HomeMy WebLinkAboutApplicationCommuntty fÞvelopment Dcpartment
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Glenwood Sprlngs, CO 816lDl
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www.qarfi eld-counw.com
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Job Mdress:
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PRoJECTDEÍAIIS
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BUILDING PERMIT
APPLICATION
ilpEoFcoú{srnufiþt{
Commercial/Mult¡-FamilY
Manufactured Home {Single or Multi-Level}
Residential {SF, Duplex or Townhome)-__lReroof
Accessorv Dwellinc Unit {ADU) - MAxlfi,lul,l SIZE OF 1,000 Sqt ARE FEer
MaillngAddresst
EmailAddre¡s:
Phona:a-cel(tl
MalllngAddress:.
Em¡ll Addre¡s:
IArchltcct:nk^ P{a.e K Pñone:{
Eng¡neer: Phone:
MaillngAddrcss:
EmallAddress:
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RemodeYAlteration AdditionC:l¡ss of Work:New
DetachedGa¡¡88:Attached
?70 _ zft^ g 0o I
PR(uECT OEfA¡ls corúnf{uED
Sepdc:
iype orxóitt
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Propane Electr¡c Other
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ñihúty. rñis appticatùn for a Buitú¡nt Þtm¡t must be s¡gned by the Owner of the property, described above,
or an authorized agent. lf the s¡gnature below ¡s not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with th¡s Appl¡cat¡on.
l¿r¡l Acess A 8u¡ld¡ng Permit cannot b€ issued without proof of legal and adequate access to the propefi for
purposes of ¡nspect¡ons by the Build¡ng D¡v¡sion.
Othgr perm¡ts, Mult¡ple separate permits may be required: (1) State Electr¡cal Permit, (2) County OWTS Perm¡t,
{3) another permit requ¡red for use on the prop€rty identified abov€, e.8. State or C-ounty Highway/ Road Access
or a State Wastewater D¡scharge Perm¡t.
Vo¡d pcrm¡t. A 8u¡ld¡ng Perm¡t b€comes null and void ¡f the work authorized is not commenced w¡thin 18O days
of the date of ¡ssuance and ¡f work is suspended or abandoned for a period of 180 days after commencement.
cERfrRcAnoil
I hereby cert¡fy that I have read ttr¡s npp¡¡cat¡on and that the information conta¡ned above is true and correct. I
understand that the Building Divis¡on accepts the Appl¡cat¡on, along w¡th the plans and specif¡cat¡ons and other
data subm¡tted by me or on my behalf (submittals), based upon my certif¡cåtion as to accuracy. Assum¡ng
completeness of the submittals and approval of this Application, a Bu¡lding Perm¡t w¡ll be ¡ssued grant¡ng
permission to mg as Owner, to construct the structure(s) and facilit¡es detailed on the submittals reviewed by
the Building Div¡sion. tn considerat¡on of the issuance of the Build¡ng Perm'rt, 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 Bulldlng
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, construct¡on or use
of the structure(s) and facility(ies), described above, are not ¡n comptiãnce wlth County Regulation(s) or any
other applicable law.
I hereby grant permiss¡on to the Bullding D¡v¡sion to enter the property, descr¡H above, to inspect the work. I
further acknowledge that the ¡ssuance ofthe Build¡ng Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submfüals, if any, discovered after issuance; or (21 stopp¡ng
construction or use ofthe structure{sl or facíl¡ty(ies) ¡f such is in violation of County Regulation(s) or any other
applicable law. Review of this Application, ¡ncluding submfüals, and inspect¡ons of the work by the Build¡ng
Div¡s¡on do not const¡tute an acceptance of responsíbility or liab¡l¡ty by the county of errors, om¡ssions or
d¡screpancies. As the Owner, I ac*nowledge that responsib¡llty for compl¡ance w¡th federal, state and locâl laws
and County Regulations rest with me and my authorized agentt including without l¡m¡tation my architect
or builder
I hereby ackmwledç that I hãrre read ¡¡rd understañd the ilotlc€a¡rd Certificatlon ¡bove, as wtll as, herra
the requ¡r€d ¡nfomat¡on whkh ¡s corect ard acd¡räte to ülc bê5t of my lnowledge.
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Orrn€r Pflnt and Sign Date
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eeSpecial Condftlons:
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$66.+.lT
B¿bÉce Due;
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(,'i æ11¿¿BU||.IIÍIG / PlÁJIfrl!ÍìlG Dlvlsloil :
Slg¡red Approval Dâtê
Garfield County
BUILDING DEPARTMENT
708 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 87601
Tel: (970) 945-8212
PI-.AN REVIEW CHE CKLIST
Permit No: øIRE-OZ -27ã€6
Building lssues
^14
flø þ5-27
Planning/Zoning lssues
./ Engineered roundationuu|nhul7
eenÈrriveway Permit rJ U-q'ff
^2 Surveyed site Ptan /ØÉ"
-/
-/
-/
Descri
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
7o ning Sign-Off
ad lmpact Fees N,0,>,
t/ Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Grade/ Topography 40%
Planning lssues
Subdivision Plat
ion mm
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
ParceV Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
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Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. P¡e-manufadured structures require the engineers stamp, signature and date.
Framing /conneclion details, braced wall lines, shear wall sdledule, location and hold downs.
IIOTE: lf any required information is missing, deh¡æ in issuing the permit areto be expeded. lf
determined bythe Euilding OfficÍal that additional infomation is necosearyto rcviewthe application
and/or plans for compliance, the appl¡cat¡on may be placed on hold until the required information is
provided. Work may not ploceed withotf the issuance of a pgrmit.
The Building Division will oollect a Plan Review fee at t¡me of applicalion submittal. Ïhe permit fee, as
well as any Road lmpacifees will be collected when the permit is issued.
The perm¡t appl¡cat¡on must be signed bythe ownêr or by person having written authority from tho owner
to act as their repræentatiræ.
Building cannot be om¡pied until a Geilificate of Oocupancy (CO) is issued. Using the building without a
CO will be considered an iltegaf oocupancy and may be grounds for vacaling the premises. (Final/CO
inspection requirements will be attached to your approræd field sêt of dans.)
I hereby acknowledge t have read, undorstand and wlll ablde by the equlrcments of thls
checklist
f.,\,"^ Pto^-oelt
PropertyOwner Print ard Sígn Date
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