HomeMy WebLinkAboutApplicationGarfteld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-8212
www. ga rfield-countv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercia Demolition
Manufactured Home Sin e or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accesso Dwell Unit - MAXIMUM SIZE OF 1,OOO SQUARE FEET
I¡¡VOIVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Phone:
\
Phone:( q10 ) 3-?1-44n0{)rnr\f ù,Contractor:
Mailing Address:
EmailAddress:
prrone:r{'10 r'41q-ftm
t
Arch¡tect:
Mailing Address:
Email Address:
Phone:r Q1o r q45-clbllEngineer:
Mailing Address
Email Address:
Email Address:
Phone:Manufactured Home lnstaller:
Mailing Address
PROJECÍ DETAITS
Owner's Valuation of Work: Property Size (Sq. Ft. or Acres): ?
Describe Work:
R oRotoo
I
Height:5q. Ft. of Building:5 \1*
Sub.
# of Floors:_
Assessor's Parcel Number:
Job Address:
Lot _ Block
Remodel/Alteration AdditionClass of Work:New
DetachedAttachedGarage:
Framing plans for each floor level and roof. All beams, columns, Jolsts, 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 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 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.
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4\r'rlz¡n
Property Owner Print Datã [
PROJECT DETAILS CONTINUED
Septic:Community
Type of Heat:-lruaturalGas X eropane Electric Other
Driveway
Permit:Xexemnt
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. 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,
(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 issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true an d 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 regulat¡ons 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
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
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as,have
provided the required information is correct and accurate to the best of my knowledge.
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Property Owner Print and D"t"-l - r
OFFICIAT USE ONIY
6æ athú?elCA/VD /VA/YSSpecial condit¡ons:
Manu. Home Fee:Misc. Feesl -tdiÈÈ.nb. ç726:'85Permit Feeç32 ^
Adiusted Valuatiorrr6eg-24b.Io Plan Check Fee:
bLtU.eA
BP No:
WJLÊ-ØTA
OWTS No:Fees Paid: ^6t+t-.æ '"Eiå",'âs"'^äîc.a,
ton'K3Const. Tvoe:fl-î-LSetbacks:e OCC GrouplaL,-L
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BUILDING / PLANNING DIVISION :
Signed Approval
4-6-2V
Date
Gørfield County
BU'LDING DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Spríngs, Ca a7æ1
-rel: P7A) 945-8212
PLAN REVIEW CHEC KLIST
Permit No: BlßE-o7-Zþ gOgZ
Building lssues Planning/Zoning lssues
Engineered Foundation
/ subdivision Plat Notes
Fire Department Review
Val uation Determ inationl Fees
P
Property Line Setbacks
OL
l-//
-/
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Line Plansl Stampsl Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/schedule No.
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