HomeMy WebLinkAboutApplicationÐ tLvt - t4bnr- furrt-'cti,
CìD
-,
-,frlE
ÈEz,E).JoHoHJ>-rllE
LL3É:É<=rJ3
Jo
ru
t¡l(J
ut
ú,
t
I
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
ltg7ol945-82L2
www.garfield-countv.com
Gurfield County
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
DemolitionCommerciaulti-
Manufactured Home or Multi-Level
ReroofResidential (SF, Duplex or Townhom e) ' tl;$¿--bt¡r.-.
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,OOO SQUARE FEET
INVOLVED PARTIES
lrv'fie
b t
laWa
Þ,'l Phone:(q1ol qQ>-s7ç>
*tø>
Owner:
U Þolo¡Mailing Address
Email Address:
tbçtil l'+¡
Cc'ntraeto;
s Sbto e-
o
l¿,ornda,-(r, ?tt¿>t
o t
^)(
tl¿
Mailing Address
Email Address:
Phone: ft7ô | 37q - 5Þ rc
aS ¿t'( ¿C a -âle C rtr
l
Phone:
ü AJ
5g/t 4/O
bLt
kt o4l f -(!
Email Address: I
Mailing Address:
9ol^/.ly.,atr¿,
Architect:
I +IPhone:
^J
p T
L
qZI
re
-ZboòEngineer:
MailingAddress:
Email Address:
Phone: { }Manufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAII'S
Describe Work:
Job Address:
24w CP- lo Z-/ Cørg
u
Lot Block
Assessol's Parcel Number:z7cl t7, ç zLooll >-
Height: lb' 7 t'
# of Floors: I
ol¿-
ô
Owne/s Valuation of Work: S
Sq. Ft. of Building:
5ub.
Propefi size (sq. Ft. or Acres): 5 -TLl ac, e S
x Remodel/Alteration ditionNewClass of Work:
DetachedAttachedGarage:
[r*L vetr'
..teLþ ,
PROJECT DETAIIS CONTINUED
Sept¡c:Community
Type of Heat:atural Gas Propane ( rlectric Other
Driveway
Perm¡t:XE*"tnt Permit #:
NOTICE
Authoritv. 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.
Lesal 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 Electrical Perm¡t, (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.
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 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. Assumíng
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 ¡nspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (L)
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 rest with me and my authorized agents, including without limitation my architect
designer, engineer and/ or builder
:4
I hereby acknowledge that I have read and understand the Notice and Certificat¡on above, as well as, have
the required information which is correct and accurate to the best of my knowledge.
P.Þifts (!%>
Property Owner Print and Sign Date
@S1.3t cK*olot ob/a¡/zo4
Special Conditions:
Adiusted Valuation:4b.oBO Plan Check Fee:
3ct p. 1+
Permit Fee:.
b t3 45 Manu. Home Fee:
¡l/r,
Misc. Fees:
Toial F6es:
1,o,7.11
Fees Paid:t 3sq.c-s
Balance Due:- tlu52,t?BP No:
BußE- æq1
OWTS No:
s€PT- - Ug qß
Setbacks:OCC Group:
ll¿c
Const. Type:
^t f?(
Zoning:
ßvÈAL
G'7tu2/BUITDING / PLANNING DIVISION :
Date
Gurfield County
BUILDING DEPARTMENî
708 Eighth Street, Suite 407, Glenwood Springs, CO 87607
Tel: (970) 945-8212
PLAN RE VI EWC HECKLIST
Permit No:
Building lssues Pl a n n i ng I Zaning lssues
' ,( SePtic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
,V.LF1 re De pa rtm e nt Review
luation D". o mination/ Fees
-/Red Line Plans/ StamPs/ St¡cker
Attach Conditions
ft.Stream Setbacks
Flood Plain
L Building Height
ng Sign-Off
4t/-Road lmpact Fees
Topography 40%
Engineered Foundation
@ñrivewayPermit
Site Plan
,4.
N,.Soils RePort
Ø, /(,Property Line Setbacks
/,/.ß.
ñ'ft Pranni
ßft
ng lssues
Subdivision Plat
Desc¡'intion & Summarv:Appl ication Signed
Plan Reviewer to Sign APPlicatíon 40 t.48
rcel/ Schedule No.
7 llzo nr4 =t 4b, ogÒ
--&+æ#
snowload Letter- Manu' Homes
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 Officialthat 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 their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building wj!!o_ut a
CO wilfbe 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.
Bo¡loatu* P -Þi,t'/t' /-r
a
o
Property Print and Sign Date