HomeMy WebLinkAboutApplicationGarlielú C*anty
Community Development Department
108 8th Street, Suite 401
Springs, CO 81601
945-82L2
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DemolitionCom mercia l/M u lti-Fa mily
Manufactured Home (Sinele or Multi-Level)
ReroofResidentialDulex or Townhome
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Phone: I rl?it | ¿l/)l -t|,2iPropertyowner: qt /U/,Ð r::'.*\11 5
Mailing Dttrti /'î) Kl¿,.J?Address: lr{fl.Ð R n t)-RËn D i? r,t¡{
EmailAddress
contractor: bgl?tL+" ,/tçÚ,qRË7 Phone:(97Ô) A7q-n713
Mailing Address:
Email Address:
Architect: ìBBy ?nÌ(U Phone: ( 3t3 \ t/7.< - K);2y
Mailing Address:
Email Address:
Engineer:,ÁA lCl+!\P L (4,ÛtPßÊlL Phone: ( g:3O | '? pt?t-tl,<,7.(
D nt</i\ rf) kflü Ú ?ì\n ( 161 6,'t l\ t ) r'T 'Êl IMailing Address:
Email Address:
robAddress: "? i Ít¿)Y4L rnftQlÅ,t4,¿ ( 4 ß,8t.'){)ALf (n 8/(,.,:tT
sub. /l S Pf u É:ì (¿r-¿ Lot ê8 Block-
owne/s valuation of Work: 5 qô0 AtiÔ Property size (Sq. Ft. or Acres): I I )a I t tO.r,
Phone:
Describe Work:
Height:2ç Þ 'ISq. Ft. of Building:Utgel l
? 1) ¡/ \. /.1 ,/JFt/) t Jn t< Ç
f of Floors: ;X
Manufactured Home lnstaller:
Assessorrs Parcel Number:
Mailing Address:
Email Address:
(New Remodel/Alteration ition_leooClass of Work:
Garage:ched Detached
Septic
Type of Heat:
PROJECT DËTAII5 CONTIN Uf D
Community
Natural Gas Propane Electric Other
Driveway
Permit:
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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.
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 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
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-)
requiringthe 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 an 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 correct and accurate to the best of my knowledge.
Property Owner Print and Sign
[Ft'"*n'Permit #
OTF|CIAL USE ONLY
6oe attaúel ØNÞ /77O/\/SSpecial Conditions:
Plan Check Fee:
t-74ß,6b 'åi\li¿.çu Manu. Home FeeN/A Misc. Fees:
RtF EBÞ f2,7¿ftlö'i:äi?:w
Fdes Paid:
o, o0
Du 4t 'Ë&.ø-slrn
OWTS No:-----N/flTotal Fães:
fq,rßq,{t
OCC Group:tRc Const. Type:
I RO
Zoning:
Pa >t"'F'bhïD
6-l-23Lilir*ltBUtTDtNG / PLANNING DIVTSTON :
Signed Approval Date
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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 until 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 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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Eoperty ownËiÞnnt áä sign Date
Gødteld County
BUILDING DEPARTMENT
7o8 E¡ghth Street, suite 407, Elenwood Springs' CO 81607
Tel: P7A) 945-8212
PLAN REVI EW CHECKLIST
PermitNo: ß¿KF-A¿-M
Building lssues Plan ning/Zoning lssues raÞ
OONDEngíneered Foundation
Driveway Permit
Surveyed Site Plan
Septic,Permit and Setbacks
Gradel Topography 30%
Attach Residential Plan Review List
Red Líne Pla ns/ Stamps/ Stícker
Attach Conditions
,/
Property Line Setbacks
35 ft. Stream Setbacksqernqt
---T--
/1/4
f
r/'/ Flood Plain
¿Building Heíght
Subdivision Plat
t'/ Zoning sign-offye
Road lmpact r".rØØD'
]a Grade/ Topography 40%
l' Planning lssuest/
"/ Applicatíon Signed
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Plan Reviewer to Sign APPIícation
ParceU Schedule No.
40# Snowload Letter * Manu' Homes
Soils Report
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