HomeMy WebLinkAboutApplicationGurfiehd Counþ
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Community Development Department
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GARFIEL
COMMUNITY
D COUNTY
BUILDING PERMIT
APPLICATI.ON
Com mercial/Multi-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
L o-,t¡"+:)ht7,r (617 |9439626PhonePropertyowner: Sungold Heights LLC , V¡'(l'^'o
Mailing Address: 220 Harmony Ln
Email Address:victoria. stul gis@ gmai L com
Phone: ( )Contractor:
Mailing Address:
Email Address:
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Email Address:
Phone:
Mailing Address:lfzÇl
Architect: ÐC 5-}^¡<- tr"¿J
Se 73 7.^¿ fiv<,Oa^¿t¿_¡
Address: 2140 SWJefferson St, Suite 100, Portland OR 97201
3951229
Email Address. sratterman@ eeimt.com
503Phone:Engineer:Scott Ratterman, Eclipse Engineering PC
Mailing
Des*ibe *or¡. Detached outbuilding - 5 stall barn dtack room agricultural horse and donkey barn,
with auxiliary living quarters above fi#ADu),imt-r#; sharing septic of main house (in for permits)
Job Address: TBD Harmony Ln
239128200198
23',1',Height:
Owne/s Valuation of Work 3 .12
Phoner f )Manufactured Home lnstaller:
Sq. Ft. of Building:1088 # of Floors: 2
Property Size (Sq. Ft. or Acres)
Assesso/s Parcel Number:
sr6. Josephs Meadows Lot 3 Block
Mailing Address:
Email Address:
,/Rernodel/Alteration Additio¡
,/Garage:Attached Detached
ISeptlc:]wTs Commun¡ty
Type of Heat:ral Gas Propane Electric Other
Drlveway
Permlt:
Permit #:
Authoritv. This application for a Building Perm¡t 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 authorit¡ 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.
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 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 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 Regulat¡ons rest with me and my authorized agents, including without limitation my architect
d r and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required ¡"f-q:Gorrectandaccuratetothebestofmyknow|edge.
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Property Owner Print and Sign Date
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Adjusted Valuation:b 7 P,2l^
Plan Check Fee:<æ.b+Permit Fee:1l^1 1<Manu. Home Fee:þtA ruisc'rees¡f7 2Ç"
Total Fees:
,2-tD.o?
"åäiö]q,n
Due
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Balanceffi,BP Nol{-pe-illt OWTS Nor
Setbacks:€Const.zonfe:
BUil.DTNG / PTANN|NG D|V|SION :
Date
ÀCDJt1^
Gørfield Courutit
BI/ILDING DEPARTMENT
708 E¡qhth Street, Suite 407, Glenwood Spr¡ngs, CO 87607
Tel: (970) 945-8212
PLAN REVIE W CHECKL T
Permit No: þLAt, o1- \l^71/5 I
Plan ning/Zoning lssuesBuilding lssues
Engineered Foundation
Surveyed Site Plan
Permit l)trït /*t/F ,{nPa¡¿
Q,¿Property Line Setbacks
,V,.+3O ft.Stream Setbacks
+ Flood Plain
t,
Buil ng Height
raphy 30%7o Sign-Off
Attach Residential Plan Review List Road pact Fees
Subdivision Plat Notes SnF'z Grade/ Topography 40%
,4 re Department Review )V ,4 nning lssues
Valuation Determination/ Fees Subdivision Plat
d Line Plans/ StamPs/ Sticker
itions
Ap ion Signed n ion & Sum
P iewer to Sign APPlication Nu44aÚ
and setback t,,lf )bø*
j
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l
Parcel/schedule No'
40# Snowload Letter- Manu' Homes
ils Report
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= 31, Oub
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440
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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 requíred information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Officialthat 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 þremises. (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.
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Property Owner Print and Date
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