HomeMy WebLinkAboutApplicationGarfield County
(
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ol94s-8272
m*ww"garf ie ld-county. com
TYPE OF CO}ISTRUCTION
Commercial/Multi-Fam
ll'tVOLVEÐ PA$TIES
Property Owner:
Mailing Address:
EmailAddress:
a
Phone leo
NI
o
Phone:
Demolition
OÒã
¿41
5ùl
C
Contractor: f-citt.',.1 a-{¡o rrr -Q.¿æOì f Phone: ( Q7ô) a+.r - CrqÃrì
Mailing Address
Email Address:
(t Í)
^
,{1,f
¡tectArch
Mailing Address
Email Address:
Enginee ,, ?û.r,t\ b,r'rrctr,+Phone:-i iq 85
'-.1
I Email Address:
Manufactured Home lnstaller:
Maíling Address
Mailing Address
Tr C{r Lalou'()S 5
I oc(- ' c-üÍv\
Phone:
Email Address:
fio{Ecr gFlAßjs
Describe Workr vr sìoìli 1-o
Job Address:3q 3
Assessor's Parcel Numbe rt â t Û t O''lL{ OO ,}Ø B
r sub. 5i tt r ! Crv-t Lot _ Block
Owner's Valuation of Work: S oc)
Sq. Ft, of Building:
Class of Work
I(ËL{ J
Property Size (Sq. Ft. or Acres): 3 35 O,c¡e.S
# of Floors: I
Addition /
Manufactured Home (Single or Mult¡-Level)
Residential (5F, Duplex orTownhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF SQUARE FEET
New
.l
Remodel/Alteration
AttachedGarage:
3. o4É Height:
Detached
,r
I paoier* orrn¡r coNTINUED
Septic:
Driveway
Permit:
Community
Permit #:
Other
Authoritv' ThisapplicationforaBuildingPermitmustbesignedbytheowneroftheproperty,describedabove,
oranauthorizedagent' lfthesignaturebelowisnotthatoftheowner,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 forpurposes of inspections by the Building Division.
other Permíts' Mult¡ple separate permits may be required: (1) state Electrical permit, (2) county owrs permit,(3) another permit required for use on the property ¡dentified above, e.g. state or county Highway/ Road Accessor a State Wastewater Discharge permit.
rvoidPermit' ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinLg0days
ifffnealtelissualcean!ifworkissuspendedorabandonedforaperiodof lS0daysaftercommencement.
CERIIFICATION
I hereby certify that I have read this Application a nd that the information contained above is true a nd correct. Iunderstand that the Building Division accepts the App lication, along with the plans and specificatio ns and otherdata submitted by me or on my behalf (subm ittals),based upon my certification as to accuracy Assumingcompleteness of the submittals and approval of this Application,a Building Permit will be issued grant¡npermission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed bythe Building Division. ln consideration of the issuance of the Building permit, I agree that I and my agents willcomply with provisions of any federal, state or local law regulating the work and the Garfield County BuildingCode, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that theBuilding Permit may be suspended or revo ked,upon notice from the County, ifthe location, construct¡on or useof the structure(s) and facility(ies), described a bove, are not in compliance with County Regulation(s) or anyother applicable law
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. Ifurther acknowledge that the issuance of the Bui ding Permit does not prevent the Building Official from (1)requiring the correction of errors in the submitta s, if any, discovered after issuance; or (2) stoppi ngconstruct¡on or use of the structure(s) or facility(es) if such is in violation of County Regulati on(s) or any otherapplicable law. Review of this Application, inclu ding submittals, and inspections of the work by the BuildingDivision do not constitute an acceptance of resp onsibility or liability by the County of errors,omissions ordiscrepancies. As the Owner, I acknowledge th at responsibility for compliance with federal, state and local I awsand County Regulations rest with me and my a uthorized agents, including without limitation my architect
dÞ
Type of Heat:Natural Gas Propane Electric
des engineer or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as,haveprovided the required information which is correct and accurate to the best of my knowledge
cu{tao¡ì¡¡{t-q^^h0"+lnl oaO
Property Owner Print and Sign Date
OFFICIAI. USE ONLY
lÅ91 o( aød,óhy.
Special
?u
usted Valuatíon Check Feez.rmit e Fee:Man Misc. Fe
al Paid:Balan e;k
9"10 occ Group: lpl Const. Type: RC Zoning;
BUILDING / PLANNING DIVISION
Approval Date
q/¿lzorc
I,,
Gørfield County
BUILDING DEPARTMENT
108 E¡ghth Street, 5u¡te 401, Glenwood Spr¡ngs, CO 87601
Tel: (970) 945-8212
,' \.! ,..t a.'fl1..,
/1
PLAN REVIEW CHECKLIST
Permit No: Þl¡1ç- 06-u- b444
Building lssues Planning/Zoning lssues
N/A
N/A
N/^
¡.lA
NA
N/A
tve
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Description & Summarv
t/Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
ftalvøfi ov o( futu',Jaat u Rlt?ltttq'
+Þt
t 0Ø. 00 (ao ø,øwí+l¿,)
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
andlor 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 wíll collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road lmpact fees will be coflected 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 Cedificate of Occupancy (CO) is issued. Using the building without a
CO wilt 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.
8l tr I 'âoåo
Property Owner Print and Sign Date
CONDITIONS OF PERMIT
BLRE-08-20-6444
Joe & Kyla Hemelt
Foundation Repairs at Existing Síngle-Family Residence
4343 County Road 335 - New Castle
Sillivan Exemption - Lot 2
L) ALL WORK MUST COMply WlrH 2015 TNTERNATTONAL RESTDENTTAL CODE (r.R.C.)AND
MAN U FACTU RER,S I NSTALLATION RECOM M EN DATIONS & SPECI FICATIONS.
2) TH|S pERMtT tS TSSUED FOR FOUNDATTON REPAIRS ONLY. ADDITIONAL REPAIRS TO THE
STRUCTURE - IF DEEMED NECESSARY BY THE ENGINEER _ WILL REQUIRE A SEPARATE
BUILDING PERMIT.
3) ENGTNEER OF RECORD SHALL FTELD VERTFY INSTALLATION OF STRUCTURAL RESISTANCE
DRIVEN PIERS AT UNDERPINNING OF EXISTING FOUNDATION/FOOTINGS. ENGINEER,S
STAMPED APPROVAL REPORT IS REQUIRED FOR FINAL BUILDING INSPECTION.
4l tF ADDTTTONAL STRUCTURAL FOUNDATION DEFICTENCIES ARE ENCOUNTERED DURING
FOUNDATION REPAIR WORK, IT MAY REQUIRE SUBSEQUENT ENGINEER EVALUATION
AND/OR SUPPLEMENTAL REPAIR DETAILS AS NECESSARY.
5) ¡F GAS METER tS DTSCONNECTED, A GAS PIPE PRESSURE TEST AND TNSPECTION MAY BE
REQUIRED FOR METER RECONNECTION.
6) FTNAL BUtLDtNG tNSPECTTON BY GARFIELD COUNTY BUILDING DEPT. lS REQUIRED AFTER
COMPLETION OF FOUNDATION REPAIRS.