HomeMy WebLinkAboutApplication).
@Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 94s-82L2
www.garfield-cou ntv.com
Gar.field County
BUILD¡NG PERMIT
APPLICATION
DemolitionMulti-FamCommercia
ReroofResidentialF, DU lex or Townhome
or Multi-LevelManufactured Home
Dwelli Unit u), MAX|MUM SIZE OF 1,000 SQUARE FEET
Mailing Address:
Email Address:
EmailAddress:
Phone
Phone:
f7
)one:(
Architect:OHN6TL
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L,
Phone: (f'Tt )7 P7, ? 3 ê,3
Mailing Address
Engineer:
Mailing Address:
Email Address:
Contractor
Property Owner:
Mailing Address:
EmailAddress:
)Phone:Manufactured Home lnstaller:
Mailing Address
Email Address:
qRqr_ECr gETê!_t_s_
Describe Work:
rot 5 alock I
Property
ID
f,
&
Sub
(Sq. Ft
of Floors
Owner's Valuation of Work:
Assessor's Parcel Number
Job Address:
sq. Ft. or Buirding: làffiUPS:følAS Heísht:
orAcres): 'Prl( ' "'3
, i S,laßl oaãyL lþfis,
Remodel/Alteration Addition{ruewClass of Work:
Garage:Attached Detached
PROIECT EETA¡[S GONTINUED
Septic:Community
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
tlre Owner, rnusL 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 Perm¡t.
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'
CERTIF¡GATION
Electric OtherNatural Gas PropaneType of Heat:
Permit #Driveway
Permit:
mpt
*:ff.¡þ &[l
I hereby certify that I have read this Application and that the information contai ned 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. In consideration of the issuance of the Building Permit, I agree that I and my agents will
comply with provis¡ons 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 Permlt 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 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
d er engineer and/ or builder
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.
Property Owner Print and Date
hil;r+h 6-5-2L
er,* zq6OFFICIAT USE ONLY t 22
see abbar)ned ØND,TIONSSpecial Condítions;
Fees
êrManu. Home Fee;
N/A-Plan Check Fee:
b íqq,bL Permit Fee: ^-l"0u).þsted
OWTS No:
#?T'-1+t3
Bafance Due: ^1,04b,3',1 Bl¡E -Tl3ZBP No:Total'Fees:7Þ t,-î6ô.6
'Fees Pa'ld:* 7or¡.u
Const, Type;l Rû
Zoning:ßvpAuU:ont>,
OCC Group:tRc
BUILDING / PLANNING DIVISION :
Signed Approval Date
Gørfield County
BUILDING DEPARTMENT
7OB Eíghth Street, Suite 407, Glenwood \pr¡nqs, CO 81601
Tel: {970) 945-8212
PLAN REVIE W CHECKLIST
Permit No:gtRE-&4^ZZ-V\7Z
Building lssues Pla nni ng lToning lssues L
Scoy:l.l¿^D + 3ara3e
Engineered Foundation
Dríveway Permit
Surveved Site Plan3àÞf1r??7433
Septíc Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
6,nerl Çron ú,ll &t ¿Ho, E Þ,
Subdivision Plat Notes 5_5_LL
UNÞ property Line setbacks
¿'- 30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Descri otion & Summa rV
Road lmpact Fees E,g'D þ t 47tl
o
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,1
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uttÇín.
boeet*= 4t40.*
= Q,qbL,@
= 328Ò.æ
¿."' 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
K+A g-toal
soits Report A4_267
P; ortltt" Poi ^l Ft' r, aln AI
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Framing plans for each floor level and roof. All þeams, 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 untilthe 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 Ce¡lificate of Occupancy (CO) is issued. Using the building without a
CO will þe 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.
'ÐÐAL
Property Owner P and Sign
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