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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 ls7ol94s-8212 www.garfield-cou ntv.com f; 1 qt BUILDING PERMIT APPLICATION tr Demolitiontr Commercial/Multi-Family Manufactured Home or Home or Multi-Level tr Residential (Sf, Ouplex or Townhome)tr Reroof tr Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET Property owner: Ft$t a$ru xlvroe alres(qcil^. Mailing Address: QO SCW A{6 6r€t\yrhqCI ffir,Etrdo 8lC06e EmailAddressz tidN$Ion@@tlt,rgt,ocvtl Phone:(ffb t?f-nqtlR Phone: (_)Contractor: Mailing Address: Email Address: Phone: {Architect: Mailing Address: Email Address: MailingAddress: d0it &F.rn AdE.r<Nt\e, S[ ffi(/,r1\UIY4c ffi$fta EmaitAddress: OutxfrSfQ Al25A"arncr Engineer:Phone: (c4ry\ ft|F.- W4,l Ob ?xCDc{t*4L gciftrt) q-E(E$ &*rtaR- Manufactured/TinyHomelnstallerz l(Ofl,lE( c4pf;t< @c:u;mt6Phone: t9'7A I Bqq -"tttl? MailingAddress: r,ffi. 19??6 In. nnr fiornncsf rcs 8rel63 Desffibework: A ^.}s[] ,WEU{rtrACl{ {atro I/IO^IE YO Btr 5AT dA] A Eq drurut|rlteD 6FS@O,t€ntr rcunAtwN ruEr* .,{ irEdt (\,,rrq a€pLl4 ruzD *Np tur{Sup cIr.sFpc^/r Af8r) I Job Address: Email Address: T60 RAlrt nrr.rl;- gv,r..6 sub. PftrFEe ln0EfE6la\r EffbhPftanl tot E Block- owner's Valuation of Work: S &'10 ,tr^ Property Size (Sq. Ft. or Acres): nl # of Floors: J Assessor's Parcel Number:-3a' * Sq. Ft. of Building: lfl'ln Height: Class of Work:El New El Remodel/Alteration E Rddition E Repair tr Move/Relocation Garage:E Attached E Detached PROJECT DETAITS CONTINUED Septic:R owrs E Community Type of Heat:E Natural Gas p Propane fl Electric E other Driveway Permit: p Exempt E 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 Buildin g 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 lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. lunderstand 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)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and Development Code. 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 designer, engineer 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. Property Owner Print and Date OFFICIAL USE ONLY cee attailad A/VD /f/0/U SSpecial Conditions: Misc Fees: ,nrNBD=ft518,FEA,YE Manu home Fee:L{r^n crO Adiusted Valuation*o.g5z Plan Check Fee: 55q,+'( Balance Due: I l4p0,zT BP No: trr-rn v-gBq OWTS No:sE-fi-Wt,qLy, Total/Fees:2+Fees Paid:CO Tnc,Const tonHSetbacks:fr o.. o'ou?R4 tY2l-Culir+hBUILDING / PLANNING DIVISION Signed Approval Date 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 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. Property Owner Print Sign Date a a Gwrfield CommtY BUILDING DEPARTMENT lOB Eiqhth Stref Sutte 407, Glenwood Springs' CO 87607 Te!: (970) 945-8212 Pl-^A N REVIE wc E K rs Permit No: ELwtF-o?44 -ggry Building lssues '&PE4YLY'Wtr"Y Drivevr/ay Pernnit Surveved Site PlanJiFo/-z/-ssn Septic Permit and Setbacks Grade/ ToPograPhY 3O% Attach Residential Plan Review List Sub'divislo+ Plat ${otes Fire DePartment Review Planning/Zoning lssu ES PropertY Line Sethacks 35 ft. Stream Setbacks Flood Plain Buitding Height Zoning Sign-Off N,u,D,=#b6qg Road lmpact rees Sr bq72 Grade/ TopograPhY 40% IVAN3' tu tivt() (excludt+ vr*in, b,gtterrf el +f n"w) Planning lssues Subdivision Plat Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker ttach Conditions ed Energy Compliance Path/Plan Received Plan Reviewer to Sign APP)ication Parcel/schedule No. 40* Snowload Letter - Manuf. Homes Soils Report aBl7z3 Lzscriron m Sanpe 4.^t v*|,'n,baSone"h U ':rftffi;"ri+t J*rgs2,oo Qqn WANFh"*e) -l a^$u-sted buitA, v alun*ior., @ i".rru, ;:i *. i{i.iL * llr ;i i.:'i i'i ai i[l; iT' ,.i ;,,., ,1 , ,1' . '.r ' l' l'i.;i.)i'li\li-l' l'li,ijr'i'':, i ; t:,, i4 r2/2. ijlli: ,/ g1a,d KItr N,E,D.=#tr1qg3o