HomeMy WebLinkAboutApplicationGarfield County
RE ity Development Department
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C0MMUNITYDEVETW
DemolitionCommercial/Multi-Fami
anufactured Home le or Multi-Level
Reroofor TownhomeResidentialFDu
Access Dwellin Unit ADU - MAXIMUM SIZE OF SQUARE FEET
propertyowner: Å+nUâ, fr*XZ )ær WOørrY Phone: t1l7 I ll0 - tOIt
Mailing Address:
Email Address:
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Mailing Address:
Email Address:
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Email Address:
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Email Address:
Phone: fl10 t 1ø1- 0370
Mailing Address:
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Phone: (_)hManufactured Home lnstaller:
Owner,s Valuation of Work: 5 (g0 þ60 Property Size (Sq' Ft' or Acres)
Assessor's Parcel Number
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Height:
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PROJECT DETAILS CONTINUED
Propane
Community
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Driveway
Perm¡t:
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atural Gas
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Permit #
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.
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 perm¡ts. 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 Applicatio n and that the information contained above is true and correct. I
understand that the Building Division accepts t he 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. Assumlng
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 Buìlding 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 Garfìeld 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 ln compliance with County Regulation(s) or any
other applicable law.
I hereby grant permissìon to the Building Division to enter the property, described above, to inspect the work l
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 archltect
designer neer and or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
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Property Owner Print and Date
OFF¡CIAL ? o¡{.P*
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Speci al Conditions:
Misc.6t4"ØFMaome Fee
76PermiFee:Fee
4
Plan Check
5
Adjusted Valu
OWTS NoBP No:
BmE,looz
uD e:cen IIFees Paid:
Sza{. tq2îFes:
Zoning:
Ru ¿Al-Const. TypeOCC Group rftcSetbacks:
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BUILDING / PLANNING DIVISION
Signed Approval Date
Gørfield County
BUILDING DEPARTMENT
708 Eighth Streel Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8212
P LAN REVI EW CHECK LI T
Permit wo: þffi E- Ô1- 2l- 700L
Building lssues
Ëngineered Foundation
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A/A
Surveyed Site Plan
Set
phy 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Plan Reviewer to Sign APPlication
Parcel/schedule No.
4O# Snowload Letter - Manu. HomesNA
5.{
Planning lTonin lssues
Property Line Setbacks
t'/ 3o ft. Stream Setbacks
r/Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
218382
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Description & Summary
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t'/ Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
"/ Application signed
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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 ior complianıe, 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 witlo_ut a
CO wilibe 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.
1
Property Owner a n Date
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