HomeMy WebLinkAboutApplicationGarfuld Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www.garfield-countv.com
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
ulti-Fami Demolit¡on
Manufactured Home (Single or Multi-Level)
?esidential (SF, Duplex or Townhome)Reroof
Dwelli Unit - MAXIMUM SIZE OF SqUARE FEET
INVOLVED PARTIES
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contractor: Rerot+ 2e'teto7nerrt h-lldtq phone: fllo ,hoat S11o
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phone: þ"Z r82s -0771
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Phone:Manufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAITS
Assessor's ParcelNumben LÒ 8Z q16
ÉlLQertnaS Lot 5b Btock tl
r.J¿¡ *komeDescribe Work:
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41o5 Height: 2+'-4t' ßt&ot¡roorcz 2
Owner's Valuation of Work:(
Sq. Ft. of Building:
Property Size (Sq. Ft. or Acres):
NJb,þc$t Nocrc)
Sub.
Job Address:
l.N€w Remodel/Alteration AdditionClass of Work:
DetachedGarageAttached
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 schedLrle, location and holrl clowns
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.
5- il-Z
Property Owner Print and Sign Date
a
PROJECf DETAILS CONTINUED
Septic:CWTS nity
Type of Heat:ral Gas Propane Electric Other
Driveway
Permit:[fx-emnt
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. 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)
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 correct and accurate to the best of my knowledge.
D tô,,^,_ î_/r_27
Property Owner Print and Sign Date
OFFICIAT USE ONTY
Special Conditions:
ôee atÈaahe/ØNÞ/77A/9
Adiusted Valuationl ,.im, gâ,í-ta Plan Check Fee;,\":r.a.O Permit Fee: ¿ P2,b17' ''a Manu. Home Fee *OAJ"TA
'"'liitnrq i...ä,..a1
Balance Due:z btz 75 BP No:Ñlv-(tr¿)OWTSIo
'"'ft\)NÞ OCC Group:const.ryf'p2 'Ptip
p"r Et.6'¡t-t?-zvBUILDING / PTANNING DIVISION :
Signed Approval Date
Gørfield County
Community Devclopment Department
108 8th Street, Suite 401
Glenwood Sprlngs, CO 81601
(970) 94s-8212
www.garfield-cou ntv.com
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
t,J(ñ % ror,
4'4too
Block:
o-icant C>u t9V¿w
P Address:roject
tvsto
Finished Livins Space (N/A for Manufactured Homes)z o5
Unfinished Basement ô ,00
s18.00Crawl Space a ,to I 5ç 6t?
.e. insulatio sh z7 45 q2 Sgz.ootC¿
Garage Unconditioned s24.00
6+Z s18.00o
Uncovered Patio/Deck 12.00
Misc
Misc So.oo
Sinele Level (5400)s0.00
Multi-Level (S600)So.oo
s0.00
So.oo
Plan Review Fee
Building Perm¡t Fee
Manufactured Home Set-Up Fee
Septic Fee (OWTS)
other (Ex: Road lmpact Fee)
This Section Determined by Garfield County
Total Fees Due $o.oo l
***All fees are estimates until final-,plan review is completed***
Gørfield County
EUILDING ÐEPARTMENT
708 Eighth Stteet, Su¡te 4O7, Glenwood Spr¡ngs, CA 87607
Tel: (970) 945-8272
PLAN RE V IEW CHECKLIST
Permit No: BLRE- 01-Å8- gry
Building lssues Pla n ning/Zoning lssues fun
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Engineered Foundation
Driveway Permit
Surveyed Síte Plan
Septic Permit and Setbacks
Gradel Topography 30%
Attach Residential Plan Review List
ch Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
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Line Plans/ Stampsl Stícker î028t b
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Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Heíght
Zoníng Sign-Off
Road lmpact Fees N/A
Gradel Topography 40%
Planníng lssues
Subdivision Plat
,/Subdivision Plat Notes
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Valuatíon Detèrmination/ Fees 4lrL
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