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HomeMy WebLinkAboutApplicationGørfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 www.garfield-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/M ulti-Family Demolition Manufactured Home (Single or Multl-Level) ReroofResidential (SF, Duplex or Townhome) Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET .^ INVOLVED PARTIES 3las"zzzlaPhone: ,// (.L Email Address: Property Owner: Mailing Address: Contractor:Phone: I ) Mailing Address: Email Address: 2Arch¡tect: Mailing Address: Email Address: 3øc V¿Phone:r^/7ø( ÉEngineer: Mailing Address: Email Address: Phone:Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAII-S sub. rot tl4 Block- Describe Work: Job Address: htxl Height: Assessor's Parcel Number:'2/ 7 / 1c7 ?oo 3</ &¡loorsz L, c,/a ñ.:<c L{O.5Size (Sq. Ft. or Acres): #ofSq. Ft. of Building: Owner's Valuation of Work: Add¡tionClass of Work:New Remodel/Alteration Attached DetachedGarage: 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, understand and will abide by the requirements of this checklist. a a Þ/-/7 -23 Owner Print and Sign Date PROJECT DETAILS CONTINUED Septic:OWTS Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: Permit # NOTICE Authoriw. 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. Lesal 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 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 lawJegulating 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 Build¡ng 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 acknowledge that I have read and understand the Notice and Certification above, as well as, have provided ired information which is correct and accurate to the best of my knowledge. ,1 ^ 1ç- 77 and Sign Date r{r-lUSE ONIY I s'ea a*ta.¿ldØ/uÞ /v¿/tßSpecial Conditions: Manu. Home Fee:,.--Misc. Fees: niÈ søp.fAîéoâ'M:X'äü',:þ Plana Fee:qqCheck(ol 'YìI"ttc Balance Due: I/1,45 BPTotal81Fees Paid: âø1.1{a zqins:oa. uroro'l R ¿ton*'tloËc,Setbacks: 1)olVÞ tc q¿þ BUILDING / PTANNING DIVISION : Signed Approval ( Date {¿ ti¡ Garfield County BU'LDING DEPARTMENT 108 Eighth Street, Su¡te 407, 6lenwood Springs, CA 81601 Tel: (97a) 945-8212 t,i l." , l'.-.q,ti. *;, " -.,' ;l\lj{¡, . PLAN REVIEW CHECKL¡s7 Permit No: ELRE-O/-2? -8059 Building lssues oo@ Engineered Foundation Driveway Permit Surveyed Síte Plan .1E/"FA4-2,7- 8'æ5/ Septic Þermif and Setbacks Planning/Zoning lssues Property Line Setba t/35 ft. Stream t/Flood Plaín V Buildíng Height Toning Sign-Off Road lmoact Eees ,/ Grade/Topography 4tlTo t'/ Subdivision Plat cdlvÞ LUDA 4-ztz t'/ Grade/ Topography 3o% t/ Attach Residential Plan Review List t/ subdivisíon Plat Notes t/ ØM ,t/Applicatíon Signed l/ Plan Revíewer to Sign Application /ParcellSchedule No /Y4 40# snowload Letter - Manu. Homes t/ soils Report Fire Department Review Valuation Determínation/ Fees Red Line Plans/ Stamps/ Sticker Attach Condítions rneþs * b¿u:r/s r44aæe/aft¿/ Planning lssues n Summa 5f- 3êa a 74b8 = a{hs Þ/ ón //"ny ra /ua'hbn Rtrsfl>,//g/,oo6od7* aTenhlc Êfu/e/ / //ançãxa:z7ztrâ"/þtu/rb/ 64furbrVarrrfi- .znrTay'/þ/a./ 4¿7-23 ó)gg+.84 vaca"n l- /and nt d,t"s:funæ' # -/ot ,ra//,7 7t75 tt "*þþy 5F¡< .', i ¡ ; ; ì.¡