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HomeMy WebLinkAboutApplicationI à ltuttrú.u L2ttßttaJ/ il - Community Development Department 108 8th street, Suite 401 Glenwood Springs, CO 81601 (970194s-8212 www.garfield-countv.com INVOLVED PARTIES BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercia l/M u lti-Fa mily Demol¡tion Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhomel 4Áo'^ I ha*yl Reroof Accessory Dwelling unit (ADU) - MAXIMUM SIZE bF 1,000 SQìJARE FEET Property Owner: Mailing Address: Email Address: Phone: ?tl) , bt"-(21þl 5Ò ( L9 Phone:(77o fizg -lò&bContractor: Mailing Address: Email Address: hzt -)l¿Ze-Phone¡ I /ztz Arch¡tect: Mailing Address: Email Address: JEmail Address:JouA,Of^.hùf e,ft4lr7e¿fû/Þt ,Co ¡v\ Phone: t,?ßlaffi'zt'"gl Mailíng Address: Engineer: Email Address: l\)*Phone: ( ) PROJECT DETAII.S Manufactu red Home lnstaller: Malling Address: Desøibe Work¡ Sub. I 5ô Owney's Valuation Sq. Ft. of Building: Job Address: Assessor's Parcel x Add¡tionClass of Work:New Remodel/Alteration Detached Ehnnl hf^-(nGarage:Attached Framing plans for each floor level and roof. All beams, columns, joists, rafiers 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 wíll be attached to your approved field set of plans.) I hereby acknowledge I have read, underctand and will abide by the requirements of this checklist. a a V",LDoC"¿C--: {/n*/rdz, Proper$ Owner Print and Sign Date I Sept¡c: Type of Heat:Natural Gas Propane Community Electr¡c Other r Perm¡t:t. -- *-Flr'"'nt Driveway Permit #: NOTICE Author¡tv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthes¡gnaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. LegalAccess. ABuildingPermitcannotbeissuedwithoutproofoflegalandadequateaccesstothepropertyfor purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (1) State Electr¡cal Permit, (2) County OWTS Permit, (3) another perm¡t 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 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 Appl¡cation, 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 subm¡ttals and approval of th¡s Application, a Building Permit will be issued grant¡ng 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 Perm¡t, 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 Perm¡t may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) and facil¡ty(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 Perm¡t does not prevent the Building Official from: (1) requiringthe correct¡on of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) or fac¡l¡ty(¡es) if such is in violation of County Regulation(s) or any other applicable law. Review of th¡s 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 ra or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the information which is correct and accurate to the best of my knowledge. s ZD>4 Propefi Owner Print and Date OFFICIAT USE ONIY 6ee a *Þa úed CANÞ / ftA/I/SSpecial Conditions¡ Adiusted Valuation:-'ll-l^4n ao 'ETR:ga 'Y'ä7, zg Manu. Home Feei *,'".rñì7A fltl>gt¿s OWTS Nı: -- '"T:ztþ,û äi{:3-{Belence Due¡- e7q7, Áe t*oMN>OCC Group:tRb ,onn.rtf? b Zo+¡ing:t\ ttl,MBU|IDING / PT.ANNTNG DTVTSTON Signed Approval 7-î:E Date Gørfield County BU'LÐING DEPARTMENT 708 E¡ghth street, Suite 401, Glenwood Spr¡ngs, CO 81æ1 'rel: (970) 94s-8212 PLAN REVIEW CHEC KLIST Permit No: fl¿Rg-0¿,-26- S/þZ Building lssues Planning/Zoni'ng lss e;<içhhørívewav p.r^¡{ êtce¡nþt I - I - r?reli<ı¿ o n' asù /, Za*i-, ./ surveyed Site plan r t .-/ü"/J lv4 Engineered Foundatíon Septíc Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List A/A NA NA Property Line Setbacks 35 ft. Stream Setbacks Flood Plaín Buildíng Height Zoning Sign-Off Road lmpact Fees -/ -/ / Subdivision Plat Notes Fíre Department Revíew Valuation Determinationf Fees Red Line Plansl Stampsl Sticker Attach Conditions Applícation Signed Plan Reviewer to Sign Applicatíon Parcel/schedule No. 40# Snowload Letter - Manu. Homes Soils Report ¿/ Lra¿el Topography 4o% Planning lssues Subdivísion Plat ntqzt Description & Summarv: dalo x â vz 7/2bU ø . N4 Æ"rre/ç*,¿bo/ ¿arreal'nrtF, €ryrøæ 7-l-23