HomeMy WebLinkAboutApplicationGørfield CountyFz.ut
=ÀÕJut
r,-l
c-.:
hz
==
t-z.o äi 3E R8
E s,ô
0()Jut >.É, gtr.ì- É.<(:t
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701945-82t2
www.earf¡eld-counw.com
OF
Commercial/Multi-Fa
Accessory Dwelli Unit - MAXTMUM S|ZE OF 1,000 SQUARE FEET
INVOLVED PAßTIES
BUILDING PERMIT
APPLICATION
Demolition
Manufactured Home
Residential
or Multi-Level)
or Townho Reroof
I
Propefi Owner:
Mailing Address:
EmailAddress:
lra-vil Ru.tnol ,(LA,r^-Phone:
Phone: I )
b*(ê
rt a
Contractor:
Mailing Address:
Email Address:
Architect:
Mailing Address:a
Email Address:
Engineer:
Mailing Address:
L C phone:gJ_Ðqgl -363"7
Phone: Û1ol 1¡.2 -
=,
,=
3
I Email Address:
Manufactured Home lnstaller: Phone:
Mailing Address:
EmailAddress:
PROJECT DETAII.S
Describe Work:
Job Address:
C ir,t¿-
L
[ot Block
lgL, Lt-ç¿ - ¿lr¿Propefi Size (Sq. Ft. or Acres):25.3
Assessol's Parcel Number:
Sub.
L
Owne/s Valuation of Work:
Remodel/Alteration
Detached
Class of Work:
Garage:
Sq. Ft. of Building:
Attached
Height:l1 p"*otFloors: L
Septic:
Natural Gas
I PROJECT DETAIIS CONT¡NUËD
Community
Type of Heat:Propane Electric Other
Driveway
Permit:
Permit #
NONCE
Authoritv. 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 r
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 L80 days after commencement.
CERTIFICATION
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 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 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
designer, engineer and/ or builder.
hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the which is correct and accurate to the best of my knowledge.
ê,dr.osy'zlzdzz-
Property and Sign Date
I
oFFrcrALUsEoNLy PAID- * j18,A¿ c.e. Ol/tz/2n22éFnæ
æa¿taM Ø/UÞ/vd/vsSpecial Conditions:
Adiusted Valuation:-tg2.%ß.46 Plan Check Eee:qqg,ob ,"ÏTüFä, ø Manu- Home Fee:
,v/A
Misc. Fees:
ä:iF; libÞ Çqøb
2,q06,6lTotal Éees:Fees Paid:
+g{8.ô3
Baiance Due:
l,459,15
BP No:
BLR.€- 1î2?,
OWTS No:
s€PT- -? r¿.J
Setbacks:nr OCC Group:lpb Const. Type:
t, R,1,
Zoning:
RVRAL
Date
BurrDrNc / pTANNING DlvrsroN . [t t ilí,í^l b -6-2
Signed Approval
GørfreÍd Coww@
BUILDING DEPARTMENT
708 Elghth Street, Suite 401, Gtenwood Spr¡ngs, CO 87607
Tel: (970) 945-8272
PI.AN REVI EW c HECKLIST
permit No: b42.E, 06-22-7623
Pl an n i ng /Zoning lssues LBuilding lssues
/ Engineered Foundation
*emtl-
Property Line Setbacks
30 ft. Stream SetbasksDriveway Permit
Surveyed Site Plans€Pr-ø24
Septic Permit and Setbacks
Grade/ TopograPhY 30%
-/ Flood Plain
lß
Attach Residential Plan Review List
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
-'- Grade/ Topography 4O%
escri ion & Sum
Building Height
Zoning Sign-Off
Road lmpact Fees
æb*7¿/.bg =
b77b*+l =
I,o6q Y 24 =
t76xl8 -
Planning lssues
Subdivision røt (qUAøa f=)
q54ot5 r'
Qaøa tr'-ç)
1î,nzirø
5177¿,û
744fu,û
zrØ+,*
Subdivision Plat Notes
Fire Department Review
Va luation Determination/ Fees N*
Red Line Pla ns/ Stamps/ sticker
Attach Conditions
nst)
uuhín
baartt
ttnl,On¿,ru
H-6 3-71-?2-
?øj.az%HØltØPEaul
retil"l
"Å;vt+.ÅøJtài^3
+ t82 2b9,4ß
vaJ
RtF NÉÞ -þî8ó,Plr"e*4
Framing plans for each floor level and roof. All beams, columns, joists, rafrers 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 requiremenb of this
checklist.
a
a
n7/,./z6z'¿-
Property Print and Sign
Trav¡s Ruonov&eçq-
Date