HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
RECHIVi,:d108 8th Street, Suite 401
Glenwood Springs, CO 81601
ir,r¡!'í i I'1,,.,, (9701945-82L2
GARFIËLT)CO
www.ga rfield-count¡gs!0TJNTY*-
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INVOLVED PARTIES
C tS \teyr hrr?\phone: t 17o t7n - 4o 15LLcPropefi Owner:
Mailing Address:
Email Address:
Contractor:J Po\ ihpr h,ts*tut
I e7
*un tLC Phone: ú4A ¡Sty- ûVfq
+(0 rMailing Address:
Email Address:
Architect:
l¡u. (tm
Ê/uanred l\o-rst 0lanr, F¿ø phone: $4.lt 6?S- qe S!
Mailing Address:Uü/u/.od¿*yr 'ln¿use d,o¡l, îo'tA
Engineer:rt'ltr Bnrr¿ Slull f/t Eaa¡no?ll Phone: ( qh | -? 66 -ß/.Qo
Mailing Address:e ù bro
Email Address:n
Manufactured Home lnstaller:Phone:
PROJECT DETAII.S
Describe Work:$ p t¡ \\olnp lò¡t<;Irurk ¡tn
Email Address:
I
Mailing Address:
Email Address:
BUILD¡NG PERMIT
APPLICATION
TYPE OF
Demol¡tionCommercial/Multi-Family
Reroof
Manufactured Home (Single or Mu
Residential (SF, Duplex or Townh
Dwelling Unit - MAXTMUM SIZE OF 1,000 SQUARE FEET
Class of Work:
Garage:
Job Address:
Assessor's Parcel Number:f ô1 oZf
Sub.S,'n t\g\+ U;PuJ ll rot {5 Brock-
4ù),W y Property Size (Sq. Ft. or Acres):o. 1.1Owne/s Valuation
Sq. Ft. of Building:
of Work:
3,tfq Height: âT' a q/6lt *of rloors: â
ition
Attached
Remodel/Alteration
Detached
mmunitySeptic:)WTS
X Propane ElectricType of Heat:
Y
PROJECT DETAI t5 CONTI NUED
Natural Gas Other
Driveway
Permit:
NOTICE
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
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 180 days after commencement.
CERTIFICATION
I hereby cert¡fy that I have read this Application and that the information contained above is true a nd 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 (subm¡ttals), 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 ¡nspect 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 th¡s 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 r, engi neer and/or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided required information which is correct and accurate to the best of my knowledge.
s*)â-
Owner and Sign Date
Permit #:
OFFIC¡AL USE ONLY P¿TP lr 3'ft,7a c.c.lep¿zt?
3 æ a.tÞa úd ÕA//D / flôl\/sSpecíal Conditions:
Manu. Home Fee:
¡lla ëtlirffiisS= t,2Permit Fee: A ¿
þz^ôbØ"'lb
Adiusted Valuation:
6zQ l,6lq 6b
Plan Check Fee:
þ t"a446z
OWTS No:
COMHUN IlV
Balaíce Due:q6Çz0lâ,
BP No:
6LRE.15Zø8?-
Fees
Sr,
Paid:
3 r+rt"Ëäiî ß32
Type:
.R.c
Const.
I
Zoning:
P.V.Ù
O..Uror$
I ROakSetbacfs:
( lr.iln 6-q-zLBUTID|NG / PIANNING DIVISION :
Signed Approval Date
7,17
Gwrfrefd Cowwff,
BUILDING DEPARTMENT
10& Eiqhth Street, Su¡te 407, Glenwood Springs, CO 87601
Tel: (970) 945-8272
PLAN RE VIEW CHEC K LIST
permit No: ttÆ*06-2-76il
Building lssues Pl a n n i n g/Toning I ssues
Grade/ Topography 30%
. Attach Residential Plan Review List
-/ subdivision Plat Nlotes
NA Fire DePartment Review
--/ Valuation Determ inatio
¿/ Red Line Pl
Attach Conditions
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
yß Road lmpact Fees 8>
J'r' ProPertY Line Setbacks
3û ft. Stream Setbacks
NA Flood Plain
urlÞ Building Height
Zoning Sign-Off
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Descri nt ion & Summa rV:
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NA-
ans/ Stamps/ Sticker Ssgt?q
Rlr a'Ar¡fua8Þ= +t7z.77,17
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cr^ailil 440 xf ø = ,34, î20. oÔ/ soits Report
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Framing plans for each floor leveland 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 Officialthat 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 itlegal occupancy and may be grounds for vacating the premises. (Final/GO
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.
Jase 6vt
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Date
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