HomeMy WebLinkAboutApplicationGørfuId County
Community Development Department
108 8th Street, Suite ¿101
Glenwood Springs, CO 81601
(970194s{212
rirww.garf¡eld-county,com
Manufactured Home or
Garage:Attached Detached
@
7i,F- t.Ltz. ã,qo_a;(J>
oH
-J >-l'Ub
LL3ú=<=
CIts
BUILDING PER
APPLICATION
Demolltion
Residential or Reroof
Unit -MÆ(IMUMSIZEOF SqUARE FEET
Property Owner:
Mailing Address:
Email Address:
I
ß
A
Phone:-ÕBtqrq"rflt
t
Phone:Contractor:
MailingAddress:
Email Address¡
Phone: tgOl%E*ØÆArchitect:
MailingAddress:
Email Address:
Phone:Engineer:
Mailing Address:
Emall Address:
Phone:Manufactured Home lnstaller:
Mailing Address:
Email Address:
Assessor's Parcel Number: 2-l -1 qø lZ AÔ a-q-I
Describe Work:
'2,5!
I
g
ø-è
Height:
Ì>¡=rr c-Ë
Propefi Size (Sq. Ft. or Acresf:
kLn¡lòt-.
Lot - Block _
Job Address:
Sq. Ft. of Building:z*8Owne¡rs Valuation of Work:
Sub.
ZZ'çf - nof
Class o-f Work:
tm
Remodel/Alteration Addition
OtherElectricI Gas Propane
Permit #:Fr-TlExempt \lÄ 'Þßrfft,{¿ç
Authoritv. This application for a Building Permit must be signed by the
or an authorized agent. lf the signature below is not that of the Owner,
the Owner, must be provided with this Application.
lnEal 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 Pelmits. Mult¡ple separâte permits may be required; (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified ab.ove, e.g. State or County Highway/ Road Access
or a State Wastewatei 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'
Owner ofthe property, descr¡bed above,
a separête letter of authorit¡ signed by
I hereby cert¡ñ/ that I have read this Application and that the information
understand that the Building Division accepts the Applicat¡on, along with the plans and specificat¡ons 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 th¡s 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 Divisiorì. 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 thatlhe
Building permit may be suspended or revoked, upon not¡ce from the County, if the location, construct¡on 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 inspest 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 struct-ure{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 const¡tute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that iesponsibility for compliance with federal, state ãnd local laws
and County Regulations rest w¡th me and my authorized agents, including without limitation my architect
contained above istrue and correct. I
and/ or builder.
Pa tÞ.S trÒ24.56 ckf 1312Ò .oe /zt/zt 2z
h^/?e/Special aâee
Manu. Home Fee:¡.t/l Misc. Fees:
þPermit/5Fee:5aAdjusted
T€t2
E8-No:
Bu¡z:v-t 8 zTç$r 0L+.s êFees Paid:Total
65
Zoning:
ßuÊl1 LCons. Type:
l.R.c
OCC Group:
I'R.Q
ta?zzBU|IDING / PIANNING DIVISION :
Signed Approval Date
¡ FROTEGF'DETAIIS GONTINI ED
Septic:
j TypeofHeat:
Driveway
Permit:
I hereby acknowledge I have read and understand the Notice and Certiflcatlon above, as well as,have
prouided the which is correst and accurate to the best of my knowledge.
Property and Sign Date
't:
Gørfield County
BUILDING DEPARTMENT
708 E¡ghth Street, Suite 407, Glenwood Spríngs, CO 81601
Tel: {970) q5-8272
PLAN REVIEW C HECKLIST
Permit No: ê IRF -A?-22-7øL3
Building lssues Pla nning/Zoning lssues
4u ifL' UDriveway
t/*
^þ4
Permit
Surveyed Site Plan
Septic Permit and Setbacks
del Topography 3A%
ngineered Foundation -4 Property Line Setbacks
t/" 3o ft. stream setbacks
Flood Plaín
Building Heíght
Zoning Sign-Off
Grade/ Topography 40%
Planning lssues
Descri on&Su
W Road tmpact Fees A/' BÞAttach Residentíal Plan RevÍew List
-/ Subdívisíon Plat Notes
Fire Department Review
Valuation Determination/ tees
Red Line Plans/ Stampsl Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Applicatíon
?arcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
F¿., /êØ x 7, 6g = Êtu, /¿2, lo
%h tuî x // =f dV¿atlu
erap/ 762 x /g =f /q,îaó.ad
od
ø
waihncr hr
H+fr wporf 2zn-/oh
(eceíw!Å on to-tJ-22)
êJ ar éz( X sz = I /0 îô9.ø
-f/4 lôo x /s =/ 46u.
€a.lae z/ax /g =f{ãU,'rgH f zaa"Cof,P
^Ú Va t