HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suíte 401
Glenwood Springs, CO 81601
ls7ol94s-82L2
www. garfield-countv.com
BUILDING PERMIT
APPLICATION
DemolitionCommercial/Multi-Family
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex orTownhome)
rR Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET ,A
Property Owner:
Mailing Address:
Email Address:
Lz Phone:
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Phone:
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Le 6TILLgtContrâctor:
Mailing Address:
Email Address:
EmailAddress:
Phone: I
Phone:
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Engineer:
Mailing Address:
Email Address:
MaÍling Address:
Architect:
Phone: I
Describe Work:
Height:
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Lot a()tof Work:qqr,L
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Job Address:
Manufactured Home lnstaller:
Property Size (Sq. Ft. or Acres):
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e_AssessorJs Parcel Number:
Sub.
Mailing Address:
Email Address:
I l^' 8u #or
Owne/s Valuation
Sq. Ft. of Building:
Block
ditionClass of Work:x New Remodel/Alteration q
Garage:Attached Detached
PROJECT DETAILS CONTINUED
Septic OWTS¿--=æ.-Community
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Type of Heat:/ Natural Gas Propa ne Electric Other
Driveway
Permit:
Exempt Permit #:
NOTICE
Authoritv, This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal Access. A Build ing 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 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.
CERTIFICATION
I hereby certiñ7 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. 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 land my agents will
comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Code, OWTS regulationsand applicable land use regulations (County Regulation(s)). lacknowledgethatthe
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 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 CertífícatÍon above, as well as, have
provided the requ ired information which is correct and accurate to the best of my knowledge.
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Prop Owner Print and Sign Date
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Special Conditions: Unll
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Adiusted Valuation:iitz"zba.lg Plan Check Fee:
6bq', zb Permit Fee:
$t.obh,56
Manu. HomC Fee:
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Misc. Fees:
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Total Fees:
,f 1.,75q,81
Fees Paid:
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BaÉnce Due:
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BP No:
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OWTS Ño: r'
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OCC Group:
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Const. Type:tßc Zoning:
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Signed Approval Date
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Gurfteld County
BUILDING DEPARTMENT
108 Eighth Streel Suite 407, Glenwood Springs, CO 81601
Tel: (970) 945-8272
PLAN EV IEW CHE KLI T
Permit No: øLR/-Oó-2/- b7O8
Building lssues Pl a n n i n g I Toning lssues K"
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-/ Valuation Determination/ Fees
Engineered Foundation
Permit
Surveyed Site Plan
strPr- 6-2t-(ú01
Septic Permit and Setbacks
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Application Signed
Plan Reviewer to Sign APPlication
Soils Report
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
I/
Red Line Plans/ StamPs/ Sticker
V Attach Conditions
Description & Sumrnarv:
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Parcel/schedule No.ns ?îl.Esß x 7/.ôg= I 74r 5b7 î8
40# Snowload Letter - Manu. Homes
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Gørfrcld County
BUILDINGDEPARTMENT
108 Eighth Street, Suite 401, GlenwoodSprings, CO 81601
Tel: (Ç7Ol 945-821).
Property Ownerts CertifÍcate of Compliance
Accessory DwellÍng Unit (ADU)
Elfective Date: October 79,2020
The undersÍgned property owner certifies thøt the øttached Buílding Permit Applicotion
for Accessory Dwelling Unít (ADU) is in compliance wÍth the following list of standards,
regulations ønd requÍrements for ADUs per Garlíeld County's Lønd IJse & Development
Code ss amended on October 79,2020.
L Floor Area - Maxímum floor area of ADU shall not exceed L,000 square feet (excluding garage).
2. Ownership Restriction - ADU is restricted to leasehold interest (cannot be sold or subdivided).
3. One ADU per Lot - A maximum number of one ADU is allowed per lot.
4. Legal Access - Property Owner confirms legal access to proposed ADU as illustrated on site plan.
5. Water - Property Owner represents that they have notÍfied eíther: (a) their water supplier to
address additional tap fees (if applicable) or (b) State of Colorado's Division of Water Resources
to secure any necessary water rights to supply legal water to the ADU.
6. Sewer - Property Owner represents that they have notified either: (a) their sewer & wastewater
provider to address addítional tap fees (if applicable) or (b) alternately, íf an on-site wastewater
treatment system (OWTS) is employed, limitations on the number of occupants using the ADU
shall not exceed maximum recommendations of existing/proposed septíc system per State of
Colorado's OWTS standards.
* PLEASE NOTE: This form will be digitally scanned into the Community Development Department's office records
and will be ovailable for public view and reference in any future title searchesfor the subject property.
I hereby acknowledge having read the preceding checklist and agree to abide by these
requirements.
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Property Owner(s) Signature Date
OFFICE USE ONLY:
Assesso/s parcel Number tD Number: 2l Ln 25, aO O'1?
Building Permit Number Reference:BIF'E-bloØ
Gaffield County Land Use & Development Code Accessory Dwelling Units - 2020 Update
I Framing plans for each floor level and roof. All beams, columns, joists, rafters and trussesspecified' Pre-manufactured structures require the engineers stamf, iignature 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. lfdetermined by the Building official that additional information is necessary to review the applicationand/or plans for compliance, the application may be placed on hold until t'he required information isprovided. work may not proceed wiihout the issuanc'e of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, aswellas any Road lmpact fees will be collected when thã plrmit 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 considered.an illegal occupancy and may oä gràunos for vacating the premises. (Final/Coinspection requirements wiil be attached tó your
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I hereby acknowledge I have
checklist.
Owner Print and Sign
understand and wiil abide by the requirements of this
Date
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