HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701945-82t2
www.garfield-cou ntv.com
BUILDING PERMIT
APPLICATION
Commercial/Multi-Fa
Manufactured Home or Mu
Residential Du or
Accessory Dwell Unit . MAXIMUM SIZE OF SQUARE FEEÍ
INVOLVED PARTIES
Reroof
Curu-rlç .Ç."tun,ahProperty Owner:
Mailing Address:
EmailAddress:
Phone:
-f 6o
G cØ
Contractor: Phone:
Mailing Address:
Email Addrcss:
Architect: êì vro A.nçtf't Phone:Lq
Mailing Address
rì
(.)
Email Address:ê R.o s\ E#'¡ @ Q n çÇo'l# . co a(
Demolition
EmailAddress:
Engineer:
Õ t+
ê
Mailing Address:27a
ü', ,nn Qnø.ft',
Manufactured Home lnstaller:Phone: (
Mailing Address:
EmailAddress:
PROIECT DETAIIS
[Þscribe Work:Fl"',.h 6oso.*n"t -7 \o,lrrnr * L /* 'W;.Ílh
Job Addrcss:te (!)
Assessor's Parcel Number:
Sub.
Ownc¡'s Valuation of Work¡ $aóo
6o
rot lÀÎ Btock-
Property Size {Sq. Ft. or Acresf:
Height:lot #or
Addition
Sq. Ft. of Building:
Class of Work:
r\00o
Garage:Attached
Remodel/Alteration
Detached
z
,h ftc/'{
PROJECT DETAIIS CONTINUED
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
NOTICE
Exempt
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described äbove,
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. A Buildíng Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Qther 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 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 Bu¡ld¡ng 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, construct¡on 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 permiss¡on to the Bu¡lding 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 which is and accurate to
Permit f
e¿,r'ris Sclrr*b
the best of myJ<nowledge.tl,t I l1l&)
Property Owner Print and Sign Date
OFFICIAL USE ONLY ?I
^ee
4#aúe/ØÅ/Þ/n2/vsSpecial Conditions:
Adiusted Valuatlon:
lioY,U2V.3b ''rtð"Þ6"= j',rylví Manu, Home Fec:"''i.1""'1
Totallees:
> {bq.75 Fees Paid: .À I Balance Due:
tcn ,o" ól-?Lq,76
BP No:
tstrE -þtg OWTS No:
Setbacks
na únDûê9 OCC Group:Const.Hxs
l-z-ÈLl,ü,l^{hBUTLO|NG / PTANNtNG DTVTSTON :
Signed Approval
a
Date
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 Officialthat 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 aaknowledge I have read, understand and will abide by the requirements of thls
ahecklist.
Property Owner Print and Sign Date
a
a
Gørfield County
BUILDING DEPARîMENT
708 E¡ghth Street, Suite 4o7, Glenwood Springs, CO 81æ1
Tel: (970) 94s-8212
P LAN REVIEW CHECKLIST
eng¿4-%-8ab7Permit No:
Build es Pla nning/Zoning lssues
n0 Foundation
Permit
Surveyed Site Plan
Septíc Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Revíew List
Subdivision Plat Notes
Valuation Determ inatíon/ Fees
Red Line Plans/ Stampsl Sticker
ApplicatÍon Signed
Plan Revíewer to Sign Applícation
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Property Line Setbacks
35 ft. Stream Setbacks
/\/Flood Plaín
t/
N A Fire Department Review
¡-/
Building Height
,.;;",;. &roni,Ttüi" ( Rnn ö7Ø,o0 paia(
noaa r m\icì'r J{,''fi ffi o[aìna/
Gradel ropography oo" bUt úøî
Pranningrssues
f*rr/t)
Subdivisíon Plat
NA
,./
RF77
^þIt/
t/
UAIÞ*ach conditions
RtF = N,/A
/
,/
t/
,/
N*
^)k
Desc tion & Su m
2ooZ o,l, x 3v, bg
bacønøtrt¡r,fÁ
6\tt2'/,3b
Soop'M
buiü*qf*,b /"
/yatie þase,rø'*
í',rt"/ øt!il¿uba-
fmntñná