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HomeMy WebLinkAboutApplicationGarfield County Commu nity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82t2 www.qa rfield -cou ntv.com BUILDING PERMIT APPLICATION Com mercial/Multi-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 Property Owner: Mailing Address: Email Address: t-)',¿- l- Phone:(k3 ) Øtç -7Q7-l Na^t '17 cont,""to* -'Ë.äLa \l **¿ )bev¿tt;*røtí tbtl Phone:#Mailing Address: EmailAddress: l) r( ?Íz-r-¡.'.:lrr( phone:tllplötf¡""35ë¿7 A-C-ut l4s,?-t\Y (ù- /.,.9^l " Architect: Mailing Address EmailAddress: 6¡øz- T7,¡tr € ir¿>(r È 2п- t4 Ç'r"ù,o^Email Address: Mlc Phone:ß7Ø'.<bG ?riy Mailing Address: Engineer: €tE Cz' BttoÇu owne/s Valuation of Work: S l.? ntrq aI Property Size (Sq. Ft. or Acres): . (l; I Aetl+; Describe Work:úau ? .# 5525Cîé" Sub. Aseøl 6'-,"^f Height: Phone: êp å/,ì øt Fþ8 eøa< Manufactured Home lnstaller: Assessor's Parcel Number: Job Address: Sq. Ft. of Building:#of Mailing Address: Email Address: s[â$úf-ul¡orf{r,, i LJNÊw ¡l lnemodelfAlteration l|_-lAddirio* Garage Attached Detached 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 þe 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. Ø; che.t /+. frL ot¿¡*f ¿^? â- r+ Z,/o z,/z a2g Property Owner Print and Sign Date a a xSeptic:Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit:n Permit f: 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. 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 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. 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, 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: (L) 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 end County Regulations rest with me ând my euthor¡zed agents, including without limitation my erch¡tect desi f'ê eer and/ or builder 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. lht.Lq¿l 4- i4ov,-fA? â /--é,lê L1 Property Owner Print and Sign L Date sec athaaúc/v¿asSpecial Conditions: Plan Check Fee: .6e q5Permit Fee: o Total Fáes: --3 ,ç16.' r 4'i:ä:&7reFées Paid: I ALIL)' BP No:Mu-q4+S Fee'tT KIF Misc. Setbacls: D'T B.E tri[T) BUITDING / PTANNING DIVISION :h/,'*LL Signed Approval I 2-6-23 Date 6è Garfiotd County Community Development Department f08 8th Street, Suite 401 Glenwood Sprlngs, CO 81601 (9701 e4s-82L2 www.sarfield-cgunty.com ' L. r"''-"-,rli:. ., BUILDING PERMIT FEE ESTIMATE WORKSHEET Applicant: Project Address: Subdivsion: L],¿'{¡{i't}..t i} ¡ ¡.-,L-L,U¡_i(..:;\ t r(l l/¡MiJ trrlTy U¡ i,l, i Cìi,1,ìr j¡: i Phone Lot:Block Finished Living Space (N/A for Manufactured Homes)f71r t s74.68zLq.'21'L Unfinished Basement S4i..oo Crawl Space 'Zi , 21rt Sre.oo Garage (Conditioned) (i.e. insulation, sheetrock)'? \. Lr€¡->Ssz.oo Garase ( Unconditioned)Sz+.oo Covered Patio/Deck L1 ,< 1/,.s18.00 Uncovered Patio/Deck Srz.oo'L,6qtç4 Misc:So.oo e Level tsc: Multi-Level (S600)So.oo TotalValuetiûn $o.oo Total Set-Up Fee $o.oo New lnstallation (S123)So.oo Alteration and/or Repair (S75)s0.oo TotalSeptic Fee $o.oo Plan Review Fee Building Permit Fee Manufactured Home Set-Up Fee Septic Fee (OWTS)I Other (Ex: Road lmpact Fee) This Section Determined by Garfield County Total Fees Due $o,oo ***All fees are estimates until finál plan review is completed+** Garfield County BUILOING DEPARTMENT 7oB E¡ghth Street, Suite 40l,ãlenwood Springs, CA 81601 Tel: (970) 5-8212 PLAN REVIEW CHECKLIST Permit No: g¿Jçtr-A223-71 76 Building lssues Qr-? 1 ' NA èf é/ê f tlp ¿f NA Engineered Foundatíon Driveway Permit Surveyed Site Plan Fíre Department Review Valuation Determinatíon/ Fees Red Line Plansl Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Applicatíon ParceU Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Pla n ning/Zoning lssues Sft. Str""rn Setbacks e ^t4NA Septic Permit and Setbacks NA Grade/ropography3o% Attach Residential Plan Review List bdívision Plat Notes frg Road lmpact Fees €, B'Þ' Flood Plain Building Height Zoníng Sign-Off Grade/ Topography 40% Planning lssues Subdívision Plat m 1,rul funeab.ëzr 7a3'aa ns 6a7/x7/,1Øs oraill tlØ6x /g 3 2292a+2,Æ tÇA 2t-7-7î7 ruty 4 Øzt cÇar 7Jlox ã2 - "p/¿ z6zx /g = "T/rl 224x/2 = âlrAw,ø 2A.6Ø.Ø rieaø,oo 2/ bta,ad q 625?/ z4tt4lô,zga4ue/¿/ âí,;d,ir1 ua . Loþ illî ' 5/s slryt P K*A leplcûlí refrt 'nahzril7es . e^øftr¿- /.Øas? e¿ "þos/- 6Øoþe/eu. DO NOT-SCAN