HomeMy WebLinkAboutApplicationGARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8th Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 888-868-5306
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Parcel No: (this information is available at the assessors office 970-945-9134) _ '
1 r'1 11 LI A 01 (/
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Job Address: (if a�naddress lhas not been assigned, please provide Cr, 7'6(11/4)51Hwy or Street Name & City) or and legal description
"—Xs: 1' ath`itn,..\ 9.)RGt6W5 Or 7'6(11/4)55
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Lot No: lt.4 Block No: r L kte EIPep n:giL3 su
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O er: (property own
c4H- N 6,ck
Mailing Address: ,,.
3 t b0 -
Ph:
301 —0351
Alt Ph;
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Contractor:
Mailing ddress:
Ph:
Alt Ph:
6
Architect / Engineer;
Mailing Address:
Ph:
Alt Ph:
7
Sq. Ft. of Building:
Sq. Ft. or Acres of Lot:
Height:
No. of Floors: 2
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Use of Building:
rt5', dei, �, Al
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Describe Work:
c'' C m—o t , 6R5er t i --f- 141
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Class of Work:
❑ New XAlteration ❑ Addition
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Garage:
Attached
❑ Detached
Septic:
'Pik ❑ ISDS o Community
❑
12
Driveway Permit: 1 �
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Owners valuation of Work: $ i q a 1 Q+
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Autharilv,. This application for a Building Permit must be signed by
letter of authority, signed by the Owner, must be provided
Leea, Access. A Building Permit cannot be issued without proof of legal
NOTICE
the Owner of the property, described above, or an authorized agent. If the signature below is not
with this Application.
and adequate access to the property for purposes of inspections by the Building Department.
Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified
Discharge Permit.
authorized is not commenced within 110 days of the date of issuance and if work is suspended or
CERTIFICATION
contained above is true and correct. 1 understand that the Building Department accepts the Application,
based upon my certification as to accuracy.
a Building Permit will be issued granting permission to mc, as Owner, to construct the structurc(a)
and my agents will comply with provisions of any federal, state or local law regulating the work
Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice
are not in compliance with County Regulation(s) or any other applicable law.
described above, to inspect the work. I further acknowledge that the issuance of the Building
if any. discovered after issuance: or (2) stopping construction or use of the structure(s)
work by the Building Department do not constitute an acceptance of responsibility or liability
compliance with federal, state and local laws and County Regulations rest with me and my authorized
THE NOTICE & CERTIFICATION ABOVE:
that of the Owner, a separate
above, e.g. Slate or
abandoned for a period of 180
along with the plans
and &citifies detailed on
and the Garfield County Building
from the County, if the location,
Permit does not prevent the
or facility(ies) if such is in violation
by the County of errors, omissions
agents, including without
Other Permits. Multiple separate permits may be required: (1) Stale
County Highway/ Road Access or a State Wastewater
Void Permit, A Building Permit becomes null and void if the work
days alter commencement.
I hereby certify that 1 have read this Application and that the information
and specifications and other data submitted by me or on my behalf (submittals),
Assuming completeness of the submittals and approval of this Application,
the submittals reviewed by the Building Department.
In consideration of the issuance of the Building Permit,. 1 agree that I
Code, ISDS regulations and applicable land use regulations (County
construction or use of the structure(s) and facitity(ies), described above,
I hereby grant permission to the Building Department to enter the property,
Building Official from: (I) requiring the correction of errors in the submittals.
of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and inspections ofthe
or discrepancies. As the Owner, 1 acknowledge that responsibility for
limitation my ar hitect designer, engineer and/ or builder.
I HEREBY Ai N •W DO A I HAVE READ AND UNDERSTAND
OWNERS SIGNAT RE DATE
Cd 5 STAFF USE ONLY
1510
Special Conditions:
Adjusted Valuation:
1i{/61'za
Plan Check Fee:
100. 00 .
Permit Fee:
2.57. ?,
Manu home Fee:
Misc Fees:
.
ISDS Fee:
Total Fees:
.35/. z,'
Fees Paid:
(00. 00
Balance Due:
25 /. t5
131' No & Issue Date:
ISDS No & Issued Date:
_ 16L
Setbacks:
ZS, 2,5t,(0
OCC Group:
gC
Const Type:
Zoning:
iu
BLDG DEPT.
ot.,...44.---S, / Zy?'{O
PLNG DEPT:
,,,,,,,,4,,A. 7/A5*
AP OVAL DATE
AP ROVAL DATE
Building Plan Review
Description of Work: remodel/ finish basement
Bin #:
Location Address: 0076 MOUNTAIN SHADOWS DR
GLENWOOD SPRINGS, CO
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -I 1-10-6659
Parcel: 211934404014
Application Date: 11/22/2010
Owner: Scott Black
Applicant: Scott Black
Applicant Phone: 309-0359 Email:
Building
Planning/Zoning
P( Engineered Foundation Property Line Setbacks
AIM Driveway Permit 30ft Stream Setbacks
A-17Surveyed Site Plan / Flood Plain
/
Af A. Septic Permit and Setbacks Building height
ti/� `
Grade/Topography 30% Toning Sign -off
Attach Residential Plan Review List Ay/4 Road Impact Fees
/ Ai
Minimum Application Questionnare HOA/DRC Approval
Subdivision Plat Notes GradelTopo. ra - h 40%
9 p Y
AK 4 Fire Department Review Planning Issues
/ /
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions v/AfitiA hal4 r' 11, $IQ. Z O (±tiofCx
33.68
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Application Signed i�CV+.ui 'F 'thee 7-51. z S
Plan Reviewer To Sign Application
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Parcel/Schedule
j5VZJ`Parcel/Schedule No.
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N/41
40# Snowload Letter - Manu. Homes
Soils Report
The following items are required by Garfield County for a final Inspection:
1) A final Electrical Inspection from the Colorado State Electrical Inspector.
2) Permanent address assigned by Garfield County Building Department and posted at the
structure and where readily visible from access road.
3) A finished roof; a lockable building; completed exterior siding; exterior doors and windows
installed; a complete kitchen with cabinets, sink with hot & cold running water, non-absorbent
kitchen floor covering, counter tops and finished walls, ready for stove and refrigerator; all
necessary plumbing.
4) All bathrooms must be complete, with washbowl, tub or shower, toilet, hot and cold running
water, non-absorbent floors, walls finished, and privacy door.
5) Steps over three (3) risers, outside or inside must be must have handrails. Balconies and decks
over 30" high must be constructed to all IBC and IRC requirements including guardrails.
6) Outside grading completed so that water slopes away from the building;
7) Exceptions to the outside steps, decks, grading may be made upon the demonstration of
extenuating circumstances., i.e. weather. Under such circumstances A Certificate of
Occupancy may be issued conditionally.
8) A final inspection sign off by the Garfield County Road & Bridge Department for driveway
installation, where applicable; as well as any final sign off by the Fire District, and/or State
Agencies where applicable.
A CERTIFICATE OF OCCUPANCY (C.O.) WILL NOT BE ISSUED UNTIL ALL THE
ABOVE ITEMS HAVE BEEN COMPLETED.
A C.O. MAY TAKE UP TO 5 BUSINESS DAYS TO BE PROCESSED AND ISSUED.
OWNER CANNOT OCCUPY OR USE DWELLING UNTIL A C.O. IS ISSUED.
OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN
ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES
UNTIL ABOVE CONDITIONS ARE MET.
I understand and agree to abide by the above conditions for occupancy, use and the issuance of a
C.O. for the building identified in the Building Permit.
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OWNERS SIGNATURE
Bapplicationdecember2007
DATE