HomeMy WebLinkAboutApplicationGørJielcl Courtty
Community Development Department
108 8th Stree! Suite 401
Glenwood Springs, CO 81601
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www.ga rfleld-cou ntv.com
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Commercia ulti-Fam
Manufactured Home or Multi-Level
Residential (SF, Duplex or Townhome)
Dwelling Unit (ADU)- MAXIMUM SIZE OF X,000 SQUARE FEET
P.IART|ES
Property Owner /or*l^
Mailing Address:Þ
Email
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Architect:Phone:
Mailing Address:
Ëmail Address:
Phone¡ IttD ) y'(2 -//,Sa
Mailing Address:
Email
Manufactured Home Installen Phone; f )
Mailing Address:
Email Address:
Describe
Job Address:
Assessor's Parcel Number:/
Sub.tot /32 Btock-
Owner's Valuation of Workl $l4/4- h /¿PropertySize (5q. Ft. or Aerer);
5q. Ft. of Building:J0 zn
Class of New Addition
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BUILÐING PERMIT
APPLICATION
Garage:
Work:
Attached
Heightr
ellAlteration
Sof
Detached
ê'34Q
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 Offioial that additional information is necessary to review the application
and/or plans for 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.
Ïhe 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.
rty er Print and Date
a
a
. PROJECT
¡: Septic:
'Type of Heat:
DEÏAII.S CONTINUED
Natural Gas Propane
Community
Electric Other
Driveway
Pe¡qlt¡
NOTICE
pt
Authoritv, This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowísnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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. Multíple sepãrate 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 íssuance and if work is suspended or abandoned for a period of 180 days after commencement.
GERTIFICATION
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 enteÍ the property, described above, to inspect the work. I
further acknowledge that the íssuance of the Building Permit does not prevent the Building Official from: (1)
requiringthe correction of errors in thesubmittals, if any, discovered after issuance; or (2) stopping
construction or use of the structure(s) or facilíty(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 acknowledg€ that responsibility for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my arch¡tect
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.
Property Owner Print and Sign Dete
Permit #:
e
OFFICIAL USE ONLY 8l
6æattøNÞtVz/tlsSpecial Conditions:
Adiusted Valuationl' qq¿lq. bø "îiE:lr"'"í7li:îç "iü'rr*"'
Tofal Fees:
Lqq ob 'lT'dii's r 'i^ä:iv BP No:?,r&v-n6 OWTS._T tlo:
l-A
Setbacks:
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occ 'ÞüÞ.
1l''i ' EJ243BUILDING / PTANNING DIVISION :
Signed Approval
?rorúâ&
Date
Gørficld County
BUILD'NG DEPARTMENT
rc8 E¡ghth street, su¡te 407, Glenwood Springs, CO 81601
Tel: {970) %s-8212
PLAN REVI EW CHECK LIST
Permit Noz fifpÇ -o/-23- 7?éo
Building lssues Pla n ning/Zoning lssues Pub
Engineered Foundation
ay Permít
Surveyed Site Plan
Septic Permít and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdívision PIat Notes
Fire Department Revíew
Val uation Determínation/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Applícation Signed
Plan Reviewer to Sign APPlication
?arcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Property Line Setbacks
g6ft. Stream Setbacks
Flood Plaín
Building Height
Zoning Sign-Off
Road lmpact Fees
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dr
Grade/ Topography 40%
Planning lssues
Subdívísion Plat
Descriptio n & Summarv:
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