HomeMy WebLinkAboutApplicationGørficld County
iq.E Development Department
, 108 8th Street, Suite 401
Glenw.o--q{ Springs, CO 81601
.-.ì,iSlFþB':'f; $ffi;"f :Xru
@
oN foPt
BUILDING PERMIT
APPL¡CATION
TYPE OF
Com mercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOIVED PARTIES
Property owner: Gte- L,$k LL/-Phone: t9'7o lTSl-\a&o&Mailing Address:
Email Address:
contractor: GCt L^Pþ t'.C phone: t97a l"içÇ-t¿ó*t¡
Mailing Address:
Email Address:
Architect: €=n al atúra phone: ('rca ) 8tà'"1 --n61.ë
Mailing Address:
Email Address:¿-{¿ !^...|*l, 1",,r*- L t Lþ
Engineer:3\r"Jr." ût 6n<,*"ts Phone: fl"?o l'\t-t,B(âo
Mailing Address llt f,rru* ZE ç+¡w,,t Bløzo
Email Address:
Manufactured Home lnstaller:Phone:
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:
Job Address:lLttt (-L t \\ ( ?.,^,o (..(
Assessor's Parcel Numbe r' ÐLlU3d94ooa91
Sub.Lot Block
Owner's Valuation of Work:&n,<;o-a Property Size (Sq. Ft. or Acres):I t¿r.*
Sq. Ft. of Building:5q ?-ì Heightr ¿*ç Î*"X r or Floors: L
Class of Work:New il*Remodel/Alteration Addition
Garage:J Attached Detached
PROJECT DETAILS CONTINUED
Community
acknowledge th I have read nd understand the Notice and Certification above, as well as, have
correct and accurate to the best of my knowledge.
I hereby
Property Owner Print and Sign
Q*kz t
Date
MFSeptic:
-lNaturalGas PropaneType of Heat:Electric Other
Driveway
Permit:
Permit #
AuthoriW. 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 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 andvoidiftheworkauthorizedisnotcommencedwithinL80days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
NOTICE
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 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 Build¡ng 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
CERTIFICATION
oFFtctAtusEoNLY ?d$8o6.r(' ce o7fe,lLøztrfi
Special Conditions:
Adiusted Valuation:
ö[+v^10b,qz
Plan Check Fee
4ÇD/-.to r5 Manu. Home Feex/t *t'"tf6;'o"
'¡
Total Fees:
bz,o+L.ú
Fees Paid:t ?ot .,o
Balance Due: .-bl^Lt{),þ
BP No:
6LR.F-'r to I
OWTS No:*la
Setbaéks: .oç OCC Group:(€.c-
Const. Type:
l?-<.
Zoning:
l¿un^L
t//a*%fu 4-zz-BUITDING / PLANNING D¡VISION
Signed Approval Date
Gurfteld County
BUILDING DEPARTMENT
708 E¡ghth Street" Suite 407, Glenwood Springs, CO 87607
Tel: (97o) 945-8212
P NR EVIEW C E KLIST
Permlt no: ¿/1.,6-8-2/ - 7 /A/
Buildíng lssues Planning /Zonintg lssues RUfa I
t''
---'\/
t-/
t/
Pud¡^
{twt
Engineered Foundation
Driveway Permit
Surveyed Site Plan
ptic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire DePartment Review
Valuation Determinatíon/ Fees
Red Line Plans/ StamPs/ Sticker
Property Line Setbacks
"/ 3o ft. stream setbacks
Flood Plain
Building Height
,/ Zoning Sign-off
ù0u
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
rtuþon
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
AJ 40# Snowload Letter - Manu. Homes
Description & Sum marv
Soils Report
@nd ft
t!3F,[U-Hr:Ltï "t,{:}!
! $ ft !:.rt}Ë{'r
1
;q¡ i;{}
1600
: :l !iq,.1.;
¡ i '-il
emûÅl FtS tqlq x. 74. b9 Ç t+erz rcsz
ïvb 6oq -Pld 22 x tB + ,rqb
lS iltF={'iiiåi;ìL1f }
i¡,ilif-ìil(i ü'r{jil
"ÅjvoW buitdí'rr"1
vorLvAhoi',
+ H3t7oâ,1-
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 understand and will abide by the requirements of this
c
a
a
7'l-zt
n Date