HomeMy WebLinkAboutApplicationGørfrclel Counfit
BUII.DING PERMIT
APPLICATION
Í;{. [] ( :unity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
{i,¡r l li ii:.i ir i,t : : ''" i' (970) 945-8212
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. wPE oF CONSTRUCTION
Co mmercial/Multi-Family
Manufactured Home (Single or Multi-Leve r)
Residential (SF, Dup lex or Townhome)
Agcessory Dwelling Uni! (AoU)- MAXTMUM S|ZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Demolition
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Contractor:an rnrl lioVr Phone: (11Õ )(r,t X 51p lA
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Architect:C¿s'i¿ lì","\"'P Phone: ú7o | 3ß-lqql
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Engineer:Phone; ( )
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Manufactured Home lnstaller: Phone:
Mailing Address:
Email Address
PROJECT DETAILS
Describe Work:Al¿',r'.J orvl({-rL4-c tiGn , S il r.r{.'i rl t,t't*'ta L
Job Address:
Assessor's Parcel Number
Sub.Lot Block
Owner's Valuation of Work:e Property Size (Sq. Ft. or Acres): 4'À 4 )^ ACr6
Sq. Ft. of Building:tÀ Height:05 .A# of Floors
Class of Work:Addition
DetachedGarage:
ffir.r"*
ffianactred
Remodel/Alteration
PROJECT DETAITS CONTINUED
CommunitYSeptic
OtherElectricPropaneNatural GasType of Heat:
Permit #
W*ië)e;,t dDriveway
Permit:
NOTICE
the Owner, must be provided with this Application'
Legal 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 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'
ner,
abbeddescri ove,ern theofedOw ropep rtythebemustBuiatdPermitsrgnbytsThonicatiforngappAuthoritv.ofletter autho byritysignedathOwnottsofseparatethatSheatreuelowbtrfrizedaignanorauthgent.
me or on my behalf (submittals), based upon my certification
e submittals and approval of this Application, a Building Perm
Owner, to construct the structure(s) and facilities detailed on
ln consideration of the issuance of the Bu¡lding Permit, I agree
notice from the County, if the location, construction or use
other applicable law.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework' I
further acknowledge that the issuance of the Bu¡lding 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 Appl¡cation, 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
CERTIFICATION
designer neer and/ or builder
contained above is true and correct' Id this Application and that the informationI hereby certify that I have rea
the plans and specifications and otheraccepts the Application, along withunderstand that the Building Division
as to accuracY. Assumingdata submitted by
it will be issued granting
completeness of th
the submittals reviewed bYpermission to me, as
that I and mY agents willthe Building Division
Garfield CountY Buildingfederal, state or local law regulating the work and thecomply with provisions of anY
I acknowledge that theicable land use regulations (County Regulation(s))'Code, OWTS regulations and aPPl
Building Permit may be suspended or revoked, upon
are not in compliance with County Regulation(s) or any
of the structure(s) and facility(ies), described above,
I hereby acknowledge that I have read and understand the Notice and Certificati on above, as well as, have
the required information which is correct and accurate to the best my knowledge.
Property Owner Print and Sign Date
I
tOFFICIAL USE ONtY
speciarconditions: s"æ â+fuúe/ ØN Þ t TaNS
Home Fee:MaPermitæ
Fees:
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Paid cO
Plan Check Fee:zlo,ù2
FeeS:Tota Øbt0,
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BUILDING / PLANNING DIVISION :
Signed Approval
ætg-27
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 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
wetl as any Road lmpact fees will be collected tlvhen 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
7- 2^ 23
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Owner Print and Sign
5¡4ro 6uÞÊÊ
Date
Gørficld County
BUILDING DEPARTMENT
7Aa E¡ghth Strcet, Su¡te 407, 6lenwood Springs, CA Uæ1
Tel: (97A) 945-8212
PLAN R EVIEW CHECKLIST
Permit No:8¿R*Ø-23-77á
Building lssues Plan ning/Zoning lssues tQu/<4 L
u/Engineered Foundatíon
exønplì*t þiler 6-t523
Driveway Permit N4
Al 4r'
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Property Line Setbacks
dft. str""r Setbacks
Flood Plain
Building Height
Zoníng Sign-Off
Road lmpact Fees N,V,P
La
/
Surveyed Site Plan
sEFl>7?77
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
î/Subdívision Plat Notes
Fire Department Revíew
Valuation Determ ínation/ Fees
Red Line Plans/stamps/ Sticker
Attach Conditions
Application Signed
Soils Report
-/G radel Topography 4AYo
Planning lssues
Subdívision Plat
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Desgiption & Summarv:
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parcettschedure No. C-/tr 6aØXAZ t I /7, 8/Ó, OA
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