HomeMy WebLinkAboutApplicationRECEIVED
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GARFIEL
COMM
RECË
0tT tili
GA DC
rïY
Community Development Department
1Og 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-8212
www.garfield-countv.com
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Coungt
BUILDING PERMIT
APPLICATION
N
Commercia l/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOIVED PARTIES
Property Owner: .,Ð'U ."+. v..--.r."*.\\ð Phone: (1'?-9-)?2q - t7ç"7
â)-.¡-*r¡a), Çør'..--( ¿Pl AMailingAddress: Ç(c" c¿,,r.i-. 2". ,. $. I 'Z-l# 2
EmailAddress: ,/1¡ì r\yl.\. ., J** *n 1 l' *,)/
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Contractor: #**- ¿e l,¿V\-e--{Phone: ( )
Mailing Address
Email Address:
Architect:Phoner ( )
Mailíng Address
Email Address:
Engineer:Phone: (E2o ) 3G (, - Pé'Eı¿{
\
IMailing Address:
Email Address:
I U
t" to*b^J.\.C-ewx-
Manufactured Home lnstaller:Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:
JobAddress: lf'2 vvS.lv -f-€ S"evf J-"*l \ ÞJttc* c-"\6
Assessor's Parcel Numb ert 7rn.4 2A
Sub. AÑlc-rÇ orc\^.^vl lot Traè|2qlock
Owner's Valuation of Work:Property size (sq. Ft. or Acres): lû" 88 î h<
Sq. Ft. of Building:3, 8'l u Height:Q5^ E"ce* # of rloors: 4't (J
Class of Work:X New Remodel/Alteration Addition
Garage Attached Detached
PROJECT DETAITS CONTINUED
Septic Community
Permit #:
NOTICE
Fl'
OtherElectricNatural Gas PropaneEType of Heat:
Driveway
Permit:
Authoritv.This application for a Building Permit must be signed by the Owner of the property, descri bed above,
, signed byoranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority
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.
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.
CERTIFICAT¡ON
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 w¡ll
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 Build¡ng 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
construct¡on 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 bythe County of errors, oinissions 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
en 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 information which is correct and accurate to the best of my knowledge.
/&..-/1..2\
Property Owner Print and Sign Date
oFFlcrAt usE oNtY Pd. û tt O 6.t .51 cR. È zi, 96 Ot 3/2ozz i$iz"'">I
speciarconditions:
^ee
alÈacûØl ØNÌ>lwo\/s 1trPæ/rt /T-
Adiusted Valuation:-
62t a- bo4.8s
Fee:
5+Plan Permit Fee:
ù t,L7r7-75
Manu. Home Fee:
N/,+
Misc. Fees:ftrMø> ı1,Ðz
Total Fe6s:
þ2,702,L1
Fees Paid:
tt,o¿,.1 .s'f
nce Due ?6 BP No:
BLR:E.-130 |
OWTS No:
Setbacks:.
OK
OCC Group:
t.t<.c.
Const. Type:
l.&.c
Zoning:
[<ür¿A t
BUILDING / PLANNING DIVISION :tu)¡t41-?Z
DateSigned Approval
ji
o Framing plans for each floor level and roof- All beams, columns, joists, rafters and trusses
specifie?. pre-manufactured structures require the engineers stamp, signature and date.
. Ëraming /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 ior complianðe, 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 wj!!o_ut a
GO 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, understanrd and will abide by the requirements of this
checklist.
ÑÁoyb. rn'^'"'n\üe
4,-
and
Garfield CountY
BUILDING DEPARTMENT
708 Eighth Street, Suite 407' çlenwood
'pr¡ngs,
CO 87607
Tel: (970) 94s-8212
PLA N RE VIE WC ECK LIST
Permit No: ßtR E fl l-ZZ-7301
Planning lToning lssuesBuilding lssues
eWÈ-Drivewav Permit A> Ð NA
Surveyed Site Plan A/L
Engineered Foundation
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 APPlicatíon
Parcel/schedule No.
40# Snowload Letter - Manu' Hom
Soils RePort
rffipeþ
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
yF Road rmpact Fees N ÞÞ
l/Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
R77489
Descri ot¡on & Sum marv:
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