HomeMy WebLinkAboutApplicationGarfteld Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(9701945-82t2
www. ga rfi eld-cou ntv.com
BUILDING PERMIT
APPLICATION
ryPE OF CONSTRUCTION tr Demolitiontr Commercial/Multi-Family
Manufactured Home or Ti Home Sin e or Multi-Level)
tr Rerooftr Residential (SF, Duplex or Townhome)
tr Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Jne:
o
6
6
253Property Owner:
Mailing Address
Email Address:
Mailing Address:
Phone:Contractor:
Email Address
Mailing
Phone:(w3 | t/8- ayf 7
Email Address:- <-A 4 1 {k.r., 7t, *c/ tl *raa 4au'.*.",u I - r'j2t*7
Phone://
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CA Ip/4
' Engineer:
Mailing Address:
Email Address:
Phone: gS 3 | l//"9 -.ZAf Z
{orr$ra,tt
Manufactured/ Tiny Home lnsta
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:
Job Address:
Lot 7
y,4,-f'Ptu'<
Assessor's Parcel Number -z vQ/^2.p
Sq. Ft. of Building:t177 Height:tb#
I
-23.2
Owner's Valuation of Work:
Block
Property Size (Sq. Ft. or Acres
# of Floo
Sub.
E Addition E Repair tr Move/RelocationClass of Work:p'New E Remodel/Alteration
El Attached E DetachedGarage:
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.
Property Owner Print Sign Date
a
a
DETAILS CONTINUED
Septic:
Type of Heat:
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. lunderstand
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)).
All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and
Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if
the location, construction or use ofthe 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: (L) 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
a rch itect or buildere
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.
3--to,ls
Property Owner Print a Date
4-4- ?1
E Propane
OWTS
Natural Gas
E Cornrnurrity
E Electric E other
Driveway
Permit:
E Exempt E Permit #
Authoritv, ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebeiowisnotthatoftheOwner,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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
NOTICE
tOFFICIAL USE ONLY I
speci a * ono"to n"
€ e€ e tta a/, e/ AN D/7To /B
AUtUSteO VatUatton:29.24C 'afib:v?'"xlnrbq Manu home Fee:t-ten.oo ffFEDo hr.tt7q
'*[3Tz^r?Fees PaidLm,&,ViT:2,BP No:
--r;.r..pqt$.?
OWTS No:qffi.q.t3/.o
Setbicks:
-
Orr'r""r, lB.(Const 'l\eL zogi:
BUTLDTNG / PLANNTNG DtvtstON
Signed Approval Date
Gar$eld County
BUILDING DEPARTMENT
108 Eighth street, suite 407, Glenwood Springs, CO 8160L
Tel: (970) 945-82L2
PLAN REVIE W CHECKLIST
Permit No: l3LrnF^O3-25-q lZ7
Planning/Zoning lssues Ru l_Building lssues
t/ Attach Residential Plan Review l-ist
/ subdivision Plat Notes
./
--"/
./
Surveyed Site Plan
ptic Permit and Setbacks
Grade/ Topography 30%
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
r€C€T
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
'Building Height
nln
Road
Grade/ Topography 40%
Planning lssues
e sien-off ,rp/r/ar \
rmpact r."'(/77re)
-/
/
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/
-/
-/-r'
Subdivision Plat
KIF ADU = /r/73 7 /*
Description & Summarv:
nANF # 4ao, oc
ADU
C"autl //77xAtf
a4a3k/ va/uahbn
292 zyg
ADU
RI F E.E,D f 5q#