HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www.garfield-countv.com
BUILDING PERM¡T
APPLICAT¡ON
WPEOF
Com mercia l/Multi-Fam ily Demolition
.Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
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Property
Mailing Address:
Email Address:
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Mailing Address:
Email Address:
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Mailing Address:
Email Address:
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Mailing Address:
Email Address:
PhoneManufactured Home lnstaller:
Mailing Address:
Email Address:
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Lot
Sq. Ft. of Building:4tVòO
Owne r's Valuation of Work: S Prooertv,-1,'
Height ,?Í ?.
Describ^e worr,' NÇlÀl
Block _
Job Address:
Assessor's Parcel Number
Sub.
Size (Sq. Ft. or Acres)
# of Floors
Remodel/Alteration AdditionClass of Work:
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PROJ ECT DEÎAI I.s CONTINUED
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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Owner Print and Sign Date
CommunitySeptic:
Natural Gas Vferonane
Electri c OtherType of Heat:
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ø:xerr'
Permit #: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.
Itiple separate permits may be required: (L) 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of i-80 days after commencement.
Other Permits. Mu
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 thisApplication, a Building Permitwill be issued granting
permission to me, as Owner, to constructthe structure(s) and facilities detailed on the submittals reviewed by
the Building Division. ln consideration of theissuanceof the Building Permit, lagreethat land myagentswill
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 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.
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€ee atu¿helØNÞ/VAftSSpecial Conditions:
Adiusted Valuation: ,
.q:r- q6t.86 Perm¡t Fee:69Fee:obc
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Manu. Home Fee
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Misc. Fees:
RttrEBD 62,703
OWTS No:
s€?7- -1933
Total-Fees:
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Paid:
68,
aBal Duence ú/
BP No:
B,LrlE-18 3l
Const. Type:
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Zoninç ,ró RùK4Setbacks: -oK.OCC Group:,.R.C,
BUILDING / PLANNING DIVISION
Signed Approval Date
æ
Gørfield Coanty
BUILDING DEPARTMENT
108 Eighth street, Suite 407, Glenwood Springs, CA 81Ø1
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: BIRE -A7-Z- 7îã/
Planning/Zoni lssues
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Building lssues
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ANÞ
.- Fire De partment Review
Valuation Determínationf Fees
Red Line Plans/ Stamps/ Stícker
Attach Condítions
Application Signed
-- Plan Revíewerto sign Applicatíon
-Ø/Þr.Luitding Height
- ZoningSign-Off
Yæ Road lmpact Fees
Planning lssues
Subdívision Plat
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdívision Plat Notes
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
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Description & Summary:
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Framing plans for each floor leveland roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the englneers stamp, signature and date.
Framing /connection details, braced wall línes, 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 pennit fee, as
well as any Road lrnpact 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 wlll abide by the requlrementE of thls
checklist.
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