HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701s4s-82t2
www.Êarfield-cou ntv.com
BUILDING PERMIT
APPLICAT¡ON 6e
TYPE OF CONSTRUCTION
Commercia Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Dwelli Unit - MAXIMUM SIZE OF SQUARE FEET
rNvot PART¡ES
Property Owner:
Mailing Address:
Email Address:Ø2a
ZûPhone:
Ce
C¿2 8/øt
7
Phone: (_)Q úu ryzf æ)"uti /ó(Q,n
Contractor:
Mailing Address:
Email Address:
--f r ,/-?t fTt'rotn//7Arch¡tect: //l ð/¿-í7,¿lrttrzt-y'zr¡ Pho
o/'
z
€,
ne:
¿
cLØ7.|'n a..{ ¿,--<r-5'/ 2
Mailing Address:
Email Address:
t
C" phone:
Õo
Mailing Address:
Email Address:
Engineer:
Email Address:
Phone:Manufactured Home lnstaller:
Mailing Address:
PROJECT DETAITS
úlu,s t(
f
Describe Work:Ø¿JVb
øoq/Í).ã aTotS
,d
rrwProperty Size (Sq. Ft. or Acres):
& lot it øtock 7
fn¿¿L
Parcel Number:
Job Address:
Ll?/* oo*
Owner's Valuation of
Sq. Ft. of Building:
ea c"t
rûa,l
AdditionClass of Work:lFlt"*Remodel/Alteration
hedGarage:Detached
>h
ltCWTSSeptic:
Electric OtherType of Heat:Natural Gas Propane
Permit #Driveway
Permit:Kxemnt
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 Applìcation, 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 Regulations rest with me and my authorized agents, including without limitation my architect
desi and/ or builder
PROJECT DETAITS CONTINUED
Community
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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 perm¡ts 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 andvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of L80 days after commencement.
CERTIFICATION
I hereby acknowledge that I have read and understand the Notice and Certificat¡on above, as well as, have
provided the rmation which is correct and accurate to the best of my knowledge.
tà,t
z/
âr*
oFFrcrAr usE oNtY
"Å
I * gL-|, na &.G.ø,,t1 tul;;tuzt æ
speciar conditions: 5æ etbac)Aed, crNbllplrjs 0F TRrnlï
Manu. Home Fee:
N/¡
Misc. Fees:
RIFS þÞ fl,æzPlan Check Fee
bgbz,qs
Permit Fee:þlßæ.asAdiusted Valuation:
þlb\-?þv.so
Balance Due:
ht^?%,35
BP No:
ÉLßg-1rn
OWTS No:
CA|,\,\^\rÈl t T y
Total F6es:
#2,?x3.7'
Fees Paid:
+8L1,18
Zonine:
È. .¡, ÞOCC Group:
l. Ê. c
Const, Type:l. fa. c.Setbacfs:-Øñ>.
BUILD¡NG / PLANNING DIVISION
Signed Approval
t-7-22
Dete
Garfield County
BUILDING DEPARTMENT
708 E¡ghth Street, SuÍte 407, Glenwood Springt CO 87601
Tel: (970) 945-8212
PLAN REVIE WCH ECKLI T
Building lssues
Permit No: 6tÆ1b2F7zfi
Planning lToning
2-+lü<une¿tZ+ricþ
4DNl- Property Line setbacks
lssues YüÞ
N *-30 ft.Stream Setbacksuw,f?
^/4
t/
t/
Afft
L/
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire DePartment Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPIication
Parcel/schedule No.
t/
t/
le,epÞia-vt ørg
Flood Plain
Building Height
Zoning Sign-Off
4ØÞRoad lmpact Fees ¿
Grade/ Topography 40%
Planning lssues
Subdivision Platt/
Descri ption & SgIn ¡0AIY:
trtâ tgvS {7+, bØ= l7l/07r,80
êîqr 521 *. VZ =lb\bfl.90
40# Snowload Letter - Manu' Homes ¿âbl y, l{(?t,00
soils Report ZWFP u61d" bu)lÅilIJ 4 tborzoT,P
Komar ïol 4#Zb 2,5,2.1
adJ'
VoJttfurn I
oW holø ,/rvt 'lmf
Rtv s,bÞ, a l)avz-
a Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specifiei. Pre-manufactured structures require the engineers stamp, signature and date.
Framing /connection details, braced wall lines, shear wall schedule, location and hold downs
üre&¿fntùts f"l^ /,t
a
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 ior complianðe, 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 wilibe 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 acknowtedge I have read, understand and will abide by the requirements of this
checklist.
Date
&,run \i<-