HomeMy WebLinkAboutApplicationGar.field County
BUILDING PERMIT
APPLICATION
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701945-82L2
www.garfield-countv.com
lrlF
DemolitionCommercial/Multi-Fa
Manufactured Home e or Multi-Leveln
ReroofDuorResidential
Accesso Dwelli Unit - MAXTMUM S¡ZE OF 1,000 FEET
Aaron BeisnerProperty Owner:Phone
I
Mailing Address:1067 Quick Silver Way, Rifle CO 81650
Email Address:aa ro n be i s ner3z@y ahoo. com
p70 )200-3805
Aaron BeisnerContractor:Phone:
Mailing Address:1067 Quick Silver Way, Rifle CO 81650
Email Address:aa ro n be i s neßz@y ahoo. co m
p70 ì200-3805
5912 S. Cody St. Suite 209, Littleton CO 80123
Todd Sherman w/ Premo SteelArchitect:Phone:
Mailing Address:
Email Address todd@premosteelbui ldings.com
1720 p24-8217
2700 Market St. NE, Salem OR 97301Mailing Address:
Phone:r503 þ89-1727Engineer:Alliance Engineering of Orefon, inc
Email Address:engsupport@ actbu ild i n gsystems.com
Manufactured Home Installer: Phone: (-)-
Mailing Address:
Email Address:
owne/s Valuation of work: 5 30'000 Property size (sq. Ft. or Acres)
home on north side.
217727201002
, 10.52 acres
1Oft
Lot
Height:
Job Address 1067 Quick Silver Way, Rifle CO 81650
Describe Work:30x50 metal garge install 6 feet from existi
Block
Sq. Ft. of Building:1500
Assesso/s Parcel Number:
Sub.
# of Floors: 1
Glà¡s iif)lllÏork¡New.lRemo{êUAlteration r'DetachedGarageAttached
OtherElectricPropaneNatural GasType of Heat:
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.
Other permits. Multiple separate permits may be required: (1) State Electr¡cal 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.
adescribedeOwnofhero bove,um best the pe rtyfonaBuind¡Permit by prsThlicatiosignedcAuthoritv.pp
ette of uthofthatOwnthea ority signed bybelatureownotsepa ratesrizeduthorf5theoatgnanagent.
that the information contained above is true and correct' I
plication, 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
Building permit may be suspended or revoked, upon notice from the County, if the location, construct¡on 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 (2l.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 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 hereby certify that I have read this Application and
understand that the Building Division accepts the Ap
I neer and/ or builder
I hereby acknowledge
provided the required
Property Print and Sign
I have read and understand the Notice and Certification above, as well as, have
n which is correct and accurate to the best of my knowledge.
Date
Special Conditions:t /
Misc. Fees: aNf+Plan Check Fee:
3zl-.5.1
Permit Fee:
6o2.35
ruanurlo¡e ree:A.djusted Valuation
63to^1fr).û
OWTS No:Balance Due:
602,35
BP No:
6fu-bg13i 8,29.88
Total Fées:Fees Paid:
32b,53
'ont"*Ru- -/oT þU'/ ÞL ""i'ëä /tgsetaacffy
5-çz/BUILDING / PTANNING DIVISION :
Signed Approval Date
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Garfield County
BUILDING DEPARTMENT
J.O8 Eighth Street Suite 407, Glenwood
'pr¡ngs,
CO 87601
Tel: (970) 94s-8272
PLAN REVIE W CHEC K LIST
BtR*oLl-zt-bØ13Permit No:
Building lssues Pla n n i ng / Toning lssues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
G rade/ ToPogra PhY 30olo
Attach Residential Plan Review List
t/ subdivision Plat Notes
Property Líne Setbacks
.^ & .¡---- C^tL^-1..iu Ti. 5lream 5etDacKs/1/A
N*
rvL
Nft Fire Department Review
Valuation 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
Flood Plain
Building Height
Zoning Sign-Off
t'/ Road tmpact Fees
Subdivision Plat
êtqss lAsa-
Descript ion & Sumnnarv:
Gradel Topography 40%
t./ Planning lssues
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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 read, understand and will abide by the requirements of this
checklist.
l-ao-el
roperty Owner Sign Date
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