HomeMy WebLinkAboutApplicationGørfield County
REGEIVED
JAN 31 2Û2?
co
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www.garfi eld-countv.com
BUILDING PERMIT
APPLICATION
CONSTRUCNON
DemolitionCommercial/M ulti-Family
Manufactured Home (Single or Multi-Level)
\J ReroofResidential (SF, Duplex or Townhome)
Accesso Dwelli Unit - MAXTMUM S|ZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
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Email Address:
/ phon",Property Owner:
Mailing Address:
(>ç^1-Phone: ( ìContractor:
Mailing Address
Email Address:
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Phone:q
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Arch¡tect:
Engineer:
Mailing Address
Email Address:
Mailing Address
Email Address:
Phone
Email Address:
Manufactured Home lnstaller:
Mailing Address
PROJECT DETAITS
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Heightñq.,7
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Block
Sq. Ft. of Building:
Property Size (Sq. Ft. or Acres):
#of
Describe Work:
Job Add
Assessor's Parcel Number
Owner's Valuation of Work:
Sub.
Remodel/Alteration AdditionClass of Work:New tþ
Attached DetachedGarage:
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PROJECT DETAILS CONTINUED
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NOTICE
Author¡W. 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 ident¡fied 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 180 days after commencement.
I hereby acknowledge that I have nd understand the Notice and Certification above, as well as, have
the required information correct and accurate to the best of my knowledge.
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Property Owner and oa{e I
Septic pe*.''rUþ\'
Propane Electrictr OtherType of Heat: '\
FlNaturalcas
ârs]-,K Permit #:Driveway
Permit:
I hereby certif,/ 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 regulat¡ons 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 Build¡ng 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 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
ra or builder
CERTIFICATION
er
OFFICIAT USE ONIY
Special Conditions:6æ atFacltecl ændt hb-z^s
Adiusted Valuation:
ö7t. a4,5 Plan Check Fee:W.27 Permit Fee:¿/â/. q5 Manu. Home Fee:N4 Misc. Fees:
^)-+Total'Fees:
7øZ- z¿t Fees Paid:æ,n Balance Due:
4à1, ?5
BP No:wE-732b OWTS No:
en'eh'nê
Setbacks:a^ll\occGroup:
t e C ,onst.tvfþL Zoning: R{
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Date
BUILDING / PLANNING DIVISION
Signed Approval
Gørfield CounQ
BUILDING DEPARTMENT
708 E¡ghth Street, Suíte 407, Glenwood Spr¡ngs, CO 87601
Tel: (970) 945-82L2
PLAN REVIE W CHECK L rsT
Permit Noz f¿p,Ç ú?2zqr4
Building lssues
Engineered Foundati
Surveyed Site Plan
Pl a n ni ng lZoning lssues
Uwl uq 't.-' Property Line Setbacks
/
30 ft. Stream Setbacks
Flood Plain
lro A Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Description & Sum marv:
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efrred
,.Mryrriveway Permit
L-
rn
Seotic Permit and Setbacks
e*16*lnø
Grade/ Topography 30%
SubdivisionFlar
Attach Residential Plan Review List
PI
COND.Fire Department
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
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Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils ReportN.k
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* ffiAttach co nd itions n6ed{r fFû¡#
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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.)
lhe e I have read, understand and will abide by the requirements of this
ist.
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Owner Print sig Date
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