HomeMy WebLinkAboutApplicationGw field County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfieid-county.corn
TYPE OF CONSTRUCTION
BUILDING PERMIT
APPLICATION
=Commercial/Multi-Family
Q Manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome)
El Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
E]Demalition
Q Reroof
INVOLVED PARTIES r 1� �j
Property Owner: I'�J= V4 L utiJii , ) J(4 D �Ip1CC�j3 Phone: ( 976)
Mailing Address: 117 3 6um-4 ijr4 f ‘2210 kl6 Sei
9 iefD)Alf:Li,I•Cn7,v4
Email Address:
Contractor:
Mailing Address:
Email Address:
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Phone: (
Architect: --� '�'� 3Gty 5014-- �- Phone: ( (/7g G C�5 '0
Mailing Address: 136 g- 3'Ei 3'► • A f --Q W1/ ('5 t
Email Address: --Fir Re- H R0 ` , Z
Engineer: Phone: ( ) 7 e0 1
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Mailing Address: .� )C f i!-g
Email Address: SQ
Manufactured Home Installer: Ai ��'( _ Phone: (
Mailing Address
Email Address:
PROJECT DETAILS
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Describe Work: 1�4�t1de_gt I Ago 6 r epAl -Adm9
9iJ Re.! ?3 ?(a a 12,(L4 4 eU J'/S`6)
Job Address:
Assessor's Parcel Number: 4.22 ( 7 700003S-0
00350
Sub. /41.8-xiii" iiii 61141i5 Lot '1 Block
Owner's Valuation of Work: $ /M.) Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building: G7 6'r Height: /6 a of Floors:
Class of Work: nNew ,EPemodel/Alteration l (Addition
!I II If
Garage: ` !Attached [T1
Detached
7rn
PROJECT DETAILS CONTINUED
Septic: nOW t5
Type of Heat: [jN Itural Gas
Driveway jiExempt
Permit: `` II
NOTICE
nCommunity
Propane t❑I Electric j] Other
111 Permit If;
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.
Leal 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
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. 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, 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.
idzfAA
Property Owner Print and Sign
/e94/ho
Date
OFFICIAL USE ONLY
Special Conditions: At
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Adjusted Valuation:
to�oo.Uo
Plan Checksge:
1>
P rmit Fee:
I4&.2
Manu.19-49.q(5 Fee:
Misc!Fees
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Total Fees:
Fees Paid:
Balance Due:
BP No:
OWTS No:
'322.14,
4322. l (e
l
`12%S
N
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ER
OCC Group: w
Const Type:
1 IR' ,
Zoning:g 1.4 g pd
/# r c 1011117020
BUILDING / 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: 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.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
LLa/'--
Property Owner Print' and Sign Date
/0/2 ile t9
Garfield County 1
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No:.Re-do-1-O-(0 .4
Building Issues Planning/Zoning Issues
X Engineered Foundation
Property Line Setbacks
Driveway Permit SIA 30 ft. Stream Setbacks
" Surveyed Site Plan Flood Plain
NVA Septic Permit and Setbacks Building Height
Grade/ Topography 30% Zoning Sign -Off
Attach Residential Plan Review List ' 7'A Road Impact Fees
NAA Subdivision Plat Notes " Grade/ Topography 40%
NIA Fire Department Review 17'Planning Issues
Valuation Determination/ Fees Subdivision Plat
! Red Line Plans/ Stamps/ Sticker
f Attach Conditions
/ Application Signed Description & Summary:
/ Plan Reviewer to Sign Application
/
2?XV)'3/4043.
Parcel/ Schedule No. '
Wea' 40# Snowload Letter— Manu. Homes v0660VI
X Soils Report (,00 x *(43 w = G' d) mo