HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-cots ntv.Com
TYPE OF CONSTRUCTION
0 Commerclal/Multi-Family
1 Q Manufactured Home (Single or Multi -Level)
103 Residential (SF, Duplex or Townhome)
11=j Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
BUILDING PERMIT
APPLICATION
FT Demolition
Reroof
INVOLVED PARTIES
Property Owner: / k4 L )ora Phone: ( gSff ) 395- MC"
Mailing Address: has CR ) i 0 6WS LO g160i
Email Address: 11ey4.r►ilt as t.f@ c�rru il.tcii
Contractor:
Mailing Address:
Email Address:
Lak I.:p 1.J.rkLS Phone: ( '470) eq a
1001 AfIL Cr ek, 12:Aj . RA CArbv ile Co VW
hvr4) S 1164A-0; id All
Architect: Rd, Russell Phone: ( '170) 355- q330
Mailing Address: /69 CAti•1 ,4t. C`ar%u,J4le co gi6,23
Email Address: r06 ) 503'44-+a 5pr44, MM,'h
Engineer: Silver 404.41 S rvidli t 5 Phone: ( q70) 3$5- 6116q
Mailing Address: 133 Parfz rir- Gn1.4 vac ,,r., Co SAO
Email Address: [`xaber 200 loons. n ,
Manufactured Home Installer: Phone: (
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: .1)4ii ew`IL',e tebr rtfaifrt. eicI rinr Agct
Job Address: 1\ (,4C 02, ) iO cocas CO g )6o i
Assessor's Parcel Number:
Sub. Lot Block
Owner's Valuation of Work: $ U O 000 •00 Property Size (Sq. Ft. or Acres): 3.5- at`'es
Sq. Ft. of Building: 1 7 Height: a 1 # of Floors: 3
Class of Work: nNew 7M Remodel/Alteration nAdditi❑n
r PROJECT DETAILS CONTINUED
jSeptic:-...__.�.�_L. OWTS__.._.____-..,....:._ .�.�......�.._...ommunity .._...w_..........,__�... ..��
l ........
, Type of Heat: Natural Gas Pro anelectric Olher
p
Driveway I Exempt errnit U:
Permit: 1._
.L........_........,........_.....___... ............� ,
NOTLCIL-
Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
fe&al 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 I•lighway/ Road Access
or a State Wastewater Discharge Permit.
Vold 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 •
..5....._... _........ �f
•
1 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. In 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, 0 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, 0 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
r discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws
1 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.
n
Property Owner Print and Sign
Date
OFFICIAL USE ONCY': ; ^ �•..: ` {
Special Conditions:
4djusted Valuation:
f ; Re�.DC9
Pia C eck Fee:
I .1'g
Permit Fee:
?4i''7 35
Tr�TA Manu. Ho a Fee:
Misc. Fees:
NA
Iota! Fees:
�1� }.33
Fees Paid:Balance
vi) 41,314
Due:
ii5�1.
BP N :
0�-b�9�
OWTS No:
N/n
Ic l g' �d
OCC Group: 112C.
Const Type: ,
Zoning: RN ale
BUILDING / PLANNING
44.
DIVISION : `� 10/7/
Signed Approval Date
.*43'$, >✓ 21 $, 91 RP Tao
• 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: If any required information is missing, delays in issuing the permit are to be expected. If
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 Impact 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.)
1 hereby acknowledge 1 have read, understand and will abide by the requirements of this
checklist. _ ..
Property Owner Print and Sign
gt.?1i'II .2,0
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: 13t-R��' d�-2p - e04 r4
Building Issues
WA
Planning/Zoning Issues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
WA
WA
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
KVA
N/A
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
/
NIA
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter — Manu. Homes
Soils Report
c9tAp1
goiAme6 Ravtork l
Nita avtve¢ p,&fro
beck- / Ch 1
AVS
Property Line Setbacks
N/A 30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
Description & Summary:
14WAvl
(41919,w tf(A/d
Re9i.olat (- R6VW? L (= 91 075
t20, 1 I wt pr- k Fe ? N/A
(i
iatw 14#441-4,16 Atr4t
5jb"l5 x aB3.00 = 177/ W6.
23r x 1600 = 4 4)1-*).
3.45x�12.0b 41° 4140.