HomeMy WebLinkAboutApplicationGørfield County
BUILDING PERMIT
APPLICATIONr
Community Development Department
L08 8th Street, Suite 401
RECFltGienwood Springs, Co 81001
¡ , (970) 94s-82t2
i'1i',i .¡ l "www.garfiçld-countV.com
GAR FIELD üÛUh¡TY
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Demol¡tionCommercial/Multi-Family
I Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accesso Dwelli Unit DU - MAXIMUM SIZE OF I,OOO SQUARE FEET
INVOLVEDìPARTIES
Property owner: Henry Domville / Jorge Lopez Phone:1 izo ,
q81 -18 au
Mailing Address: 175 west 93rd st. apt.12h, New York, NY 100025
F.--_:, Ã rr____. hdomville@yahoo.comtmatl Address:
Contractor:Phone:
Mailing Address:
Email Address:
Architect:Phone:
Mailing Address
Email Address:
Engineer:Scott Michael Ratterman Phone: ( )
5033951 229
Mailing Address:
Email Address:
2140 sw Jefferson st.,suite 200 Portland Or 97201
sallen@eeimt.com
Manufactured Home lnstaller:Phone: (_)
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work:Single Family home of 1,656 SF (24'x42'ground level+24'x20'
second level loft +12'x14'upstairs deck), with 2 sides 12l9 pitched roof
Job Address:Panorama Dr. and Basalt Mountain Dr.
Assessor's Parcel Number 2391-171-01-022
sub. Panorama Ranches 1stAm.Lot 22 Block
Owner's Valuation of Work: S lI b, | Ø,Ìt Property Size (Sq. Ft. or Acres):5.18
Sq. Ft. of Building . 1,656 Height:28'8"123',8"# of Floors: 2
Class of Work:r'New Remodel/Alteration Addition
Garage:ched Detached
lrl'Community
PROJECT DETAITS CONTINUED
Septic
Type of Heat:Natural Gas Propane I Electric Other
I
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
or an authorìzed 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
Permit #:Exempt
NOTICE
Driveway
Permit:
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 not¡ce 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.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information wh ich and acc the best of my knowledge.
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Property Owner Print and Sign
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Date
OFFICIAT USE ONIY PÂIÞ 107,2
6ee atþaúe /t/V b I 77A/VSSpecial Conditions:
Adiusted Valuation
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Plan Check Fee:
707.8L
Permit Fee:
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t""'Misc. Fees:
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'"'it^ti"vø,r7 Fees Paid:
* 101,82 ii'åå¿i,vt
BP Ño:
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OWTS No:
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Y-Setbacks:
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OCC Group:IRL Const. Type:
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Zoning:
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Signed Approval Date
GørfieIú CøwmS,
BU,LDING DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 87601
Tel: (970) 945-8272
P[-AN R EVIE WCH EC KLIST
PermitNo: 6uBe-OAZq67
Building lssues Planning/Zoning lssues
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Engineered Foundation
Drr'veway Permit
Surveyed Site Plan
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter
Soils Report
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Property Line Setbacks
3ûft Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ TopograPhY 40%
Planning lssues
Subdivision PIat
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Septii Peimit and Setbacks
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Red Line Plans/ StamPs/ Sticker zqø382
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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 iconnection 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 read, understand and will abide by the requirements of this
checklist.
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Property r Print and Sign Date