HomeMy WebLinkAboutApplicationGørfield County
RECEI
Community Development Department
{.ifl i' ¡ 11 ;liliïi 108 8th street, suite 401
GARFIELD COUrlfotood springs' co 81601
coMMUNTTY orurror"J*t, lsTol s4s'82:r2
www.Aarfield-cou ntv.com
WPE OF CONSTRUCTION
M
Residential , Duplex or
INVOLVED PARTIES
Demolit¡on
Reroof
FEET
J Phone: (3CI3 | 5 32 -114I
Ct t>¡
Phone:
Phone:fl+o I btg- Òr:'\s
Phone: flfu flIÅ-3131--
Phone:
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a fo
mily
Multi-Leve
h.iProperty Owner:
Mailing Address:
Email Address:
Contractor:J)ono ( -- J;ff
Mailing Address
Email Address:
"50
Architect:
Mailing Address
Email Address:
Engineer:
Mailing Address:
Email Address:
Manufactured Home lnstaller:
PROJECT DETAITS
Describe Work:
Job Address:
Lo
V
Mailing Address:
Email Address:
+J 7
o 14
Assessor's Parcel Number:211ilØ b3
Sub.(-a,i\ a;.- ß¿'}ts Ex r,^.*l-,'¿,nr tot 'D -Z Block
Owner's Valuation of Work:Property Size (Sq. Ft. or Acres):
R¿-tn o fofFSq. Ft. of Building:
Class of Work:New
BUILDING PERMIT
APPLICATION
Addition 32'l s+
Garage tûL Attached
Llb,5?b
Iqt- 3"
Deta
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PROJËCT DÊTåII.S CTNT¡I{UED
Sepfic:
; rypeotrleti,
: ...
Cornmun¡ty
Electric Other
Ðr¡vewåy Permit #:
Fermit:<.f ,"sh
tlr0TtcE
Authoritv. This app{ication for a Euilding Permit must be signed by the Gwner of the proFertY, described above,
or an authorized agent. lf the signature below is not that of ihe Owner, a separate letter of authority, signed by
. the Owner, must be provided with this Applieation.
, leqal Acress- ,+ Builåing Permit cannot be issued without proof of legal and ãdequate act'ess to the properfy for '
purposes of inspections by the Building Division.
, û¡thet Perrnits. Multiple separãte perm¡ts may be required; {1} State Electrical Perm¡t, {2} County OWTS Pernrit, ,
I {:) another permit required for use on the property identified above, e.g. Stäte ûr County H¡ghwaY/ Road Access
.: or a State Wastewater Discharge Permit.
' Vold PermÌt. A Building Permit becornes null and void if the r,vork authorized is not commenced within 18Û days
' of the date of lssuance and if work is suspendeci or abandoned for a period of 1Bt days after commencemeni'
cERTrËICATlOn¡
' t hereby certify that I have reaci this Application ancl that the ínforn'ratiçn contaíned above is true and correct. I
' understand that the Building Ðivision accepts the Application, al<lng wÍth the plans and specifÍcations and other
; data submitted by me or Ðn my behalf {submittals), based upsn rfiy certification as tü accuracy- Assuming'
completeness of the subnrittals and approval of this Application, a Building Permit will be issued grãnting
' permission tû rne, as Owner, ta construct the structure{s} and facilities detailed on the submittals reviewed by
, the euilding DivisÍon. ln conslderation of the issuance sf the Building Permit, I agree that I and my agents will
conply with provisions of any federal, stãte or local law regulaling the work and the Garfield Ccunty Building
, Code, OWTS regulations and applicable land use regulalions iCounty Regulation{sii. I acknowledge that the
' Building Permit may be suspended or revoked, upon notice from the Countç if the locstion, constÍuct¡çn or use
. of the structureis) and facility{ies}, described above, are not in compliance rvith County Regulation{s} or any
other applicable law.
I hereþy grãni perm¡ssian to the Buílding Division to enter the pr'dlperty, described above, tû inspect the work. I
' further acknowledge that the issuance of the Build¡ng Perrnit does nöt prevent the Building Official from; {L}
regr"riring the eorrection of errors in the submittals, ii an¿ discovered after issuance; or {2} stopping
; constructior¡ or use of the structure(s) or facility{ies} if such is in violation of Couniy ßegulation{s} or any other
: applicable law. Review of this Application, including submíttals, and inspections of the r,vork by the Building
, Division do nat cr:nstitute ãn acceptance of respor¡sibilíty or llal¡ility hry the County of errors, omissions or
. d¡screpancies. As the Owner. I acknowledge that responsíbility for compliance with federal, state and local fær¡¡ç
and County Regulations rest with me and my authorized agents, íncluding witht¡ut limitatíon rny architect
, engineer and/ or buílder
t hereby acknowledge that I have read and understand the Notlce and Certification above, as well as, have
provided the required informatien is correct and accurete to the best of my knoulledge
¡a/rø 1r î
Date I
Propeßy- Owner
ÛFFICIAL USg OÍ.¡LY
Special Ësnditians:
Mi¡cníânuFee:Check Fee:Planþq Fee:Valuation:11t.
L 0
Salance Þue:
6 tAb.74þ4>.>7
ß{anst. Type: l<¿CIccGr6up:llR¿
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tþløt<
Date
gullÐlstG / PLÂNNI$ç ÐlVlSlON:
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Garfield Coanty
BUILDING DEPARTMENT
108 E¡ghth Street, Su¡te 407, Glenwood Spr¡ngs, CO 81607
Tel: (970) 945-8272
PLAN R EVIEW CHECKLIST
permit No: þv?E-lo -14- bïlz
Building lssues Planning/Zoning Issues
Engineered Foundation
Driveway Permit NA
Surveyed Site Plan
Septic Permit and Setbacks
'/ Grade/ Topography 3o%
Attach Residential Plan Review List N/A
N/A
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
./
tl/a
N/A
Subdivision Plat Notes
Fire Department Review
Va luation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Description & Summarv:
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Parcel/ Schedule No
\Ø,40# Snowload Letter - Manu. Homes
Soils Report
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