HomeMy WebLinkAboutApplicationGurficld Coung'
Community Development DcpartmentRECtsi\/Ë:|-; 108 8th Street, Suite 401
Glenwood Springs, CO 81601
{970} 945-82r"2
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TVPE OF CONSTRUCTION
f]] Commercial/Multi-Family
f] Manufactured Honre (Single or Multi-LevelJ
ffl nesidential (SF, Duplex or Townhome)
f:Demolition
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Phone:
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Phone:
f]] Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
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Mailing Address;
Email Address:
Contractor:
Mailing Address:
Êmail Address:
Arch¡tect:
Mailing Address
Email Address:
Engineer:
Mailing Address:
Emall Address:
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Manuf actured Home lnstaller:Phone: (-.-)
Malling Address:
fmail Address:
PROJÊCT DËTAILs
Describe Work: Kiþhen rerngdeUþ include.rema*vê!-aútlvo columng-gtnd replaçerleollf Mic¡ollam-LVL beam
w¡th structural sleel beâm.
Job Address 395 Mirlland Poini Road. CarL¡ortdale, CO 81623
Assesso¡r's Parcel Number: 239329416027
5ub.Itli¡lland Þninl Lat M-zL*_ Block -_._-
Owner's Valuation of Work:Prûperty Size (Sq, Ft, or Acresll 14 199 SCJ FT
5q. Ft. of Bullding:s#.+4f)Heightl # of Floorsl 3 . -_
Class of Work:AdditiÕn
DetachedGarageched
lfl n* * oau tlAlte rati o n
PROJECT DETAITS CONTINUED
CommunitySeptic:
Electric OtherPropaneNatural GasType of Heat:
Permit #ExemptDriveway
Perm¡t:
NOTICE
be signed by the Owner ofthe property, described above,
hat of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Lesal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
purposes of inspections by the Building Division.
Other permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(Ð anotner 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.
AuthoriW. This application for a Building Permit must
or an authorized agent. lf the signature below is nott
CERTIFICATION
a or
ner, I ackn
rest with
I hereby certify that I have read this Application and that the information
understand that the Building Division accepts the Application, along with
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
construct¡on or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other
that responsibility for compliance with federal, state and local laws
my authorized agents, including without limitation my architect
contained above is true and correct. I
the plans and specifications and other
Bui diofonsethrkwotherncudinandby ngsubmittals,nspectiofewthisncReviacableawApplicatioppli
oethCoofmtssroonsorliabierrors,ofce by untyitynresponsibitv
and County
Division do not co
discrepancies, As
have
ONtY
Special Conditions:
me FeerMan MiscFee:dtVal
\
Balance ogs5b'ot
Const.occ
( t ^ir4tt 2lvL3BUILDING / PTANNING DIVISION
Signed Approval Date
I hereby
provided
d and understand the Notice and Certification above, as well as, have
is correct and accurate to the best of my knowledge.
Ø2 a)2923
and Sign Date
Gørfield County
BUILDING DEPARTMENT
7A8 Eighth Street, Suite 407, Glenwood Springs, Co 81601
Tel: þ7a) 945-8212
PLAN REVIEW c HECKLIST
Permit No:
Building lssues Planning/Zoning lssues Pü l>
ftoEngineered Foundatíon
Driveway Permit
Surveyed Site PIan
Septic Permít and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Revíew
Valuation Determination/ Fees
Red Line Plansl Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcellschedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Line Setbacks
dft. str"urn Setbacks
Flood Plain
Building Height
Zoníng Sign-Off
Road lmpact ,.", NA
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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