HomeMy WebLinkAboutApplicationGarfield County
LI.J
:i
:)
.-J.:J
I!-] - ¡J:.--trl b
-Zl¡- =É=<=(9ö
fltu
à
Lr¡()
l¡lÉ
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
lp7ol94s-82t2
www. garf ield-cou ntv.com
BUILDING PERMIT
APPLICATION
ï,PEOFgStrgTnUCftOIt¡
CommerciaUMulti-Family Demol¡t¡on
Manufactured Home (Sinele or Multi-Level)
><Residential {SF, Duplex or Townhome)t Reroof
Unit . MAXIMUM SIZE OF SQUARE FEET
ET
nwowEDPARnËS
Property Owner:
Mailing Address:
Email Address:
Phone:t9lol 948- h¿/ot
_()zz CÞ
2
Contractor:5 Phone:fzo 2a¡ -J6)& *
Mailing Address:
Email Address:¿i t4 (
Architect:(;Phone:(,,L/5-* 7<.t2o
Mailing Address:\,kt'" n-.
Email Address;I ¡ul
( pic,a
Phone: i /a ¡ S"ly -rra\Engineer:I
Mailing Address:3 (I 8t
Emait Address: /Vl í ê r , (¿/ Yvt'
clw
Manufactured Home lnstaller:N/fl Phone: { )
Mailing Address
Email Address:
PROJECTDEnlU'
Describe Work:(t Qr-¿"ø
Job Address
2lL1 21t oo 2o-,Assessol's Parcel Number:
Sub.[ot Block _
Owne/s Valuation of Work:oô Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:3òÒ Height:/L'0
#of
3c. 3C
Class of Work:14"*Remodel/Alteration Addition
Garage:Attached Detached
L/
Ô14
Type of Heat:Propane
I PROIECT DEÍAIIS
Septic:
atural Gas Other
Driveway
Permitr
NONCE
AuthoriW. This application for a Building 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 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: (L) 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 L80 days after commencement.
CERTIFICATION
I hereby cert¡ñ/ that I have read this Application and that the ¡nformat¡on 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. 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, 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 thís 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
er or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
Qzremot
Permit #:
provided the
[J¡rn ñ
requiredo Ad.lt
which is correct and accurate to the best of my knowledge.
t/to lroztT09ÊYt1
Property oa{e
oFFrcrAtusEoNtY 6qgï, I zOn
Special Conditions:IT
Adjusted Valuation:,
{ tsq ag7.6f
n Check Fee:
î f.4.3+
Pla
#
Permit Fee:
.ú / " 92q.75
Manu. Home Fee:*RT"Ë
" o"ool
Total Fdes:ß.2,tq4,4 Fces Paid:
û qs//.41 Balance Due:
* t^zoQ , bô
BP No:
BRF--l'ßlñ
OWTS No:-TñlA lelWs ir
Setbacks: 0K OCC 6roup fRo Const. TVne: * a
Zoning:Rvra
Uk*%4.uf^/b-8-21BUil-DrNG / PTANNTNG DtVrSrON
Signed Approval Dete
Arr)
Gurfield County
BUILDING DEPARTMENT
1.OB Eighth Street
'u¡te
407, Glenwood SPr¡ngs, CO 87607
Tel: (970) 94s-8272
l.þü)
PLAN REVI E WC HECKLIST
Permit No: D -05-2-("ö
Planning lZoning sues
L/Engineered Foundation / Property Line Setbacks
0{Pnfl N4
%4're
Building lssues
tr
Driveway Permit
Surveyed Site Plan ¡ hittorfc-\\ ?þob /
30 ft. Stream Setbacks
Flood Plain
Building HeightîL'ues
t/
lr/
ta
ta
ÑA
tl subdivision ptat Notes nAes+bands
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
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
soirs Reporr EXl,eþì fiundahìo^na
,r)
,/
v0u
- Grade/ Topography 40%
Planning lssues
Subdivision Plat
Zoning sign-off
fueeurrpÁ
Road rmpact Fees þ tSttÇfediÞ ,
w a¿,^d't{eedu!-
Øeþs vbol
Description & Summarv:
,,rk
(cìreq LqqT) .
Ïis{orf ctaldtL loLgLl
shotù t n66qçþhowt,(Wn* ^vnt+b^Êa^!t*)A',^MwoLL-onl-
,j TssÊ r ô ¿fl,oo = þ4BtYOg,oo
fLS t)t88sf y û 7+,@S=+ gB)7tg,g+
"eld I,&zax * ts . s zlrl bo
# tsqragl,g+
RtF = "0,'00,
2n^b +6¿t)
bldg
'rrle+^I(9
ho,s ay ia(ctrcen qÐ
Framing plans for each floor level and roof. All beams, columns, joists, rafters and trussesspecified' Pre-manufactured structures require the engineers stamp, signature ãnd date.Framing /connection details, braced wall lines, shear tail schedule, tocation and hold downs.
NoTE: lf any required information is missing, dglays in issuing the permit are to be expected. lfdetermined by the Building official that additional ¡nformation iã n"rät*áryià rÑ¡"* the applicationand/or plans for compliance, the application may be ptacËu on nou uniiltíre requireo information isprovided- work may not proceed without the issuanc'e of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, aswell as any Road lmpact fees will be collected when the pLimit is issued.
The permit application must be signed by the owner or by person having written authority from the ownerto act as their representative.
Building cannot be occupied until a certificate of occupancy (co) is issued. using the building without aco will be consideredan illegal occupancy and may uã gro:unos for vacating the premises. (Final/coinspection requirements wi[ be attached tó your apfroveä fierd set of prànu.i
- -
a
a
I hereby acknowledge I have read, understand and will abide by the requirements of thischecklist.
¡3Êr5^f-, F¡ofqt)ft LLL
ãbä4¡+Ð zPropertyOwner P Date