HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www.garfie .com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercia l/Multi-Family
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PART¡ES
Demolition
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Property owner: ltltt{.tAet e TA ltAM \l Kã)l{ t Phoner (41 C ¡,VL(B ¿2-aI
{ð (c 8(ê zMailing Address 4t Na¿
Email Address:
contractor: J a. c ob {¿ s R i'Phone: (q1o )'3'/4'tl t59
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Mailing Address: Z-5 4¿p
Email Address:
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Arch¡tect:
Mailing Address
Email Address:
LJ, .I Phone:4ta
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Mailing Address
Engineen
Email Address:
Manufactured Home lnstaller:Phone: ( )
Mailing Address
Email Address:
Phone:
PROJECT DETAITS
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itionClass of Work:
Floors: LHeight:Lß,Sq. Ft. of Building:?uc ¿
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#of
Assessor's Parcel Number:23q lVo4t:t ûif
owner'sValuationofWork:S i 5 iJ, t & 6 Property Size (Sq. Ft. or Acres)
Describework: lAuv;n f,tl,
Job Address:
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7 DetachedGarage
Driveway
Permit:
PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
mpt Permit #:
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 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
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 Build¡ng Division. ln consideration of the issuance of the Building Permit, lagree that land 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 ¡nspect 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 wlth federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
er, en er and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the req uired information which is correct and accurate to the best of my knowledge,
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Property Owner Print and Sign
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Date
looool ZLOFFICIAT USE ONIY I
Special Conditions:
Plan Check Fee:
+62-q.q+
Permit Fee:
i1.,223.76
Manu. Home Fee:
x./¿
Misc. Fees:
N/AAdiusted Valuation:
150.m\,Ø
Balance Due:bt-6ot.þ 9vF€-72q4
BP No:owÍs ¡¡o:
u/e
Total fees:
6z tot.û r+{Fees Paid:f 6oo.
SetbaÉf<s:N//l OCC Group:l.ß.c.Const. Type:l.ß.e Zoning:
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Signed Approval
z-7-2i4
Date
BUILDING / PLANNING DIVISION
Garfield County
BUILDING DEPARTMENT
1.08 Eighth Strcet, Suite 407, Glenwood Springs, CO 87601
Tel: (97o) 945-8212
PLA NR EVI CHEC KLIST
Permit No:øtfuF-zl-22-72?¿/
Building lssues Pl a n n ing / Toning lssues Rur^-(
NA
t/
/u*
t/ - Attach Residential Plan Review List
Surveyed Site Plan,'"')"å-ùe
seótff eþi-mit a nd Setþcks
,6fq/-r,rg,O end¡nq
cradeT TopdgraPhY 30% r
,"ro*tU"y;;ffiP
Zoning Sign-Off ø
Road lmpact Fees nA nryaSø
r)r sq, f*
Grade/Topography 40% ,h ./naey'tb)F,Ø¿n€-
Engineered Foundation
Driveway Permit
Subdivision Plat Noçsnadh*zgi& lîhtft;
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils RePort
/VA setbqcks Aa tàry-t¿r?/eafrâv I
Sítbacks/1/4
Property Line
,on.'r1"#
/Tr+
r'-v
Flood Plain
Planning lssues
Subdivision Plat
8z-/ ?î2 z?8 36a
Descri on&S mma
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,(ewbt arel, V/azs '6'ilrþri'r øza/e/az/7,
no /na/.Aag /h ¿efus
Serte/ óa Ourre.-No;;"/,;; ¿ffú" u/â&
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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 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 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 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.
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Property Owner Print and Sign Date
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