HomeMy WebLinkAboutApplicationGørfield County
R E c.Ênrup;yr?,ï':å:;Jtne p a rt m e nt
Glenwood Springs, CO 81601
LtSflqL-Dtmc0rvf MUNtTY nrve lıFfrrtw
BUILDING PERMIT
APPLICATION
I
TYPE OF
DemolitionCommercial/M ulti-Family
Manufactured Home (Single or Multi-Level)z
Reroof'Residential (SF, Duplex or Townhome)
- MAXIMUM SIZE OF SqUARE FEETDwellUnitAccesso
property owner: g¡É|;àatt¿ ?saz¡tutt¡( /A ÈKvt Phone:
Email Address:*ÉHãu/414Þt1v¿,s/9 sA @ 6
Mailing Address à/*(ø /t/. m t A.Ltp Crl
.Co.rtr
Þ¿. Te/cs6rt/ ê2. eSr5c
vÒî )e
s>PAls . n/êT-'àrnss @Email Address:
Contractor:
Mailing Address Po*.
Phone: 19þ I ?æ o9þ
SlLi ca- SlêSg
Phone:19þ t l¿f,l offu
3/
Email Address:mAdclEFtTZ
Mailing Address: Po BoF ße- 8.î.I-b[t- co vb
b'rtAll, a,o.ût
Arch¡tect:
?¿'t-
Engineer:Phone: t9þl
Mailing Address:
63os
qo.ß- à[¿ /.ç¿t r'o.<
EmailAddress: K
Mailing Address:
)Phone:(
Email Address
Manufactured Home lnstallen
PROJECÍ DETAITS
owner's Valuation of Work: S qOærOP. O e/
Describe Work:
Cç.t^)S
Assessor's Parcel Number:
# of Floors
à ¿
¡rtê.
Job Address:
sua. úþ(d[ tf *Frt¿A¡,u¿lt
sq. Ft. of Buirding: &, ìAg SF Height:2I'-tO "
Property Size (Sq. Ft. or Acres):
t > ¿t3 4tfl *sPêe Ð12
rct P Btock
-
AdditionS"*Remodel/AlterationClass of Work:
DetachedGarage
' PRO¡gCr D€TAlls cot{Tl¡lu;D
Septie
Prcpanr-
fömry¡rn¡1y
Ii*clr!r
Permil $r
Õther
Type af Heat: lllnatura!
€as
Þriveway
Perfiltr
fxe mFl
HOTICE
Aqlhq¡ilv. îhiç ¡Ëpiieaticn fc: a Buildi¡rg *ernrit musl be signed by the owner af the properlÏ, describeil above'
ci¡ an authÕr'i¡r:rl :gerl. ii t1:* :ig*atur* **.,ioi,¡ is nûl thât cf the ûwner, 3 5E:¡lårãt* !etler *f ¿çtbÕr;1Y' sign*d bv
thc {JwÍÉr. mul: be prtvided with rhis åçpi:catian
leg3llçlgis. À ßuilding pe.r-nit riÊrìll{:t be !::ued with¡:i:t prcnl *f iegal *nd ãde{¡$ã!e ;:i'€:s To the prapert'y k;r
Burp*1É5 cl in:perlionr by iire Tiuilding llivi::*n'
Otb*tfgllt!Þ. Multipie uupuru," 9*rÀi:, m*y be requrrcd: {1} :t*te ãìeeiric.rl Per¡"¡trt, i2) ficunly ÛWTS Êe¡r*it'
{3} ancthe¡ pçrl11it reqi.J¡red ir:r u;* ** th* pi'ope rty iderrtifi*d .1büve, e'ã. Slate o¡ aÛ*nlY ?li¡;hw:yl Êetåd Ået'::
ûr a g¡ãte Wr,<te*,åtêf Di:eharge Ê*rmit
ugi$-r-el!-11& Â Suitcling ¡re¡¡nii beco*e s *u!l and v*i¡j ii the wç¡k æulhc¡i¡ed i: not tllírìlneileed with!¡: 38f] eJ;:vs
rf the dåte *f ii¡ua:.,¡çe:¡¡d il work i: suspenried or abandcn*d fnr a pericd lr !*{) riays ãi¡er {ümüÊncÊfn*ñi.
cEftTlF¡(Åïôt{
I heretty certìfy that t lrdv€ reêd ti,ris Apr:!ieation and that thc iñform¿tion co¡":tai*ed *bÕçe i! l{¡e and rsrr¿ct' I
under:tãnd th;tt th* *uildin¡g öivirior¡ ãte€l}rs ihe Appli.ãl¡cr, alcrrg ç¡ith thc pl*nl and :peË¡f¡catiÕrr *¡rd clh*r
dalå juLlmitted by nre o, *n ,r',y *ehaif {submittalsi, baled up*n rì1y eÉ.1¡ficalio* as tc aecuraqY' As:umirrg
ccfiillet€ñe:: ef the ¡ui:mittals ¡:¡rl appra'ral cf th¡: ÅpËl¡.ãli*¡1, a Suilding pcrßlit will be is¡ued gl-aniir:g
pcrmi-<:!a* lÕ m*, as Ow.ler. tç eçn-ctril.l The tlructure{s} *rrel facililies detailed Õn ths submlttâls rev¡ewed þv
the Buil<ling û¡vi:i*n. 1n e$¡.ìeid€rêi:Õn ùt ¡hf i5silåne* Qf the Building Perñil. ! agree thal I and my agent: wiii
ecnrpiy with pravisicn: ûi any l¡:rie¡al, :tatü ilr iacal law regulati*g the werk a¡:d th* G*riield fauniy Building
foie, {.}W15 fe6ultlt;3Ês ard apçlie*ble land r¡:e rêgllåt¡o*! {ecr'r*Èy Regutationïs}} l ¡ckn*r*ledge thal th*
ßuilding perr:,:ii i"nay be suspendeei *r r*voked, uÉüñ n*l¡eÊ f¡am the Counly. il th€ loaat¡ðn, cünllrilcTicn tr u:*
Õf the ltructurei:l and iarility{ie;}, ¡iese ¡ibed aircvr:, ar* rû1 i* ts'Êp¡ianee willr Ca*nry ftûgulåt¡o*i5} *r anY
*iher *ppiicable larv.
t her*:by gra¡lt *e.n1¡s!ie* tc ihe itrilCing SiviEian tû e.:l*r the prÕperlY, deçeribe¡J atr*ve. t.r i,ìspeaï th*: r'*ark l
furlher aek*owl*dge thxt the i:iu¿nee al th* ßuilding p¿rmil doÊ: not prevÊna the Buildi:'rg Ûf{icial fronr. {1i
requirìn6 the {*r.eetiün cf e¡rcr: t* the 5u}m,!lals, if any, disecvered afteí i55uãr:ee; cr {?} :tapping
eon3lruction a¡ u:e *f the 5arç{tlr.c{:} *r laeililyiiesj il:ueh is 1n violati*n ol Counly **ËulatlanisJ cl any clhår
applicabie l¡w. fleviÉ1w af lhi: åp9lie*t!eñ, ¡nc!lt.JiÍg :Ltbn¡1ïal5, and inspectierç oá the xcrlc by lh* ßu¡ldirlg'
Þivisign do î1ü¡ eÇn5tilutr an a.replañe€ cÍ respcîsibiliry ür liability by tie eounty ûl ertår:' 3.1113tiÕns ¿)l
diserepaneies. A: tlrc üwner, i aekncvrl*dge thal respÕ.slbili:y f*r c,3rîpliitfieË eriih f*rier*1, stål€ ênd lacai l;¡w:
lnd founty Regulal:a¡¡5 re¡t r¡;ith :¡e ¡t'rd rny ar.rtlrorireri agen13, ine tuding *ithÕili limilã{iûn mV ãrchitËct
el*:ig'rer' eng¡RÉ*' and/ *¡ bil:lder.
certilication abcv*, as rrrelr as, have¡ ÈarebV acknowtedge that I have r*âd and u*derrtâ¡d the f'laties and
provid*d lhe requ ired information whiclt iç ecrreçt to the best of my knowledge
la
PrûpÊrty 0u¡ne¡ Frint and Sign tãte
I
44
ÕCe ürcup:
oo
I
32723
ofFlctÂt u$Ë ot{LY
äìiæþ.Þ. Ê2,'zo
Mãnu" Hsr$ê tec:Permit Foe: a /þ3^W."2
Special f¡ndltia¡¡s:
6ee
BP Nc:ffiE-gat6Salance tue: , .-r
f 3.3bl.o'/Total 4t
3;:n:cq
t+
CsnrÌ. Type:c5e
AUitslN6l PLÄilnitNË *lVlSlÕN : -.
tigned Apprcvai Ðate
Framíng plans for each floor level and roof. All þeãms, çolumns, joisls, rafters and trussee
spJWjA. pr*.¡"nanufactured structures requira the *ngineen stanrp, signature and date.
Framing /cçnnec{icn detaål*, *racødwæil lines, sheer wall sehedule. f*ætion and hc}d downs.
NûTË: lf any required infsrmati*n is míesing, delays in issuing the permlt øre to be expedæd' lf
detennined b¡¡ the B*ilding Offiçialthsl add*tionali¡rfcrmation is n*cessary to reviewthe applicalion
andlar plens ior eompliance, the applicalitn rnay be placed on hold u*tilthe required inforrnatisn is
provided. Work may not proceed withoçt the iss*ance *f a pormit.
Th* Br.rilding Divisiçn wi$l coftect aPlan Review fee et tirne of applieati*n submittal. Tha permit fæ, as
wet*as any Rcad Ìnrpact fçes wiÍt þe collected when the permit is issued.
The percÍt applicetlon rnuet be signed by tho Ðwner ðr by persen having written authori$ from the ûwÍler
to act ac their representative.
BuildÈ*g cannst be occupied untif a Certificate *f Occupancy (tO) is issued. Using the buiiding wilhuut a
CO will þe co*sidered an il[egal occupsncy and may ba grounds fcr vacating th€ premi$ss. {Finall00
inspecËion reqr¡irernents will be attached to yeur approved field set cf plans,)
I hereÞy acknowlEdge I have *nd wifl *bido bf the requirernents af thls
checkl!st"
?s"eS
a
ç
Property 0wner
5te7he*t
and Date
Swonn k Stro..þ.øwt
Gørfield County
BUILDING DEPARTMENT
70a E¡ghth Street, Suite 4o7, 6lenwood Springs, CO 81601
Tel: (97A) 5-8212
PLAN R EVIEW CHECKLIST
Permit No: fltq€-A¿* ZZ*ÇD/6
Building lssues Planning/Zoning lssues
Engineered Foundatíon
Driveway Permit
Surveyed Site Plan
Septic Permít and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review Líst
Prooertv Line Setback, Abe* fv/ 7.58
35 ft. Stream Setbacks
NK Flood Plain
Buildíng Height
Zoning Sign-Off
U'Ì
-/
r'/l
cqúÞ
-/ Subdivision Plat Notes
NA Fíre Department Revíew
ValuatÍon Determ ination/ Fees
Q,oN.f
Red Line Plans/ Stamps/ Sticker
bace-?a4* s**zps
Attach Conditions
Application Signed
Plan Revíewer to Sign Applicatíon
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Spils Report
cÒtt/Þ
YE3 - ç8,>Road lmpact Fees Þ
-/ Gra de/ Topography 40o/o
Planning lssues
Subdivision Plat
561346
RI757
Description & Summarv:
?as
4/09 x 74, bø= 1aór 78l,fa/
JlbTx 4/_/fl2%l'Ø
//?7x V2= V7''va/'oÔ
l6zgx /2 = / gt vvt'tâ
44c >< lg F 72?20,0¿
tJ["]r,à'{-hlt".; 1,.-i r r r,L,. å 1 ., :l l'.;:i.: ;'{. i¡ i i
¡S i'{i:[]liíliiÌ¡-r ¡'r i r:.. .i. ri!¡'{'.';
r$e!;i¡;;'l"j-j;';f
;00O'r'"i'
12"
FLç
u"ún
baçent
I 5/vZB,
= 8ræofL ele¿4¡usÞltbrl/,y la olo-n