HomeMy WebLinkAboutApplicationGørfield County rf
Commu nity Development Department
108 8th Streêt, su¡te 401
Glenwood Springs, CO 81601
(970194s-82L2
www.sarfield-cou ntv.com
TYPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home (Sincle or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Rtss t a.^, Kh<*Phone: t-Oc'.t I 9ç¡ 4 -l rQ I 6t ø;b I S-El"'t
Contractor:Phone: r q'-1o) ryâ¿l U3'?
Mailing Address:
EmailAddress:
Architect:(c Phone: t1qo) ¿q t GrÊZ-
Mailing Address: I ÕoO {*3 A
EmairAddress: \<r"\@ d-\\Ja¿Lç_\-, G:r.,,,*
Engineer:prrone: (9-ro ) ¿¿¡ I L1ZZ-
Mailing Address:3 (gzc
Email Address:-loøøle- @a\\å,-*$Ar . ¿c>,^Â
Manufactured Home Phone: ()
Mailing Address:
Email Address:
Describe Work:*.\1
Job Address:þt a¿ I Ê,4 \çrL3
Assessor's ParcelNumber: "14o'I Ò 53o /o l 2-
sua.&rl/br,¿,r l ó*þ (,il^*o 3t¿, i Lot ¡'2^uock f
Owne/s Valuation of Work: $ S*ra¿t*> Property Size (Sq.Ft.or /?a¿{
Sq. Ft. of Building: 31'7e '-i--*. c Height:z9 a.X#of KA¡,(Ct+
Class of Work:{lruew Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAII.S
PROI ECf DETAITI¡ COT{TINUED
I hereby certiñ7 that I have read this Application and that the information conta ined above is true and correct' I
understand that the Buildi ng Division accepts the Applicat¡on, 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 construçt 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))' I acknowledge that the
Building permit may be suspended or revoked, upon notice from the County, ¡f the location, construction or use
of the sìructure(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 aiknowledge 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 r€st with me and my authorized agents, including without limitation my architect
eer a or builder
I hereby
provided
that I have read and understand the Notice and Certification above, as well as, have
information which is correct and accurate to the best of my knowledge.
,ølz I ZÐA
Date
mmunityOWTSSeptic:
OtherElectricPropaneGasType of Heat:
must be signed by the Owner of the property, described above,
not that of the Owner, a separate fetter of authority, signed by
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'
Otlrer permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(ã) ãnottrer 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.
Permit #:
CERTIFICATION
PermitforicationBuild¡ngThisapplAuthoritv.
tsbelowthetfsignatureroauthorizedanagent.
i¡oTtcE
Driveway
Permit:
oFHctALusEolrllY go. t lFú,l."J c¿ og/olþtt
Special Conditions:
gtMisc.Fees: ,{rþlManu. Home Fce:
FI76ó
Valuation
'7b
BP No:
gr.RÊ - b?.ll
OWTS No:
COMt \Uhlt qlt Due:cl,Fees Paid:
q{"t.a92q$z
Total
Zoninc:- PUDConst. Type:
t r¿e
OCC Group:
tBC
3-25-2/M/.r-%;l-
BUITDING / PLANNING DIVISION :
Signed Approval Date
. Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. pre-manufactured struc¡tures require the engineers stamp, signature and date'
o 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 officialtnat ãooitlónal.information ié necessary to review the application
and/or plans for compliance, the appricaiion may oe placed on hold untilthe required information is
frovided. 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 appl¡cation 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 o..rp"n.y ãno may nä grounos ior vacating the premises' (Final/co
intpãttion requirements will 6e attached tó your approved field set of plans')
I hereby
checklist.
read, understand and will abide by the requirements of this
2 2 76Å
Date
Gørfield CountY
BU,,LDING DEPARTMENT
708 E¡ghth Street, Su¡te 407, Gtenwood Spr¡ngs, CO 87607
Tel: (970) 94U8272
PLAN REVI EW CHE CKLI T
6ry8-o3-4^6YZlPermit No:
Pla n ni ng lToning lssuesBuilding lssues
v-
u"*{+
t/
cmÅi[íon Property Line Setbacks
30 ft. Stream Setbacks
Engineered Foundation
Driveway Permit
Surveyed Site Plan
t/
/ ,uooivision Plat Notes
^rÊ
Fire Department Review
/ valuation Determination/ Fees
t/Red Line Plans/ StamPs/ Sticker
I Attach Conditions
t/Application Signed
Plan Reviewer to Sign APPlication
I/ Parcel/ Schedule No
40# Snowload Letter - Manu. Homes
l./Soils Report
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List La
Nn/
Nþ Flood Plain
ÑA
/
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
D riotion & Summa rv:
t4ath F. L.S, t í'lei x W,(3=þ n 6,2ó t, z¿l
tt#.1 F.L,s. t tbLtIí 74,b8= Bb,TzT,5z
ú^l,n¡lrY slqþx Ltt : rt,goq,Ø
hnà,6AR tñlo{x sL= 4trqn.ú
c p/à boaüxl8-- t02872Ø
(sø>) RtF = ó t,gtl
+ z81t15q7b