HomeMy WebLinkAboutApplicationGarfield Counqt
Community Development Department
108 8th Street, Suite 401
R8,.. rÆlgtwood SPrings, CO 81601
(97O) 94s-8212
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Property Owner:
MailingAddresr
l-l ¡aq4qfactured H9m_ç {Single or Multi-Level}
ItlRe{de{ial (SF, Duplex or Townhome)
l-l Rcgessory Owelling ulit (ADU) - tr,!!l(!MUM StzE OF 1,000 SqUARE FEEI
INVOLVED PARTIES
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contrector: (cr^lâÉ( 1,ô¡.}sæ¡J¿-f\ùt.] fbA$ùlg-É phone:tanur {c{ t7E
MailingAddress:
Email Address:bco-- t9 (-ap¡P*ss¿.rô
Wt*øg-Architect:éæ¡ONç<.Vvv-n%hone, t41 ö tul al I 7, I
Mailing Address:Qnbov1P' ßre*¿'r L¿|¿Lr
Email Addres¡:tv.r'q'- ê (b¡y\PXSS,c,rn. ¿ L'
Engineer;/t'u)b+|'rÁrtt- Tãt t¿r, 1.,çÉ.{"Phone:tr|lat n'7.11 45¡Ð
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Email Addres¡:1;LPF,^- /tfl2¡t|.;lf\tr*v ê L:ft\ Jlrr l. C cr nn
Mlanutacfgred Homa lnstaller:Phone:
Malllng Addresr
Email Address:
PRO.IECÍ DETAIIS
Describe Work:åt ¡:¡tov?- F xntut (-¿":'rc)\2¡s>€;
Job Address;
Arsesior's Parcel Number;ziqlS'L\a L05L
Sub.bç-o$A U.hl¿¿+wt 5L Block--
owner'svaluation of work: S {Ub .á f ü. * Propertysize {sg. Ft. o, err.¡, 4O;79r9ç, N*l(,
sq. Ft. of Buitd lne, 55b6 '
Height: 'L'Z'^ b" froîÍrors:-L
Cla¡s of Work;
Garage:
Addition
Dctached
[Jruc*
f-l¡uached
flRemodel/Alteration
PROJECT DETAILS CONTINUED
Septic:
ripe éi neatt
Community
atural Gas Electric Other
and understand the Notice and Certification above, as well as, have
accurate to the best of my knowledge.
A ltt4j¡-¿¡ Tnza
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Driveway
Permit:
NOTICE
pt Permit f:
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorizcd agent. lf the signature below ¡s not that of the Owner, ä seperãte letter of äuthoritç signed by
the Owner, must be provided with this Application.
Leeal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Multiple sepårãte 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 HíghwaV/ Road Access
or a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void íf 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 bV me or on my behalf {submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Buildíng Permit will be íssued granting
permission to me, as Owner, to construct the structure(s) and facilities deta¡led on the submittals reviewed by
the 8ui¡ding 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
Euilding Perm¡t 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) oÍ any
other applícable law.
I hereby grant perrn¡ssion 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 Offícial from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
consrruct¡on 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 const¡tute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsibility for compliancc with federal, state and local laws
and County Regulations rest wíth me and my âuthor¡zed agents, including without limitation my architect
designer, engíneer-and / or builder.
I hereby acknowledge that I have
growded the requ¡rÊ4 information(au-{VVl Ó¿'lr.zÍL
Ploperly Owner Print and
ú¿ü,M,
Date
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,\aOFFICIAL USE ONLY
speciarconditions: sêc a/+ac/zd /va/l/s
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OWTS No:5EW-qôàA
Valu
Total 29
,Ib Pe rmit
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Paid:ALI 2
/,Manu. Home Fce:
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Zoning:(-Setbãcks:B'ã occ Group:
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BUTLDING / PIANNTN6 DIVISION :
Signed Approval Date
oa
Framing plans for each floor level and roof. All beams, columns, joists, rafiers and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
Framing /connection details, braced wall lines, shear wallschedule, 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 unt¡l the 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 illegaloccupancy and may be grounds for vacating the premises. (Final/GO
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 Owner Print and Sign
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Date
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Gørfield Coanty
BUILDING DEPARTN'ENT
708 E¡ghth Street, Suite 407, G)enwood Springs, CO 81607
Tel: (970) 945-8212
PLAN RE VIEW CHECKLIST
Permit No: p ¿RF-O A-2 g -gAZ/
Building lssues
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Engíneered Foundation
Driveway Permit
Planning/Zoning lssues Lbf lz
l/ Ê,8 , property Líne setback . ak
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/u*Surveyed Site PlanãeT7-*to
Septíc Permit and Setbacks t/
'"'? Zoning Sign-off
RtF Road lmpact Fees ãøP
35 ft. Stream Setbacks
Flood Plain
Buildíng Height
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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Grade/ Topography 30%
Attach Residential Plan Review List
Red Line Plansl Stampsl Sticker
Attach Condítions
Applícation Sígned
Plan Reviewer to Sign Application
ParceV Schedule No.
40# Snowl r - Manu. Homes
Description & Summarv:
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Subdivision Plat Notes -1b,40Os,f,4jean^aa,'ffi?fk/.s u/
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