HomeMy WebLinkAboutApplicationGørfield County @Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www.ga rfield-countv.com
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/Multi-Fam Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accesso Dwell Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
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Mailing Address:
Email Address:
phone: 81b t3'r 3 åe'iTcontractor: V¡>o J D r^¡ I {Ls
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Mailing Address:
Email Address:
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Architect: t, o .' fj I,.n *--,'., Le*-- A (t*\¿#., I ,., /-*-tr rr,on"?, t,
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Mailing Address:
Email Address:
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Engineer
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Phone: $2a ¡
Phone: ( )Manufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAITS
(.-Describe
Lot Block
Sq. Ft. of Building:qrTb Height: AçP4 #ofFloors
C>
1
3
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ãlV fr t
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Owner's Valuation of Work: S
2tt7 282 OO tzz
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Job Address:
Property Size (sq. Ft, or Acres): 5 d r-r¿ , 5
Rt,tU/
Assessor's Parcel Number:
Sub.
Class of Work:Remodel/Alteration n
Garage:Attached Detached
PROJECT DETAI[S CONTINUEÐ
Septic:Community
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal Access. A Building Perm¡t 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) ar ru Ll rer per rr riL req uirecl f,rr use orr the property identified above, e.g. Stste or Cou nty llighway/ Road Acccss
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 read and understand the Notice and Certification above, as well as, have
the required information which is correct ccurate to the best of knowledge.
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Owner Print and Sign
l,
Propane Electric OtherType of Heat:Natural Gas
Permit #Driveway
Permit:
Exempt
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 constructthe 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 acknowledgethatthe issuanceof the Building Permit does not preventthe BuildingOfficial 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 respons¡bility for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
designer, e neer an or builder
CERTIFICATION
OFFICIAT USE ON iv H,â19f.?8 e'c, at/s,f?LtZr-Sr*
speciar conditions: 15æ atkaúdoa¿l/¿t¡naN5
Adiusted Valuation:-tqâ7a6,ru 'löä'ytr Permit Fee: --/,531, æ Manu, Home Fee:
N/A
Misc, Fees:N/ft
Total Èees: qz2'l%.'"Fees Paid:
lqql..?8
Balance D.ue¡ -l,6al oo BP No:
êLRE-7nq
OWTS No:
s6Pr- 73Zo
setbact<sbL-OCC Group:
i. R.c.
Const. Type:
l. ß. c.
Zoningl
RV¡¿.AL
tfl,'&"223-2_BUTtDTNG / PLANNTNG DIVISION
Signed Approval Date
Garfield CounQ
BUILDING DEPARTMENT
708 E¡ghth Street, Suite 401, Glenwood
'pr¡ngs,
CO 81607
Tel: (970) 945-8212
PLAN REVIE WC HECKLIST
permit No: 6Ll<ã-O þ,A:- 73/f
Building lssues
Engineered Foundation
Driveway Permit
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 APPlication
Parcel/Schedule No.
Pla n n ing lToning lssues
,,/
'/ Surveyed Site Plan
-' Grade/Topography 3o%
NA
Building Height
'/ Zoning Sign-off
N/A
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
NK Snowload Letter - Manu. Ho
Description & Summarv:
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c/^r ígJ x ız = /qrb,ró,oa
+^iadt/ z*ux 65 ggtru.oo
ils Report
(ap?llple ./1ø7sP
7r'd)
valuath'o'a { t ?ø,7â5,22
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 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 acknowledge I have read, understand and will abide by the requirements of this
checklist.
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Print and Sign
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