HomeMy WebLinkAboutApplicationGuffield County
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Glenwood Springs, CO 81501
(970) 94s-8212
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COMMUNITTi ilLtlËi-tÉi,r,¡: ¡i i
wPE OFCOiTSTRUCnOñI
Commercial ulti-Fami Demolition
Manufactured Home (Single or Multi-Level)
ReroofResidential (5F, Duplex or Townhome)
Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARNES
lu.'.r (lÞho+.,Phone: r6o't ) (81 -Òí¿'la1.lProperty Owner:
Mailing Address:
Email Address:¿lnul c¡ r¡4
Manufactured Home lnstaller:Phone: I )
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Mailing Address: .
Email Address:
PRO'ECT DETAITS
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Phone:(6\â )lW Ô':t\otn"t 'l8i'ì{1eContractor:
Mailing Address:
Email Address:
Phone: (q'lc I t1'À'l '?j.'L"l
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Email Address:tl¡.'u1!:y uncvt O
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Architect:V¿nt Vluwov"t
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Phone:rl?'e I {èG "üql
Mailing Address:S'Fc lc'i fh Co\\ì'.<, (-c\or5 u.¿E\- \t".Et,\*,\V, Pt
Engineer:¡).n"khlrvr f,cmt !
Describe Work: q;v ¿s ì &¿vrce lr"',\.$vl{-l,J\
Garage:
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Remodel/Alteration
Detached
cJob Address:4\t'\\,¿v.i ù r 6 \.ntu*o,Ð at rt 5 C-c ("
Assesso¡'s Parcel Number:15 o
sua.5 r 'ôl
'P<;;e.'-.,Iot 1 Block
Owne/s Valuation of Work: $$5c, ooç Property Size (Sq. Ft. or Acres):ot L{¿,
Sq. Ft. of Building:Height:\?' boll "# of Floors:-X---
Class of Work:Addition
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DGTAIu; GOñITINUEO
, Septic:Community
of Heat:Natural Gas Propane Electric Other
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 ¡s not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
lesal Access. A Building Permit cannot be íssued 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 Perm¡t 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
Permit #
I hereby certify that I have read this Application and that the information contained above is true a
understand that the Building Division accepts the Application, along with the plans and specificatio
Property and Sign Date
nd correct. I
ns 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 (21stopping
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 çonstitute 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 ãrchitect
er,r and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the requ which is correct and accurate to the best of my knowledge
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attatel /nallsSpecial Conditions:see
23MPermit Fee: t^ J
l*7q9."f 2 Mpt'ry"r""'Check ,WPlan
I ll,7Adiusted Valuatiom
211.032.2r
BP No:
6¿[p -]qs+
OWTS No:sïAsâ\bT
Paid:
$""\
Balance Due:
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Const. Tvoe:Tú¡i Sr'isOCC Grouo:a:Q('",ryÜATb
B.E.
BUtLDTNG / PLANNING DlVlSlON :
Signed Approval
t- 12-23
Date
'r/y'l
Gørficld County
BU'LDING ÐEPARTMENT
1oB E¡ghth Street, suite 401, Glenwood Springs, Ca 81607
Tel: (970) 94s-8212
PLAN REVIEW CH ECKLIST
Permit No:8tÆ-a/-23-7?67
Building lssues
¿a¿ 4 &açe /
ØVÞ Property l-¡ne setb". u, E,áEngineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
u rminati Fees
40# Snowload Letter - Manu
Soils Report
Pla n ning/Zoning lssues
Flood Plain
øxetnpþry
-/ Grade/TopograPhY3o%
¿/ Attach Residential Plan Review List
g6ft. Stream Setbacks
Building Height
Zoning Sign-Off
Road lmpact rees ,Ç,fl,
"Þ
Planning lssues
Subdivísion Plat
NA
ttach Conditions
Application Signed Description & Summarv:
Plan Revíewerto sign Application Rt F '5'n, 8b = /,
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23
ParceU Schedule No
Red Line Plans/ Stamps/ Sticker øgto7¿l
no zon,ht êonØ229 ,t"atl#4
Homes FLS 2zô8x 4,ê8 = /6î)77/4
orøl2zbS x /e s /2) 92/.
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4/7x /8= 721Ø3d
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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 ínformation 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 witlo_ut a
CO wilfbe 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 Print and Sígn Date
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