HomeMy WebLinkAboutApplicationCommunity Development Department
1O8 8th StreÊt, Suite ¿101
Glenwood Springs, CP 8tffiL
(B7Ûl94s-82L2
rw"gærtreü&€ffi tnÊv"6eün
TTPEOFGollsfeufiïOil
Cornmercial/Multi-Family
nufactured Home (Single.or.M u!!i;!gvel )
Residential f 91, -Pgplp-l "9r r.9vtf'9n"e-l
Accessory Dwelling Unit (ADU) - MAXIMUM SIZEOF 1,000 SQUARE FEET
IÂIVOIVED PARTIES
Demolítion
, f-l Reroot
Çørfield CounS
BUILDING PERMIT
APPLICATION
Phone:IProperty Owner:
Mailing Addressr
Ernail Address:
Contractor:
(
Phone:I
Email Addressi
Architect:Phone:a
M¡iling Address:
EmailAddress:
Engineer:Phone: I
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone:
Mailing Address;
Mailing Address:
Describe Work:
o
.A
, Email Address:
PREJECT:¡ETN$
:(rqu,
Job Address:E-
Assessor/s Parcel Number:2-r'77 ,q)-ð Ø tv
Suh.Lot- uock làLnf-rf btn
71,-fu\"
5r
1¿
E tup
Owne/sValuation
Sq. Ft. of Building:
Class of Work:
earage:
of Work:
ew
Height;
Property Size (Sq. Ft. or Acres):
# of Floors;-
on
Attached
.ffix"mooel/Àlterät¡on
Ðetached
PROJECT DETAILS CONTINUED
Septic:lt
Type of Heat:rKlNatural
Community
Electric
Permit #:
S
Propa rÍ Other
Driveway
Permit:
NONCE
Authoritv. This application for a Buílding Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by '
the Owner, must be provided with this Applícation.
lesalAccess. ABuildingPermitcannotbeissuedwithoutproof ollegal andadequateaccesstothepropertyfor,
purposes of inspections by the Buildíng Division.
Other Permits. Mult¡ple separate permits may be required: {1) State Electrical Permit, {2) County OWTS Permit,
(3) another permit required for use on the property identífied above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Void Permit. A Building Permít becomes null and void if the work authorized is not commenced within 180 days
of the date of issuance and íf work is suspended or abandone d'Íor a period of 180 days after commencernent.
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 Divisíon 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 subrnittals 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)). I acknowledge that the
Buildlng Permit may be suspended or revoked, upon notice from the Countç if the location, construct¡on or use
of the structure(s) and facility(ies), described above, are not in compliance with County Regulationts) 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) stoppíng
construction or use of the structure(s) or facility{ies) if such is in violatíon 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 to the best of my knowledge.
K:
ottl(>*¡sfl ng
Owner Pr¡nt and S¡gn Date
87OFFICIAL USE ONIY /rl
Special €onditions:I ,
?fTÊä 64sLAdiusted Valuation:,2q.üzto.3L Plan Check Fee:
þz-ß.f ,14
Permít Fee:644!:î5 Manu. HomeFee:NlA
Total?ees:
ñtLß,88
Fees Paid:fuzlv Balance Due:fq4t,7á ß¿RÊ74-/^77t
BP No:OWTS No:
occ Group: TRô const. rvneSBU ""P'ur*lSetbacks: .,
uûnnrÙÅtFloNM
44e-zlBUILDING / PTANNINC DIVISION:
Signed Approval Dåte
b/¿r,-
tt
Gørfield County
BUILDING DEPARTMENT
108 E¡ghth Street, Su¡te 407, Glenwood Spr¡ngs, CO 81601
Tel: (970) 945-8272
PLAN REVIEW CHECKLIST
E\RE-27-2t- b-771Permit No:
Building lssues Planning/Zoning lssues
c,fWâ-3-n*b/p ,s,
*
Øxishna
u ¿lqrw
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Va luation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
ta44
lvâ
ly4
,/
,/
./
Property Line Setbacks
Planning lssues
Subdivision Plat
I
/v+
N+
/Joear/,A^ Klf
p€r D,Aryo fr/u
6t,Pr-os-zo -6/4q
Description & Summarv
Øtv*t ¿lnêÞ þ"êÞÊþ/
Ø4 x ãeás=#z ls¿.32
4/rsklhMy ral¿a,hin
,(tF: #4sø
6ottu &enefrt b*þr*
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 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 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.
2 r¿45
a
a
5
r an gn Date
l/,<9