HomeMy WebLinkAboutApplicationGørfield County
Com munity Development Department
lQ¡'gtt' Street, Suite 401
Glenfüood Springs, CO 81601
(9701 945-8212. www.garfield-counW.com
Conrmercial/M ulti-Family
Manufactured or Multi-Level)
f 9s 1$ e_n!!al (si Lqpl,e¡or Townhome)
$g,cesso¡y Dwel!$*u{! (4qul-.U|xl!l_u!,vl sJ¡E_oF1,,,09,0-9-qVA¡l lEFr
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Denrolition
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, Property Ownen
Mailing Address:
Phone:
Phone
i Emaif Address:¿)
Contractor:
Mailing Address;
n
Email Addræs:
Arch¡tectl '€roÅ, Tar elo-.,Phone: (_) _
: Mailing Address:
Emall Address:)'
Engineer:,{-lP Geo le¿îo Pho¡ e: f ._.-. _)_
Mailing Address
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, ËmailAddreG:
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Mãnufãctured Home lnstaller:Phone: { i
Mailing Address
Ernail AddresS:
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Í tlnDescribe Work:
Job Á"ddress:
Assessor's Parcel Number Lt î10."{t0'7aa{
Sub,-b"t 5- Btock
---Owner's luation of Work: $ b A; öA C, Property Size (Sq. Ft,, rr Acrr:s): 2 IUa f -
Sq. Ft. of Building:l¿.t oÕ ¡r Height ,2lR # of Flco'i:
tlass of Work:aì. ._.,. ..t,
Garage: rt
ew Ac J¡{ior.*'
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Attached f
Remodel/Alteration
lletached
;, p¡iojrtr òÈrÀrrp coruirrrruso
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Propane
CfJmmun¡ty
:iectric Otherïypeof í{eat:
!''-.-, Driveway
i-fglmiti--.--
i tugr¡ce
r Authoritv,
Natural Gasû
pt
This application for a Building Permit must be signed by the gwner of the priperty, described eJove,
f:]Permit
#:
oranautlrorizedagent. lfthesignàturebelowisnotthatoftheOwner,aseparateletterofauthqr:ily,signedby
the Lrwner, must be prÑd"O with this Application.
Lesa! Accessi¡ A Buildrgg Fermit cannot be issued without proof of legai and adequate accessto thê-property for
purposes of inspectior|lfby the Building Division.j Other Permits. Multiple separate permits may be required: (1) Stãte El¡:ctrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. Sta:2 or County Highway/ Road Access
or a State Wastewater Discharge Permit.
.!oid þ-¡¡nþ A Builcling &trt't becomes null and void if the work authorized is not t:ommenced within 18û days
of theciateof issuanceaifiif workissuspendedorabandonedforaperiodof 18f :ii:y: ¡ftercommencement.
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t hereby certify that I haÍe rea¿ this npptìcãtion àna inãt *'e inioiriîìon ãn:, nãit i¡;¿
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understand that the Building Division accepts the Application, along with thr: plans and specifrcations and other
data submitted by me or on rny behalf (submittals), based upon my certific¿tion as to accuracy. Assuming
com,nleteness of the subrnittals and approval of this Application, a Building Permit will be is9'".red granting
pernrission to me, as Owirer, to construct the structure{s) and facilities detailed on the subrnittals reviewer. ,.ry
the tluilding Division. ln consideration of the issuance of the Buildlng Pe mit, lagreethal tand myagentsv.¡ll
comply with provision, ol$uny federal, state or local law regulating the r;ork and the Gar field Co-unty Building
: Code, OWTS regulationsænd applicable land use regulations (County Regulation(s)). I acknòwleOeè !l''at tlìe
. gu¡ldingPermitmaybesuspendedorrevoked,uponnoticefromtheCc rnty,iftheir;cati.¡n,consiructionoruse
of the structure(s) and facility(ies), described above, are not in complia ce with County Regulation(s) or.qrry
other applicable law. tt
lnerebygrantpernrissibntotheBuildirrgDivisiontoenterthepropertl descrih.tlabove,tgj¡¡ngc,tthework. I
furtherackrrowledgethmtheissuanceof theBuìldingPermitdoesnot'revent;reBuildingO(icial from:(1)
requlring the correctior.rof errors in the submittals, if any, discovered a,. ei i..suånce ; or (2.) stopþing
:constructionoruseofTñestructure(s)orfacility(ies)ifsuchisinviolationotCountyRegulation(s)oranyoliÌir
applicable lavy. Review odthis Rpplication, including submittals, and inspections o: the work.by the Bu¡ld¡ng
Division do not constitute an acceptance of responsibility or liability by the Co'.i'rty cf eirr, ^ omissions or
cliscrepancies. As tÀe Olvner, I acknowledge that responsibility for complianc':'.r;ir.rr federai. sllte and loc¿l laws
and County Reguiations çtt witt'r me and my authorized agents, including wil rrlut iimiiatio¡ ¡.,y architect :
designei, engineer and/ # builder. - ..-.. -- |
I herelry acknowledge that I have read and understand the Notice and l-ertification abov*r:aç lvell.as, have
provicled the required information which is correct and accurate to the best of my knowledg,;,,'
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Propertv 0wner Print and Sign
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BP No;
BuR.
Const. Type
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:OFFÍC|A| USEOf\ltY p*tp * lg:r'l{J
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A.diusted Valuation:
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Flán Ch-eck Fee:-
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Fees Paíd;{ 3rs.'}o
Baiance Due: -
4q2,, l5Total F/es:5T7t
Setbacks:oa/fl>OCC Group:
BUtLÐtNG / PLANNTNG ÐtVtStON
Signed Approval Date
Gørfield CountY
BUILDING DEPARTMENT
7Og E¡ghth Street, Suite 407, Glenwood Springs' CO 87601
Tel: (970) 945-8272
PLAN REVIE WCH ECKLIST
bt-P,E-O7-zz-73?1Permit No:
Building lssues
.1_Engineered Foundation
Planning/Zoning lssues
SurveYed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes ,
þ3qZÐ? pri*t
Fire Department Réview
Valuation Determ ination/ Fees
Red Line Plans/ StamPs/ St¡cker
e' içh ngDriveway Permit
u'^4fy
Á/A
,/
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ØNÞ Property Line setbacks
ft. Stream Setbacks
Utt ood Plain
Building Height
Zoning Sign-Off
Road llnpact Fees
Planning lssues
Subdivision Plat
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Application Signed
Plan Reviewer to Sign APPlication
ParcellSchedule No'
,/Soils Report
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. Framing plans for each floor level and roof. All beams, col:mns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, sigrrature and date.o Framing /connection details, braced wall lines, shear wall ;chedule, lccatiori î19 l.ll downs.
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NOTË: lf any required information is missing, delays in issuing tlie pern'i¡f are to be èxpected. lf
determined by the Building Official that additional information is necesiiåry to review the application
and/or plans for compliance, the application may be placed on holcl ¡"rntilthe 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 spbrnittai, The þer.mit 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. Usi:rg the building without a
CO will be considered an iilegal occupancy and may be grounds for vacating tne.premises. (Final/CO
inspection requirements will be attached to your approved field se of plans.)
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I hereby acknowledge I l'lave read, understand and will abide by the
checktist.
of thisrequirernènts
rty Print S
3 - 2t- ZZ
Date