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HomeMy WebLinkAboutApplicationGurfield Coanty:È F-,2.¡- uJO 'í..: =Flu ' j xcà ıeIIJ :r ^úfi ,; ;EÉ, ,; trg' É.= Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 le7ols45-82t2 www.Rarfield-countv.com BUILDING PERMIT APPLICATION DemolitionCommercial/Multi-Family >r Manufactured Home Iti-e Residential (SF, Duplex or TownW Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET ll\lvotì/ 3coù Phone: r 3o3r Ølb ' Ø[a¿1 rl5 a Kav a Sn"*\ cÒt Email Address:4¡nbÀr Property Owner: Mailing Address: Phone: t\-10 lZYucL' ltl|h Cv OL Vt Contractor: Mailing Address: Email Address: Architect:Phone: () Mailing Address: Email Address: ri\pr^ou¿I 4\ur*,,ur\ o^À G'ri L pnon", ( þLuol ) t \Mailing Address: Email Address: Engineer: I 5Manufactured Home lnstaller:r 1'lo I trø 'ssoI Ot Co lçô'tMailing Address: Email Address::'.gL\\a¡ :!ù :53s1 \^ ?uo owner'svatuationof work:$ blb- t 16¿l Propertysize{sq.tt.orAcres): tl0 3 ,qS1 *C sq.Ft.ofBuitdingr ?]7-\\ Heisht:21'\ totrloors: ['tlZ PROJECTD TNU + Describe Work;z I rtDî, 2\%33rt3 DSfr Lot _ Block _ l,( crn{l Job Ad Assessor's Parcel Number: Sub. Class of Work: Garage; RemodeUAlteration Attached Addition Detached PROJECT DETA¡IS CONTINUED Septic: Type of Heat:Natural Gas ane Community Electric OtherjEi:ï .l Drivewayi I I Permit #: Permit: NOTICE Authoritv. 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 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, 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 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 construct¡on 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, engineer and/ or builder. I hereby ac that I have read and understand the Notice and Certification above, as well as, have nformation which is correct and accurate to the best of my knowledge.provided the v\zzlwzL Property er Date ,ffit""rnO, oFFrcrArusEoNrv p*t¡ , t 6oo,oo LK.* f{7+{ o?lz1¡*z ._$ou 6ee at?aúel ailÞ/TAA/SSpecial Conditions: Manu. Home Fee: * 6oô.ôo Misc. Fees: Rp ÈF> f2,796, Adiusted Valuation: â zq.tq* 0a an PermitFee: ¡q4 Balance Du oo, oo 7rFeesf¿Paid BP No: øLrvtF -17 7 î OWTS No; ç€PT-177GË"21';b.eq Const. Type: t. P". C. Zoning: t¿u Èr L Set/acks:OCC Group;l.ø'c. (h/,¡'l/n BUILDING / PTANNING DIVISION Signed Approval /0-25-zZ Date Gørfrcld County BUILDING DEPARTMENT 708 E¡ghth street, Suite 407, Glenwood.Spríngs, CO 81Ø1 Tel: P7a) 945-8212 PLAN REV¡E W CHECKLIST Permit No: øl-Rp:- æ -22-Try5 Building lssues Planning/Zoning lssues RUCAU Engineered Foundation Surveyed Site Plan Plan Reviewer to Sign Applícation Parcel/schedule No. 40# Snowload Letter - Manu. Homes Soils Report lW h"l Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Grade/ Topography 40% Planning lssues Subdivision Plat f \Ð' septic Permít and setbacks Grade/ Topography 30% Attach Residential Plan Review List -/ Subdívision Plat Notes Fire Department Review Valuation Determinati Red Line Plansl Stampsl Sticker Attach Condítions Applícation Signed yØ Road rmpact Fees t<tFE. Ú-b. øfnllrriveway Permit AtA 74ga,f. #;;* 4I= rrlvslo LKP 22->.b61 í-zt_ Rev is.eÅ, a.9."2 IRC wtoÅvlo{ Ð /01î,sj. "ror¿/ X+ qasl c/ol x /6' ntTb{,øo /î z 7r6W.û frrtrAoo oFn zz d Rr E.ED. =.Éz 3 od 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 until the 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. 3 7.o?fu22 Property Owner Date a a