HomeMy WebLinkAboutApplicationGørfwld County
RËC
REC
Community opment Department
EtyErI.oS 8rh Suite 401
Springs, CO 81601
945-82t2
r,: l{
"ni.l
COMM tıhfi'rñEftlHl¡Murti-Fa mi ty Demolition
Man Home or Multí-Level
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MÆüMUM SIZE OF 1,000 SQUARE FEET
a
Phone:
IEmailAddress:
Property Owner:
Malling Address:
phone: t41o r34b:IUZ'1
o
Ci
.0.
Contrãctor:
Malllng Address:
EmailAddress:
a t1Phone:Architect:
Malling Address:
EmailAddress:
Phone:
Lç .3Tq 0rl
Engineer:
Malling Address:
EmailAddress:
Phone: ( IManufaclured Home lnstaller:
Malling Address
EmailAddress:
Describe Work:
Job Address:
e S/u,
Lot
E.)03 Ac
Height:
Assessorrs Parcel Number:23ÌãOr e r)00? n
'\t{-,0 5\¡o[
BloclrSub.
Property Size (Sq. Ft. or Acres|:
#of
Owne/s Valuation of Work: $
Sq. Ft. of Buildlng:
Attached DetachedGarage:
ral Gas ElectricPropane OtherType of Heat:
0rÍveway
Authoriw. This application for a Building Permit must be signed by the Owner of the property, descr¡bed above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authoríty, signed by
the Owner, must be provided with this Application.
Lesal Access. A Building Permit cannot be issued w¡thout proof of legal and adequate access to the property for
purposes of inspections bythe Building Division.
Other Perq¡tt. Multiple separâte permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identifìed 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 ìs 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 hereby certify that I have read this Application and that the information contained above is true and correct, I
understand that the Building Divísion accepts the Applícation, along with the plans and specifications and other
data submitted by me or on my behalf {subm¡ttals), based upon my certif¡cation as to âccuracy. Assuming
completeness of the submittãls and approval of this Application, a Building Permít will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Buílding 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, construct¡on 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 permissíon 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, díscovered after issuance, or (2l,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 r€sponsibility for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
ner an 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 bêst of my knowledge.
oE .lz .24
Property Owner Print and Sign
y'&t-,'
Date
/04
dartnr a ôr?
Special Conditions:
u bê
ï'üZiva Manu. Home Fee: /
¡t/¡Misc. Fees:ñ/ftPlan Check Fee:ô4t9.'ftAdiusted Valuation:
öso.ooo^ø
BP Nor
ÉLÊE ' 1l'{ o
o\trtTs'Ng:
xr/a
Total Fcés:
fil-oÁz,t'l
Fees Paid:
SutlS,q'+
Balance Due:
þbAa,76
Const. Type:
I T¿C-
Zoning:
Evf¿At-
setbe6ks:ark OCC Group:
I r<e
BUITDING / PTANNING D]VISION :
Signed Approval Date
Gurfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Spr¡ngs, CO 81601
Tel: (970) 94s-8272
PLAN REVI EW CHECK LIST
permit No: 6LR€-q-Zl ^7 I LtO
Building lssues Pl a n n i ng I Zoning lssues
(/
*wrt
t/- surveyed Site Plan
t-/
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
c/
Flood Plain
t-/
Building Height
Property Line Setbacks
30 ft. Stream Setbacks
Grade/ Topography 40%
Planning lssues
Subdivision Plat
t/
Engineered Foundation
Driveway Permit
(/
yæ Septic Permit and Setbacks
Grade/ TopograPhY 30%Zoning Sign-Off
a'' Attach Residential Plan Review List N/A Road lmpact Fees minirnut$
,l
ô/
l-/Attach Conditions
t/ Application Signed
,/
Plan Reviewer to Sign APPlication
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
^t/4
Descri otion & Summa rv
45o,ooo va'l,wa'h'ùy'\
,h*gi^9 uf+laire
&orn L g ahle-h Z
shed vwþ dov'rn%g
3+ø- t¿,aj-4&eoii'€-
Ar=N/k
na oddih'ona/-- l^p"ká
tìvín3 .T+L, q/
v\,o n€;.;u'P-J"úìa*g
t'^+a VMà
/
rY-)àorrryúrÒ
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.
a
a
01,12 .2-l
Property Owner Print and Date