HomeMy WebLinkAboutApplicationGaffield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s70194s-8212
www.ga rfield-cou ntv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercia ulti-Fami Demolition
llanufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accesso Dwell Unit - MAXIMUM S]ZE OF 1,OOO SQUARE FEET
PARTIES
Property owner: Dìanc \(.-9hqvJ Phone:1ltl¡ 7?3 /l'a
Mailing Address: t o L7 o Ñ. Cen* rz.t Ç-x v.t t7,,9+' l'/.s
Email Address:dshd$t@ dksÁau/,cotwt
Manufactured Home lnstaller: N a Phone:
Mailing Address:
Email Address:
PROJECT
Describe Work:fiu I b"r lJ ir-t cttl
òI&úrv-. l¿- S ha r.)(- Phone:Contractor:
Mailing Address:
Email Address:
z3Architect: Ag¿ S t L lñÉs Sfrlþ mr Phone:7
z nd
A o5
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di
Mailing Address:
Email Address:
ty.
Engineer:Fu¿Phone: (7tq I'-------+'lo8 I tt+z
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Mailing Address: LjTO h/
Email Address:Se (fa n
Job Address:t1-?3 LP- 2'lI A/?\^-.(¿,<{-te (o
Assessor'sParcelNumber: 2- tZÇ I i lô0rt7Ç
Sub.e tVt
Owner's Valuation of Work: S
Sq. Ft. of Building
Class of Work:EW
c)nclt_D;v bx
Property Size (Sq. Ft. or Acres), I C", //r,
Height:tb'# of Floors
Addition
,l
Garage Attached
Remodel/Alteration
Detached 9qfh+,'lål^t)
PROJECT DETAILS
iãpii.,
Type of Heat:
Driveway
Permit:
NOTICE
ED
Community
Natural Gas pane Electric
Permit #:
Other
Exempt Pti,l¡n I l
Authoritv. This application for a Building Perm¡t must be signed by the Owner
or an authorized agent. lf the signature below is not that of the Owner, a sepa
I hereby certify that I have read this Application and that the information
understand that the Building Division accepts the Application, along with
of the property, described above,
rate 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.
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.
CERTIFICATION
contained above is true and correct. I
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. Asthe Owner, lacknowledgethat responsibilityforcompliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
ner, engineer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provid ed e required in which is correct and accurate to the best of my knowledge'
D ane 5 tt ß/z ozl
roperty Owner Print an d Sign Date
d
{a?, $l G.C. I 2roFFrclAL USE ONLY ?1.
ase/aratleSpecial Conditions:
Manu Fee
N
Misc. FeesPInchValuation:oo
BP No:
ßvßÇ.- ? a{ o ¡
OWTS No:
SEPT- l2
Balance Due:'.
b57,-75
Fees Paid:
f {zz, ¡'l21
5:Total
I
Crlrst. Type:r.ß.(.Zoning:AURAIOCC Group:
l'R'("
5et
t2ú-zlBUILDING / PLANNING DIVISION
Signed Approval Date
jØ;rø:-
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.
o
Property Owner Print and Date
a
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,r
Garfield County
BUILDING DEPARTMENT
7OB Eighth Street, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-821"2
PLAN R E VI EW CHECKLIST
permit No: þt ,RE-//-Zl-/ZfØ
Building lssues Planning lZoninglssues ß^rrtu(
Engineered Foundation
Driveway Permit
Surveved Site Plan
5E,Pr-//-2/-727r/
Septic Permit and Setbacks
Grade/ TopographY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valu¿ .'' n Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPIícation
Parcel/ Schedule No.
À/
Descri ion &m
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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ru
./
exqnph'Ø?/ù er¿zezt-l
rVA 40f Snowload Letter- Manu. Homes
Soils Report
RlFmhtLnus '7"
/þadef x êzL = 451Uo
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tza/qatry
co NDITIONS OF PERMIT
BLRE-1 1 -21-7240
SEPT-11-21-7241
Diane Shaw
New 1,ó00 sq ft Detached Garage
TBD 1773 CR 241, New Castle
s.1 3, T.05, R.91 , 212531 0003ó
1) ALL WORK SHALL COMply W|TH THE 2015 INTERNATIONAL RESIDENTIAL CODE
(r.R.c.)AND 2009 INTERNATIONAL ENERGY CONSERVATION CODE (l.E,C.C,)
2} PROPOSED IMPROVEMENTS ARE SUBJECT TO ALL APPLICABLE ]TEMS CONTAINED
IN THE ATTACHED "GARFIELD COUNTY BUILDING REOUIREMENTS", NUMBER
REFERENCES NOTED ON PLANS REFER TO SPECIFIC ITEMS ON THIS LIST.
3) ELECTRICAL PERMITTING AND INSPECTIONS BY COLORADO STATE ELECTRIC
BOARD. ELECTRICAL ROUGH-IN APPROVAL IS REOUIRED AT FRAME INSPECTION
ELECTRICAL FINAL APPROVAL IS REOUIRED FOR FINAL INSPECTION &
CERTIFICATE OF OCCUPANCY.
4) WILDFIRE MITIGATION REOUIREMENTS: COMPLY WITH WILDFIRE MITIGATION
AND DEFENS]BLE SPACE REOUIREMENTS PER COLORADO STATE FOREST SERVICE
AND LOCAL FIRE DISTRICT.
5) OPEN-HOLE SOTLS REPORT REOUTRED AT FOOTING INSPECTION TO VERIFY 2.OOO
PSF SOIL BEARING CAPACITY, PROVIDE COPY OF GEOTECHNICAL ENGINEER'S
REPORT FOR BUILDING INSPECTOR REVIEW AT FOOTING INSPECTION.
ó) ALL HIGH STRENGTH BOLTING AND FIELD WELDING REOUIRES SPECIAL
INSPECTOR, PROVIDE APPROVAL REPORT AT FRAMING INSPECTION.
7) ENGINEERED SEPTIC SYSTEM: ON-SITE WASTEWATER TREATMENT SYSTEM
(OWTS)TO BE INSPECTED BY PROFESSIONAL ENGINEER LICENSED IN THE STATE
OF COLORADO. PROVIDE ENGINEER'S FINAL REPORT PRIOR TO FINAL BUILDING
INSPECTION & CERTIFICATE OF OCCUPANCY.
8) FLOOR PLAN FOR THE 1,ó00 SO FT STRUCTURE lS LABLED "BARN" WITH A
"POWDER ROOM". VEHICULAR DOOR OPENINGS SUGGEST GARAGE USE. DIANE
Gørfield County
195 w. l-4th Street
Rifle, CO 81650
(970) 62s-s200
Puhlic Heslth
OWTS PERM IT APPLICATION
TYPE OF SYSTEM CONSTRUCTION
New lnstallation Alteration ! Repair
BUILDING USAGE TYPE
n Dwelling fl Transient Use tr Comm./lndustrial ! Non-Domestic
Describe
2014 Blake Avenue
Glenwood Springs, CO 81601
(s7o) s4s-66L4
INVOIVEÐ PARTIES
Property Own
Mailing Address 0b N. ce,.
EmaitAddress: dS/raü @- d K SAa*) . I o tryt
hone:?
9n,ez
Contractor:
Mailing Address
one: (_)
û1
Email Address:
Engineer:
Mailing Address
Email Address
hone:
o s qs
a (2t-1,
PROJECT TOCATION AND DESCRIPTION
Job Address 7 z
. Assessor's Parcel Numbe ,,2lz9l9loO b
e oÑ
Building or Service Type : öuþhuildtr^o #Bedrooms:Ô GarbageD.J
Distance to Nearest Community SewerSystem:N.¿
Was an effort made to connect to the Community Sewer System:
Potable Water Source
& Type
! Stream or Creek ! CisternSZ/well n Spring
n Community Water System Name
Gariield Courrty Public Health Deparlrlent - working 1o promote health and prevent disease
Applicant acknowledges that the completeness of the application isconditiona!_urpon such further
niai¿ãiorv aÀO a¿¿¡tional tests and reports as may be rêquired by the local healtt¡ departrnent to be
rãäã riA'turn¡rf,à¿ by the applicant or by the locál health department for.purpose of the evaluation of
i'tiãäpptiãrtiory lñO tle issuárice of the pärmit is subject to srjch terms and cor¡dktions as deemed
neceisãrv to ¡nsure compliance with rulés and regulaiions made, information and reports subrnitted
frıiewñt 'an¿ iequìràà iö be subm¡tted by the apþlicant are or will be rep.resented to be true and
cıiiect to tne beit of my knowledge and belief and are designed to be relied om hy tllre.local
àãpiitr"nt of health in'evaluatin[the same for purposes oÍ issuing the permft Qpn[fe.6 for herein. I
irïnei understand that any falsifiiation or misrepre'sentation may result in the deníal of the
"pdlí*t¡ón ói ràvocation of any permit granted based upon said application and llegalaction for perjury
as provided by law.
CERTIFICATION
I hereby acknowledge that I have read and understand the Not¡ce and Certificdion above as
well as have provided the required information which is correct and accurate fo üe best of
my knowledge.
n,/r,ño L/
Property Print and Sign
oFFlclALusEoNtY Pd. $lâa'og c'e'ttftslzctr æ
Special Conditions:
Permit Fee:* l¿s. go
Total Fees:
f r¿3,oP
FeesPCid:
* lz3 .oP
Building Permit
9LgÉ.1LT|o
OWTS Permit:
seçr-1L+l
lssue Date:
1112912021
Bal¡¡æDue:+l
¡':,./...-.,/ t.. /, .'<1 ,r.
11t2912021
Garfield County Public Health Depãrtment:
Signed Approval Date