HomeMy WebLinkAboutApplicationGørficld County
Community Development Department
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
DemolitionCommercial/M u lti-Family
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
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Email Address:
Property Owner:
Mailing Address:
I - ot sPhone:
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rirufContractor:
Mailing Address
Email Address:
Phone: ( )Arch¡tect:
Mailing Address
Email Address:
phone: 1
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Engineer
Mailing Address
Phone: ( )Manufactured Home Installer:
Mailing Address
Email Address:
PROJECÍ DETAIIS
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Property Size (Sq. Ft. or Acres): 35. 3tø A¿ø-:
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Height:# of Floors:
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Describe Work:R,,,'.\r\ -^l 4i"*l^ ^\c*¡
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Owner's Valuation of Work: Í
Sq. Ft. of Building:8cÐ
Assessor's Parcel Number:
Job Address
r'New Remodel/Alteration AdditionClass of Work:
DetachedGarage:Attached
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PROJECT DETAILS CONTINUED
CommunitySeptic:0wTs
Propane Electric OtherType of Heat:ral Gas
Driveway
Perm¡t:
Permit #:
Authoriw. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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.
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 npplication, 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 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 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
er neer or builder
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Special Conditions:
Pe Manu. Home Fee:
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Fees Paid:
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BP No:
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OWTS No:--1./¡ôz
Zoning:
Rúß.ÁLSetbackslOCC Group:Const. Tvpe:
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BUILDING / PLANNING DIVISION
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DateSigned
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NOTICE
CERTIFICATION
I hereby acknowledge
provided the req uired
Property Print a
read and understand the Notice and Certification above, as well as, have
which is correct and accurate to the best of my knowledge.
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Date
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 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 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 nd and will abide by the requirements of this
checklist.
Property and Date
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Garfield CounQ
BUILDING DEPARTMENT
708 Eighth Streel Suite 407, Glenwood Springs, CO 81607
Tel: (970) 945-8272
PLAN REVIE W CHECKLIST
Permit No: 8¿Rg-O4-Zr/5 F
Building lssues
Engineered Foundation
rr0 e Driveway 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 S¡gn APP|ication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Plan ning/Zoning lssues râ-
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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Descri n & Summa
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