HomeMy WebLinkAboutApplicationGørfield County
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970le4s-82L2
www.garfield-countv.com
TYPE OF CONSTRUCTION
Commercia ulti-Fami Demolition
INVOLVED PARTIES
Aør^y.."rt 0'þn,.¿n Phone:.Ìffi - ++3
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Email Address:gtt?+
Manufactured Home lnsta ler: &tPrøK cRæK phone: ( q7o I L,þq -tl+g
Mailing Address:P,o , Box se+L ilLonlm b8l 2-
Email Address eatt +h'e' @ k¿ wtz Uak- . (Àvvt
Property Owner¡
Mailing Address:
PROJECT DETAILS
BUILDING PERMIT
APPLICATION PIF
Manufactured Home
ReroofResidential (SF, Duplex orTownhom
Accesso Dwellin Unit - MAXIMUM SIZE OF SQUARE FEET
lø47CO
Phone: (11o ¡
qzl-'+431contractor: JIN*n"¡;"uho b f2J éNI
Mailing Address:
Email Address:
MaitingAddress: ?.a, f3of e11ô4A5. glaÈ,¡A?"þ¿r s?É-ttJk5 h Aô +++ -ÞL+Va
Phone: l97o ) ß+q - 5454
EmailAdd ress: BEÞ€- 6\tD ô rnr üDSPI¿,N|ù(', ¿Ðt\^
Phonel I I
Engineer:
Mailing Address:
Email Address:
Architect: t\t'fl
â<aa HáR-lø R-Hr
Describe Work:
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t?L- Mô>UL4-ø-2 Stòw
Job Address:24 (ou¡'tTn-ú.I
Assessor's Parcel Numb er: L*6363+ø 4q
Sub
Owner's Valuation of Work: S
,A co &/
Block
Property Size (Sq. Ft. or Acres): . AÔ1 ft ceæ
Height ' * 2a + # of Ftoors: 2-
Lot
Class of Work:
Garage:
Remodel/Alteration
Attached
Addition
Detached
Sq. Ft. of Building l6ôo
læ,6ò6
PROJECT DETAITS CONTINUED
x Communityf,WTSSept¡c:
Electric OtherType of Heat:Natural Gas Propane
Permit #:Driveway
Permit:
pt
NOTICE
Authoriw. 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 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
r 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.
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Property Owner Print and Sign Date
OFFICIAT USE ONLY ?A ID . lÞboÉ). --¿K.!f l01Z Oí/zo/z¿zz å4a-
Special Conditions êee a#ached ØNÞ/77ô/vs
Va Plan Check Fee:Manu. Home Fee:
tàoo,æ åfå'däi¡ #r,+tl!
3b Fees Paid Bala BP No:
BLM F.?60 740o,gù
OCC Group:Const. Type:
OWTS No:
se,PT- 7 bO&
Zoning:
R\,RA L
8'5'22BUITDING / PLANNING DIVISION :
Signed Approval 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 ior 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 witho_ut a
CO wilibe 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.
Anrle't
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Property Owner Print and Sign Date
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ANN€
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Ç,ørfu,Id Cownty
BUILDING DEPARTMENT
108 Eighth Street, ,u¡te 401, Glenwood Spr¡ngs, CO 87607
Tet: (9701 945-8272
PIåN REVI EW CH EC KLIST
Permit trro: êLfnF-O6-Z- 7¿ Ô 7
Building lssues Planning/Zoning lss¡,¡es Rural
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C n/ Ð rro pe rty Li ne setbacks
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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
Application Signed
Plan Reviewer to Sign APPlicat
Parcel/ Schedule No.
40# Snowload Letter - Manu.
Soils Report
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VAKA-il-ru-Sgl5
Descri io Sumrna
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees 6, B,Þ.
Grade/ Topography 40%
Planning lssues
Subdivision Plat i:
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