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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 p70l945-8212 www.garfield-countv.com BUILDING PËRMIT APPLICATION Commercia l/Multi-Family Demolition Manufactured Home (Sinele or Multi-Level) ReroofResidential (SF, Duplex or Townhome) Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET Property Owner: Mailing Address: Email Address: qturPhone:I 0 t {D Phone: t0['10 ) ?-7q. l+s0Contractor: Mailing Address: Email Address: e Phone: 1410 fArchitectr Mailing Address: Email Address: 7 Ø Phone:r1fLr 1fç-fllzEngineer: Mailing Address: Email Address: Phone: Email Address: Manufactured Home lnstaller: Mailing Address: 0ôÙ. o Fmillt, \ (E[r\ -- \^4N]bDescribe Work:3J"1 ,,lA'-Zrl L Str ÉIù- Z ?hJ1,Us, Height: Property Size (Sq. Ft. or Acres) Sq. Ft. of Building: Owner's Valuation of Work: Assessor's Parcel Number: Job Address: f of Floors: 2- rct 4L Brock-Sub. DetachedGarage:Attached PROJECT Septic Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: ñor¡èÈ Authoritv. 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. 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. i CERTIFICATIûN 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 Bullding Permit, I agree that I and my agents will comply with provisions of any federal, state or local law regulatirlg the work and the Garfield County Building Code, OWTS regulations and 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 çompliance 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 noi prevent the Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopp¡ng 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 liabitity 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 neer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have the req information which is correct and accurate to the best of my knowledge. ,LI Print and Sign Date I I I -_l #: r, U3Ë ONLY Special Cond¡tions: Adiusted Valuation: , ö 2zq-5.q0,4+ Plan Permit Fee:75 Manu. Home Fee: r.t /e #'Pry 6tsoØ Total Feés:i 2.q33,2q Fees Pai d nce Due: I 15 5þ{I 7 75 BP No; BLRE-1O8I OWTS NO: c o ¡,4 ¡.{ v t\t lly '"'ððñ,,D,OCC Group: lltL Const. Type: I fa(- Zoning:7vD &-Øu'1-to^2tr Date BU¡tDING / PTANNING DIVISION : Signed Approval ç/'M, 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 until the 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. os e'þ zl Prope Owner and Sign Date a a Garfield County BUILDING DEPARTMENT 1O8 Eighth Street, Sulte 407, Glenwood spr¡ngs, CO 87607 Tel: (970) 945-8272 PLAN REVIE W CHEC K LIST Permit No: Øt-Rø48-21-Y0Øl Building lssues Pl a n n i n g I Zoning lssues w> u"?qt Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ TopograPhY 30% Attach Residential Plan Review Listt/ UNP, t/ t/ ,/ y# Road rmpac.r".$FTA þ7Ø v/ -e rade/ Topography 4O/o ,/Planning lssues Subdivision Plat n b'+Lto Description & Summarv: Ktrflt þzø,oo FL6 zê5/ y 74, êØ= 17% 24, lF Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign-Off La ñ Subdivis n Plat Note M rir" t/ v/ A/A t/ Rvrnar l8-7-Ag 6.z7,zotÐ 25ü3b'!*¡ rtme iew 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 Soils Report crvþ,u/ z/y lg 3 /3¿êg6,OO e, ?4/r //A4 / 8z= ðó" æp.Ao -Å/d /eo x /e = lrgØ,oo uåp/4 tt7? x /z- /4r$6^,ø receplìo P5P ù¡usled buitdin3 valuu,fion: + 221t5fu,'t+