M, Gørfuld County BUILDING DEPARTMENT 708 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 87607 Tel: (970) 945-8272 PLAN REVIEW CH ECKLIST Pernnit No: Bl-K E - O]-ZZ-7bCIy tsuilding lssues Planni Zoning lssues PUD ¿at'?Engineered Foundation en";-0 8't7-Z D riveway P e r mit ¿ WrVt- / -rrþraClf Surveyed Site Plan Septic Permit and Setbacks ¿- Grade/ Topography 3o% : Lolzz IJilÐ rro pe rty Li ne setba cks llTZ x 6Z= 658x 16= ¿+73K tL'= aà¡'nøleÅ bnJi,ìry,r v^Tr.q+r'crr.\ 30 ft. Strèam Setbacks Flood Plain Building Height øA C aa-l¿-ê an 44'lr1,9 Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat ch Residential Plan Review List -/ Subdivision Plat Notes NA Fire Deoartment Reviewnolhinq ín7nÞ Valuation óetermination/ Fees -/ Red Line Plans/ Stamps/ Sticker ?lù î818c1 Ø Attach conditions ?AiNT Kúo"êú nqþ Descri CIn Surn¡'na ryopa,.lvlø 37æ+o" to/o4+,oo 5/ (í7b,e il¿ Application Signed Plan Reviewer to Sign APPlication Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report trt€ qFîî x 7¿/. bs= a4%2'æ cmúl ¿M5 t< t8 - 75) 5l2.oo 4++0{6,b0 Rtr qeÞ 6zr7os,oo 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 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, u d and will abide by the requirements of this checklist. Owner P tgn il[, a a