HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-8212
www. ga rf iel d:CSUnlY.cam
BUILDING PERMIT
APPLICATION
Demolition
TVPÊ OF CONSTRUCTION
Commercial/Multi-Family
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Phone: (t7Ò I qr6 -72q6
fia Ò
Email Address:o"q,(A Irhr
Contractor:0wnel Phone:(
Mailing Address:
Email Address:
Arch¡rect: Ken bvnon phone: ú)otq*1 \b3-7
Mailing Address:
EmailAddress v¡4
Engineer:Frn îe kolî"r Phone: û7a) 16\3?f3
Mailing Address:
Email Address Q-(hiel.ôI*¡4hiaìl,6\nt
Manufactured Home lnstaller:Phone:()
Mailing Address:
Email Addressi
PROJECT DETAITS
Describe Work: C uc*;or,, ÒÐ A¿w ù f-^í
\ì s côJob Address:
Assessor's Parcel Number zl{Ð f t LL,l 002Á3
Sub.Lot Block
Owner's Valuation of Work: S 0oo Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building Lq7 t Heigh t' lJ' L"#ofF
iÐ,?-.Ll
Class of Work:
Garage;
v ñew Remodel/Alteration Addition
Attached Detached
PROJECT DETAITS CONTINU ED
Septic:
Type of Heat:Natural Gas Electric Other
Driveway
Permit:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Applicatlon.
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
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 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 Build¡ng 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 Bu¡lding Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (21 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 with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
desi , engineer and/ or builder
@Prooane
Community
Permit #
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.
Ir¿vor Rnonatra-ala' 7'?a"-¿ Ø'4-- Zl u { Uz'u
¿Date t
Property Owner Print and Sign
OFFIC|AI USE oNtY PD, 4l,aS7 .2-6 aK # lç,3 øsf o"/zszz &,ı
Special Conditions:
See attaclqø øvl Þt TaOAlS
Adiusted Valuatíon:-,
62t z --72þ,tQ
Plan Check Fee;
t.067.2à
Permit Fee:. -¿l^bzb,æ Manu. Home Fee:
t¡/*Hì'F'ä'iào þt.+qh
Total Feðs:
-fz, bg3,8l
Éees Paid:
i l,oí7,zd
Balance Duet--,
l.l,"Lb,e?
BP No:
Br-R€ --7373
OWTS No:
ser4.- 137q
Setbatks bk OCC Group:
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Const. Type:
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Zoning:
f¿ÚT1AL
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BUILDING / PLANNING DIVISION ;3-2? 2L
DateSigned Approval
Gørfield Coanty
BUILDNG DEPARTMENT
708 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 87607
Tel: (970) 94s-8272
PI.^AN REVIE W CHECKLIST
PermitNo: 8Æ072-7ã72
Building lssues
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^14
Planning/Zoning lssues
Engineered Foundation
Driveway ß,ifl"r/*a/a/z
Property Line Setbacks
30 ft. Stream Setbacks
Site Plan
Septic Permit a
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 Application
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report ?.20.07
-"'/ Ftood Plain
6'Aøî-A-2.734
nd Setbacks
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Description & Summarv:
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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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 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 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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fu6(7ÀLL
Property Owner Print and Sign Date