HomeMy WebLinkAboutApplicationGarfield County
BUILDING PERMIT
APPLICATION
RECE unity Development Department
A I lt; 1 'l til1}] 108 8th Street, Suite 401
' 1r'!' ì ' '"'ölenwood Springs, Co 81601
GARFIELD COUNTY lsTol s4s-sztz
cOM M U N ITY DEVELOPMËùI.*. rf¡"ld-.ou ntu..ot
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WPE OF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF lex or Townhome Reroof
Accessorv Dwelline Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
FlZøt V 16 'ì l.<t (Property Owner:
Mailing Address:
Email Address:
Contractor:Phone:r1-Iol ? lq Lllof
Mailing Address:
Email Address:
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Arch¡tect:Phone:rq-lat qzv 13A 3
Mailing Address:
Email Address L A
Engineer V-*,-) -t^Å L<.,6\l¿\Phone:q 3o
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone: I I
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:
Job Address:53 L rL<o,,.)s"¿ Lrü &ruS (,:..,. Kléal
Assessor's Parcel Number:
5ub.lot I . Ot'l Block
-
Owner's Valuation of Work:Property size (5q. Ft. or Acres): 1 , Ol 4 c'ø5
Sq. Ft. of Building:(0\S Height:#of
Class of Work:New r Remodel/Alteration Addition
Garage:Attached Detached N\ I n
PROJECT DETAITS CONTINUED
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 npplication, 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 er 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.
Uv'.
Property Owner Print and Sign
,Õ8 -'[Ô- Z'7*-
Date
CommunitySeptic:
,þS
f,WTS
Propane Electric OtherType of Heat:Natural Gas
Exempt Permit #:Driveway
Permit:
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.
NOTICE
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Special Conditions:
Perm¡t Fee:6793.75 Manu. Home Fee:
N/A
Misc. Fees: .RlÈæoSnl"*'M',àiä%.Plan Check Fee:
,10q. q¿l
BP Nor
9.8,e-11Cí
OWTS No:
N/A
Tıtalfees:þtzqa./7
t Fees Paid:
* Soq,++å%i,vç
Const. Type:
l.G.C.
Zoning:
Prl ¿l Lset;t>OCC Group:
l.R. g
tt/;,+1,BUILDING / PTANNING DIVISION :
Signed Approval
?-zu,'z
Date
Gørfield County
BU,LDiNG DEPARTMENT
7OB Eighth Street, suite 407, Glenwood Springs, CA 81æ1
Tel: (970) 5-8212
P LAN REVIEW CHECKL¡s7
Permit No: BLKE-ZØ -2.-77é5
Building lssues
N4
/
Plan ning/Zoning lssues
ñ,*
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Gradel Topography 30%
Attach Residential Plan Review List
Subdivisíon Plat Notes
Fire Department Revíew
Val uation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
ú-ø
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Nl,+
./
Zoning Sign-Off EED
d lmpact Fees
a/a/t ù71
Grade/ Topography 40%
Planning lssues
Subdivísion Plat
Zbt b7î Lol 23
Description & Summarv:
ch Conditions
Applicatíon Signed
Plan Reviewer to Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
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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 /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 read, understand and will abide by the requirements of this
checklist.
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Property Owner Pri Sign Date
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