HomeMy WebLinkAboutApplication>EF Lir
g HãË8:sëU¡ e u¡tÉ Str=¿- É,-
óã
Communlty Development Departmcnt
to8 8Û street, sü¡te ¡l{}1
Glenwood Sprlngs, CO 81801
(9701 e4s-8212
wry.þr. sa rf ¡ e l d-co u rylv. co m-
Garfuld County
BUILDING PERMIT
APPLICATION
Commerc¡a f Mu ft i-Family Demol¡tion
Manufactured Home orMulti-l.evelf
Rêsidential {SF, Duplex or Townhome}Reroof
UnitAccessory {ADU). UAXIMU¡I SIZE OF I,OOOSQUANE FEET
PropertyOumen
t$aiFngÂddres:
EnailAddress:
Phone:
a
EmallAddrues:
Phone Albqlf_ZLÆ_
MailingAddress:
Contractor:
EmailAddress:
\
lLt -q
MdingAddress:
Arch¡ted:
?o
5ö
?Phonc:Cngfuiegn
MailhgAddæss:
Ernail Address:
llanufactrrcd Home ln¡tallen Phone:
MailingAddress:
Emä¡lAddras$: , ,
er.hnnch,0r tô Rtl
I
Doscribe
lot
Height:
I
¿s"çl $' 4.,Owne¡'s Valuatbn of Wort:4
#of
Block_$¡b.
S+ Êt' of Building:
Propèrtf Sile fsq. Ft
lobAddrêss;
Parcel f{umber:
Clæof llUorl¡:ffin"'RerrodeYAlteråtion Additlon
Gamge:Detached
'NSECTËfTN¡æffTffi,ED
Septk:
Type ofHeat:ral Gas Propane Electric Other
IXfoeway
Þryiti
ilcrncg
Pernit #:
lu*ofÍhr. fhis appl¡cation for a Building Permit must be signed by the tnner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authoritç signed by
the Owner, must be provided with this Application.
tegal Access, A Building permit cannot be issued without proof of legal and adequate access to the properry for
purposes of inspections by the Building Division-
Other permits. Multiple separate permits may be required: {1) State Electrical Permi! {2) County CIWTS Permit,
{3) another permit required for use on the property identifìed above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Perm¡t-
Void perfnit. 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 18o days after commencement-
CGTflFEANOX
I hereby certiñ/ 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 çecifications and other
data subm¡tted by me or on my behalf (submittals), based upon my certif¡cãt¡on as to accuracy. Assuming
completeness of the submittals and approval of th¡s Applicat¡on, 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 federaf state or local law regulating the work and the Garfield County Building
Code, OWTS regutations and appticable land use regulations (County Regulation(s)). I acknowledge thãt the
Building perm¡t may be suspended or revoked, upon notice from the County, ¡f the locat¡on, construct¡on or use
of the structure{s} and facility(ies), described above, are not in compliance with County Regulation{s) or any
other appl¡cable law-
I hereby grant permission to the Building Division to enter the property, described äbove, to inspect the work. I
further acknowledge that the issuance of the Building Perm¡t does not prevent the Building 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
Ðivision do not const¡tute 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 restwith me and my authorized agents, including without limitatiort my architect
desj8lglr a or builder
I haye read and understand the i¡ot¡ce and Certificat¡on above, as well as,have
the which is correct and accurate to the best of my knowledge.
Property Oucner Print Sign Ðate
tD-b:14 C'Q.a3y'€/zoFFroAtrÍsEot[tY I t èzz
^ee
âth¿ld co/vb îuo/1/6Special Conditions:
Misc. Fees:trManu. Home Fee:
¡.t /sPerm¡t Fee: ,
2,26q, v5Adiusted Valuat'lon:-
725_q59,æ
Plan Check Fee:
l,,l b8,58
OWÍS No: '
Coltr ù4úlJtTYBLR.e-1 39 0
BP No:'t"i;ï:",q7Total Fees:
3,727,
Feãs Paid:
4 f ,l{ ¡,ztt
Zoning:
P.t/.Þ.Const. Type:
I'P.c
OGC Gror¡o:'t p.>*WtVD,
BUTTDTNG / PT.ANNING DIVISION :
Ll-5-ZZ
Gørfield CounQ
BUILDING DEPARTMENT
708 Eighth Street, Suíte 407, Glenwood ,pr¡ngs, CO 87601
Tel: þ7Ø 945-8272
PLAN REV IEW CHECKLIST
Permit No:Et-PE-O3-ZZ-7ı?ô
Building lssues Planning/Zoning lssues
Surveyed Site Plan
N,+Septic Permit and Setbacks
Grade/ Topography 30%
-/ Attach Residential Plan Review List
-/ Subdivision Plat Notes
?gftrriveway Permit
Fire Deoartment Review Ô11- .
t"o/'€- 3¿, ndr,Ê s. (rytt)
Valuation Deteímination/ Fees I 't
Red Line Plans/ StamPs/ Sticker
Attach Conditions
N,+
Engineered Foundation
40# Snowload Letter - Manu. Homes
Soils Report
b/-F-ø
cnfl/Þ Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
YÆ Road lmpact Fees E' Þ ' > '
Grade/ Topography 40%
Planning lssues
Subdivision Plat
recefrirz ¿/7b 330
Fß 322/r z/60 = 2¿/01644 4
cra,u// 2t07y /g = 5at6%,Ø
.r44 x 32: t-,//og.ao
/?g x 3z: ôJ7nb,oo
Application Signed Description & Summarv:
'/ Plan Reviewer to Sign Application RTFE,F,Þ 703.oê
Parcel/ Schedule No.
K*þ ¿/'2/.2
P-) a-72a8
26øysÇ 3¿t'
|rer'abÞusæsq0øF
€lev, bobô,t/ ave
wl5
-f ucf/'/ sgTu /z: /qb/(,oo
{725
naf¡nàn
adHetb/
'brr/dr;yr^/røhbn
l5g.zß
r Fram¡ng plans for each floor level and roof. All beams, columns, joists, rafiers and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
o Framing lconnection 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 necêssary to revbw the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Worft may not proceed withor¡t the issuance of a permit.
The Building Division will collecfi 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 buiHing 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.)
have read, undenrtand and will abide by the requircments of this
ç; l)"))-
Property Owner Print Date