HomeMy WebLinkAboutApplication2
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6 Architect :
7 Engineer:
8 Sq . Ft. of Building: oD
<J-arfieZd C:ou:rz .Q.-' ____ ...
/08 Et" Street, Suite 401, G/em~ood Springs, CO 81601
Pll:970-945-82/2 Fx:970-384-3440 Inspection Line:888-868-5306
www.gl!tfield-county.~m
RlllLDING PERMIT APPLICATION
Block No:
Mailing Address: Ph:
Mailing Address: Ph:
Moiling Address: Ph:
Mailing Address: Ph:
Sq. Ft. or Acres of Lot : Height:
Alt Ph:
Lie#:
Alt Ph:
Alt Ph:
No . of Floors:
9 Use of Building: ~Residential OCommerciol OOthcr DAltcrution aAddilion DRe air DDcmo OMove
DElcctric OOlher
12 Driveway Permit: Owners vnlunlion of Work:
NOTICE
~. This oppliCAlion for a Building l'cnni1 mus1 be •igncd by lhc Owner oflhe property, dcscnbcd nbovc ,or nn aulhorizcd agent lflhc 1i11RA1un: below is nol lhal oflhc Owner, a scp11n1le
lcllcr of 11111hori1y, signed by the Owner, must be provided wilh lhis Applica1ion,
!,q:el c\fm'* A Building Permit cannol be issued without proof of lcgul and odcqualc access 10 lhe property for purposes of inspections by the Building Oc:pmtment.
Other Permits. Multiple acpmnle pcrmils may be ~uin:d (I) Slale Electrical Pcnni1, (2) County ISOS Permil. (3) anolhcr pcnnit required for use on the propcny idcntilicd above, e .g. S1111c or
Couniy I lighwoyl Road Access or a Sllllc Wastcw111cr Oisclqe Pcnnil.
void r,rmlL A Building Permit becomes null and void if lhc work oulhoriz.c:d is nol commenced within 180 uys of lhe dale ofissuancc nnd if work is auspcndcd or abandoned for a period of 180
days after commcna:mcnt.
CERTIFICATION
I hereby certify that I have read this Applleo1ion and thl11 the information conlaincd above is true and c:orrcct. I undcrslalld lh4t lhc Building Ocpmtmcnl accepts the AJ1J1liai1ion, lllong wilh the plnns
ond sJICCilic.tions and other dal4 submiltcd by me ot on my behalf(submictals). based upon my ccnilication as tooccunicy.
Assuming c;ornplctcncss oflhe submi11al 1 1111d approV!ll of this Apphcotion, a Duolwng Permit will be iss ued granting permission lo me, as Owner, to construct the llUUClurc(s) and facilities detailed on
the submitlals reviewed by the Building Ocponmcllt.
In consideration of the issuance of the Building Permit, I agree tbal I and my oaenls will comply with provisions of any federal . slate or IOCDI law rcgulllling the worlt and the Glll'ficld County Building
Code, ISOS rcgull11 ions nnd appliaible lnnd use rcgullllions (Counay Rcgulo1ion(1)). I 1dmowlcdgc tbal the Building Permit may be suspended or revoked, upon notice from lhe Counly, if the loca!ion,
construction or usc of the suucturc(•) and faciliiy(ics), described nbove, arc nol in complinnce with Couniy Rcgulo1ion(s) or any other applicable law
I h=by gninl pcnnission to the Building Ocportmcnt to enlcr the JlfOpcny, &:scribed above, to inspect Ilic wocl<. I funhcr ocltnowlcdgc tho1 thc issuance of the Building Permit docs not prcvmt the
Building Officilll from ; ( l) rcquinns the colTCClion of errors in lhc submittab, if any, discovered an er issuance; or (2) stopping construction or usc of lhc structure(•) or faciliay(ies) if such is in violalion
ofCounl}' Regulation(•) or any other applicable law.
Review oflhis ApJllication, including submittals, and inspections of the work by the Building Ocp:utmc:nt do nol cons11tute on occcplancc ofrcsponsibiliiy or liabiliiy by the Counay ofcrron, omissions
or discrepancies. As lhc Owner, I acknowledge that rcsponsibilily for compliance with fcdcnil, slale nnd local laws and County Regulations rcsl with me nnd my authoriml agents, including withou1
limilalion my · eel designer, inccr and/ or builder.
I HEREBY NOWLEOG I T I HAVE :..:-.-=-"""'-·--TANO nm NOTICE & CERTIFICATION ABOVE :
Speciul Conditions:
Adjusted Valuution:
'2. S: I 04. tA
rllln Check Fee:
Z6{). g-a rermit Fee:
l(ol. 3>5'
Manu home Fee : Misc Fees: --
Total Fees: Balance Due: RP No & Issue D•le: ISOS No & Issued Date:
66?.Z.3 411 .. 0-z. lQ'
OCCGroup:
.I/2.C
Const Type:
DATE
Building Plan Review
Description of Work: add a 25x12 closet with craw1 space
Bin#: pif
Location Address: 563 CANYON CREEK DR
GLENWOOD SPRINGS, CO
Case Manager: David Bartholomew
Plan Cue Number: BLDG·IJ.11.6990
Parcel: 212325323014
Application Date: 09/09/2011
Building
---1::!.JLEngineered Foundation
_LDriveway Permit
/ Surveyed Site Plan
rJ /lt Septic Permit and Setbacks
/ Grade/Topography 30%
> / Attach Residential Plan Review List
/ Minimum Application Questionnare
/ Subdivision Plat Notes
PjA Fire Department Review
/ Valuation Determination/Fees
/
Rad Lina Plans/Stamps/Sticker
/ Attach Conditions
/ Application Signed
/ Plan Reviewer To Sign Application I ParceUSchedule No.
tl(tt 40# Snowload Letter -Manu. Homes
/V/' Soils Report
Monday, September 19, 2011
, Co11lilc '.s
Owner: Shane David
Applicant: Shane David
Applicant Phone: 61~9845 Email:
Plannin9'Zoning
I ___
7
..,.. __ Property Line Setbacks
_____ 30ft Stream Setbacks
__ / ___ _,Flood Plain
I _____ Building .height
I _____ zoning Sign-off
__ !Vi_(_A_~Road Impact Fees
__ ~ __ V_A _HOA/DRC Approval
___ / __ GradefTopography 40%
/ __ __,, _ __.Planning Issues
)
-----c;:Subdivlsion Plat
General Comments:
t/t1!H"/lm
/en111/ ;:t e
p1(,l)Jree
25; Io l/.. .fl!J
plA1-
~J /7t!
/ '-;ol. 75
2..6 o. 7f5
b 6 z. -t-3
z y .5. 2-( --
]'!7DZ-
NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
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 department will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Septic or Road Impact 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
ch el
Sigflature of Owner Date
Garfield County Building & Planning
108 8111 Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.qarfield-county.com