HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970ls45-82t2
www.sa rfi eÌLçeqn'ty. cqm
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BU¡LDING PERMIT
APPLICATION
TYPË OF CONSTRUCNON
Commercial/Mu lti-Family Demolition
Manufactured Home (Single or Multi-Level)
I Residential (SF, Duplex or Townhome)Reroof
Accesso Dwelli Unit - MAXIMUM SIZE OF FEET
INVOIVED PARTIES
R¡.Vr"t\rñ ÞÔ $7ot 7jq-81ot
a
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Email Address:
v â à z-4 s¡ l+- cô ßtLs,
fåFñ Cð t-f,r\ Phone:Property Owner:
Mailing Address:
Contractor: Phone: ( .)-
Email Address:
Mailing Address
Phone: (Aq I 601'5180
or ts
o
\
4r orl-S
s
t Slc.¿Engineer:
Mailing Address:
Email Address:
Mailing Address:
Email Address:
ìPhone:IManufactured Home lnstaller:
Sub. Lot
-
Block
PROJECT DETAITS
Describe Work:
wrZoO # of Floors: I
\
Lo
ú Height:
Property Size (Sq. Ft. or Acres):2,12-3Owner's Valuation of Work:
+
¿4'r so'
ô qq?_
26,9oo
Sq. Ft. of Building:
Assessor's Parcel Number:
Job Address:
2t1q oiq o
ditionxRemodel/AlterationClass of Work:New
\DetachedAttachedGarage:
Architect: Phone:
Mailing Address
Email Address:
PROJECT DETAITS CONTINUED
Septic:Community
Permit #:
NOTICE
Author¡W. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Leeal 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 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.
Voidpermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
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. 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 arry
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
d ner r and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
the required information which is correct and accurate to the best of my knowledge.
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Property Print and Sign Dete
ldc
Electric OtherNatural Gas PropaneType of Heat:
IRE*"'ntDriveway
Permit:
oFFrcrAtUsEoNtY ?1$ 2gO.st cc o6/uo(zozr
a na4t.
'bold I /
Special Conditions: n haht
prittalc /,/ge
M/nu. Home Fee:
¡{lA
Misc. Fees:Plan Check Fee:
û ?-qo,67
it Fee
,b6Âdjusted Valuation
b1-8.900
OWTSÑo:
N/A
Balance Due:
ú ¿lz l, 66
BP No:
9t ߀'b?zli"ä'i8'.=''Total-Fées:
Çttz.27
Zoning:
r2.r ß^ LConst. Type:
rGq
Setbacks:ÔK OCC Group:
rÈc
8-3-21BUITDING / PTANNING DIVISION :
Signed Approval Date
b*/r^
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 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 have read, understand and will abide by the requirements of this
checklist.
Ç<'\ ) -tr
Property Print and Sign Date
a
a
Gurfield Coanty
BUILDING DEPARTMENT
708 Eighth Street, Su¡te 407, Glenwood Springs, CO 87607
Tel: (97o) 9418272
P N E IE CH KLIST
Perrnit No: 6tBg- )b-Zt- b?Z I
Planning lZoning lssues KBuilding lssues
*È
Engineered Foundation
DrivewaY Permit
Surveyed Site Plan
Septic Permit and SetbackS , t fl
s{¿raQe am êQâf-stde af
Grade/fopograPhY 30% /âlZJe k
ln¿át/dr-
Attach Residential Plan Review List '/
na
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
pr
Parcel/Schedule No.
40# Snowload Letter - Manu' Homes
Soils Repor, â k-
assun¿/ /€a,f€/
L/
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road rmpact Fees lV/A
Grade/ TopographY 40%
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NA
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L/
/-Planning lssues
Subdivisiorr Plal.
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App I icatio n sisn"a(g a / /eþ)
6ee -sh¿kyt?úbs
Pian Reviewer to fgn APPlication _ft¿/.á-l -/ua/x $4'ïaa'oz
Descri ion & Sumrn
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