HomeMy WebLinkAboutApplicationGørfield County
ffH
E -{-
C) q'*-
l¡J (y.ú"{:E
F-2t¡¡
=o-oJtt
t!c¡
l-zfo(J
o
IIJ
¡.l.
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e701 e4s-8212
www.ea rf ¡e I df!, u n_W. co m
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit {ADU)- MÐ(IMUM FEET
Property Owner:
Maillng Address:
Email Address:
\lqtl tÉ Phone:
qn jl
I
Contractor:Phone:141Ù r
Mailing Address:
EmailAddress:
Architect:r1?0 rhq. 4C3z
Mailing Address:i
Email Address;
Engineer:Phone¡s4
Malling Address
EmailAddress:
ÇA¡rL C,rA .
Manufactured Home lnstaller:Phone:
MailingAddress:
ËmallAddress:
Describe t¡l/ork:?;v\ç$.stF-
Job Address:
Assessor's Parcel Number:,ZA 7\q?Ã8 æg
Sub.Lot Block _
Owne/s Valuation of Work: $Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:uA<aI #of Floors: 2Height:
tt
r\ *oÒn Þf.
€las¡ of llfprk:
Garage:Attached
Addltion
Detached
CONTINUEÐ
atural Gas
rnünity
Type of Heat:
Driveway
Permit¡
Propane Electric
it #:
Other
I
rnpt
NONEE
AuthoriW. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
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.
I
I
understand that the Building Division accepts the Appl¡cation, along with the plans and specifications and other
data submitted by me or.on my behalf (submittals), baseiJ up'on 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 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 inspect 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 orliability 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, inc,luding without limitation my architect
d neer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the ired info which is correct and accurate to the best of my knowledge.
r,
17,l0,zL
Property Owner Print and Sign Date woFrícruusE oNrY Pr{tD - f l, }aô. ro c':,t.L3'8
sæ alhcÁê/ an/Þ/77¿/vsSpecial Conditions:
Adiusted Valuation:
253-nL9, þa Plan Check
1,200,
Fee:50 Permit Fee: ,..
l^gqb.t5
Home Fee:
ls
Manu.
ñ
Misc. Fees:
RI F EFDfZ,Tû
Total Fles:3,o62,Ø Fees Paid:
st,20 å.so
ba'làr'ce Due:
1"856,É
BP No:
6vftÉ.-13et I
OWTS No:
C ôM^{uA, r?Y*üðwÐ OCC Group:
t.R,. c
Const, Type:
l.R. C.
Zoning:
P. U. Þ.
H,'1,2LBUILDING / PLANNING DIVISION :l,il¡ r*h
Signed Approval Date
Gørfield County
BUILDING DEPARTMENT
108 E¡ghth Street, Suite 407, Glenwood Springs, CO 81607
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit t to: þQQfr' -0 6-*73 //
Building lssues Planning/Zoning lssues VU D
-/
NA
NA
NA
/ Flood Plain
ælr
_/
Yes
P /dt
Property Line Setbacks
30 ft. Stream Setbacks
Building Height
Zoning Sign-Off
Road lmpact Fees
Subdivision Platw-
Engineered Foundation
way Permit
Surveyed Site Plan
Septic Permit and Setbacks
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
-/ Grad e/ Topography 4O%
Planning lssues
General Comments
Rtn E, B,>), =
trrç z7+l x7¿1,6g ' %!î?6' bo
ctrw)l t748 x I8 > aç|b4,oo
HPqØleil^,"L'ù
&b'fftzzsA
+ûf, 5n y 3L - lbtcl þ08,Ø
a/'ul/e/ #
Ôuid,b7 ya/a¿h'tzn
eSjobg,bÔ
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.
0a. \ï , z2-
a
a
I
Property Owner Print and Sig n Date