Loading...
HomeMy WebLinkAboutApplicationt{Hcb"ilvFtrr ,ltlt I il lii1t1 { { l: (:[lii/f:-Ur ,.1i r itt.t I .i .Jij;ii;.jl:i i't llili ,, I'rt,ii:Li'i s Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81501 (970t.94s-82L2 www.garfi el d-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home or Tiny Home (Single or Multi-Level) gesidential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET 3INVOTVED PARTIES Phone r3l4 -- t8 -atGBPropertyowner: Akqonl A/"tLgCl+ L.{) rt*-t g r>++ @ - 6 /4 dT L -C}A ARMailing Address: Email Address: ilS S'eL(Phone: (_)Contractor: Mailing Address: Email Address: BilAfi Phone: ,L il fl ,4A5oA r) kj/A fl. ( t+ Lf f-cf aQ> C*t*ft L.*t*4 Architect: Mailing Address: Email Address: 6""0 /\k^)ftttt,a,*zn tlAl)Phone: ( )Engineer: Mailing Address: Email Address: Phone: ()Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAILS Desqibe Work Job Address: t il0 I -.4 Assessor's Parcel Number. L J -l ) (U I A (A b Sr' b) U/ Property Size (Sq. Ft. or Acres):/-r tl # of Floors: I s"a.Vf.5tfi&rtA Etruut lrJt\'frtl Height: T Lot 6r Oejul l.R@,a*"s lLt f Block Owner's Valuation Sq. Ft. of Building: of Work: 776 X Remodel/Alteration AdditionClass of Work:New x DetachedGarage:Attached PROJECT DETAITS CONTINUED Septic c ]WTS Community Electric o'h"'axtNlfzType of Heat:Natural Gas Propane Driveway Permit:ly'Txemnt Permit f: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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 lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use arrd Developrnerrt 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 enterthe property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the Building Officialfrom: (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 liaLrility Lry the County of errors, omissions, or discrepancies. As the Owner, I ackriowledge thai responsibility for corripliance wil-li ledeial, sLaie arrcl local laws and County Regulatioiis resl. 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 uired info wh correct and accurate to the best of my knowledge rty Owner Print and Date OFFICIAT USE ONLY Special Conditions:' see aLka&ed /T72kS Adiusted Valuation: i9,4.%'r1v:ufT'Permit Fee:^ -7n7.zb Manu, Home Fee: - Misc. Fees: Tota/Fees:r'n/ alb3{/b, Fees Paid: \qq,=r\Balance Due:aa,a ) E--JU'/, - BP No:wj.-gqg.OWTS No: Setbacks:Const. Typq:.n /It<L-Zqfhg: nY(.[ lJ . OCC Group: , -.\ /1lK(r u_J4 Date t BUTLDTNG / PLANNTNG DTV|STON :0'(,il,',f[/'L Signed Approval Garfield County BUILDING DEPARTMENT 708 Eighth Street, Suite 401., Glenwood Springs, CO 81601 Tel: (970) 94s-82L2 PLAN RE VIEW CHECKLIST Permit No: g LKF' /2-2hg/56 Building lssues Planning/Zoning lssues n/ > Oxbhlrriveway Permit rvz Engineered Foundation Property Line Setba ,n( weefe Yu>ouilo oel.toacks)N* Septicg5 Grade/ Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Permit and Setbacks 35 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact Fees hA fl^,-S Grade/ Topography 40% lanning lssues Subdivision Plat 'zb ekahhq Topography 30%o- lft/ry) MA y'80,@ AN> soirs Report }8 REAUIRED AT FOOTING ',/ ,(* tllfficTtw{ lnm wF , ./( /,/,;p/M//ank/u,fffiffim%,// /r