HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
{970194s-82L2
www. ga rfield-counW.com
BUILDING PERMIT
APPLICATION
Com mercial/Mu lti-Family Demolit¡on
Manufactured Home (Single or Multi-Level)
'Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
?
Property Owner:
Mailing Address:
Email Address:
Phone:
Architect: Phone:
Mailing Address:
Email Address:
Engineer:Phone:
Mailing Address:
Email Address:
Manufactured Home Installer:Phone:
Mailing Address
Email Address:
Phone: (ßOO tqgl- 43?iluContractor:
Mailing Address:
Email Address:
robAddress: lt4? CfL no Mutfprtfu-A CO YIU?3
Assessor's Parcel Numb"r, 23a t t1 %O lg2
Describe Work;r
Lot
Height:
BlockSub.
Owne/s Valuation of Work: S
5q. Ft. of Building:7ll.t)
Property Size (Sq. Ft. or Acres): ( r Lae reS
*o¡rtoors= I t lút
3IClass of Work:
'v"* (Sh{d)Remodel/Alteratíon Addition
Garage: NoNú Attached Detached
DETAI[S
CommunitySeptic: N$Nú ]WTS
OtherElectricPropaneTvoe of Heat: -" t\lôNú
Natural Gas
Driveway
Permit:
Permit #:Exempt
NOTICE
i PROJECT DETAI¡.S CONTINUED
Authoritv. This application for a Building Permit must be sign ed by the Owner ofthe property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
:he 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
llurposes oi inspeciions by the Building Division'
1 ûther Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, :
ì 13i another permit required for use on the property identified above, e.g. State or County Highwayl Road Access ,
: ur a State Wastewater Discharge Permit'
i Vo¡d Perm¡t. A Building Permit becomes null and void if the work authorized is not commenced within 180 days ;
j of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. 1
CERNFICATION
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 Appl¡cation, 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)). I acknowledge that the
tsuilding 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 wíth County Regulation(s) or any
other applicable law.
I hereby grant perm¡ssion 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 Bu¡lding
Division do not const¡tute 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
I designer, engíneer and/ or builder
I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
provided the req uired information which is correct and accurate to the best of my knowledge.
I 21
Property Owner Date
Soecial Conditions
oFFrclAr usE oNtY ?å .qq.o'{lrqcc
Manu. Home Fee:
Å/s
Misc. Fees:-N/APlan Check Fee:f,W{"i2ü,20Adiusted Valuation:
ö'5:7hn, m
BP No:
Bße _ G?îoÍ
OWTS No:--]y'nBalance Due:
W t ol,o5Total Éees:
þ aob.bb
Fees Paid:
$ otq ..,
Const. Type:
rßc-
Zoning;
fL
.\
OCC Group:
IF-Lv_*Setbacks:n
BUtLDTNG / PIANNINC DIVISION :
Signed Approval Date
Mt-,%uH-v¿z-zl
Gørfield CounQ
BUILDING DEPARTMENT
L08 Eighth Street, Suite 407, Glenwood Springs, CO 87607
Tel: (970) 945-8212
PLAN RE VIEW CHECKLI s T
permit No: BLR7'0LI-U*b7 qq
Building lssues
Nft
,V&
NA
N]A
Pla n n i ng / Toning lssues
,þEngineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Applicatíon Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
^JA
Soils Report
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Descripti on & Sum¡"nary
TLlo E+Þ x 24.QQ = fisr1bo,oo
("r,leofuiw4M
no ìnsút/aryo,ll)
@þz*,0/ +
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 untilthe 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 tnerr representat¡ve.
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.)
t hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
4l8l>t
Owner Pri Date
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