The URL can be used to link to this page

Home My WebLink AboutApplicationGut'field Courtty Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 le7ol945-82t2 www,ga rfield-county.com Demolition Manufactured Home (Sinsle or Multi-Level) hesidentÐ (SF, Duplex orTownhome)Reroof Rìffory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET PARTIES v, BUILDING PERMIT APPLICATION S0q Phone: tQ?0t 3 1 Ll ti 618 CO q i Email Address: Property Owner: Mailing Address: J"ct Phone:Contractor: Mailing Address: Email Addrcss: Architect: E.s\ev c,.n G*\ìecr¿Z Phone: 87A I V'33 26 L{7 ,J .t ô 3 esì-ev t\{\o,q G. Gr'ral\. conn Mailing Address Email Address: zÇo T.ì pp 0.ìuu p..(\e-.LO 6,6S0 Phone: t1'10 t3LL 6k10 !I ôA',.\o,¿\ ßo,.,^ I f\ Engineer: Mailing Address Email Address: Phone:Manufactured Home Installer: Mailing Address Email Address: )1,r) PROJECTDETAITS Describe Work: JobAddress: I (l rot 5 e''ock 2 J .¡V 2 '7 ô Height:Sq. Ft. of Building:'2,q la ß *t \ò., ,.. u Lrrrr\ ¿ \o Assessor's Parcel Number: Owne/s Valuation of Work:Property Size (Sq, Ft. or Acres): Sub. * of floors: ?- Class of Work:AdditionRemodel/Alteration Garage ched Detached \ --- I CONTINUED Septic:munity Electric Driveway Permit: 't NOTICE Authoritv. This application for a Building Permit must be signed by the Owner ofthe property, described above, or an authorized agent. lf the signature below ¡s not that of the Owner, a separate letter of authority, signed by 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. Multíple 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' Void permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true and correct. I understand 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, lagreethat land my agentswill 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)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) orany other applicable law. I hereby grant permission to the Building Dívision to enter the property, described above, to inspect the work' I further acknowledge that the issuance of the Bu¡lding Permit does not prevent the Building Official from: (1) 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 Build¡ng Division do not const¡tute 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 architect d ner,and/ or builder 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. ZcZt Property Owner Print and Sign Date Permit #: 4a@BUTTDTNG / PTANN¡NG DIVISION : 5 XCWTS ><OtherPropaneType of Heat FlNaturalGas ^l OFFICIAL USÊ ONtY Special Conditions: Misc. Fee4¡Manu. Home Fee: l.lAPlan Check Fee: 4 ttnØ.44 Permit Fee:4\ba7,7gAdiusted Valuation:ç,2113ø.00 OWTS No: . ¡ ûfü hntlntruW-H?þFees Paid: *tvlq.Ç0 Balance Due:4t,b66.t t Total Fees: aq7Ò2.2¿( zoning' RlÞ JConst. Type:tt¿ôOCC Group:lQcSetbacks: Fzrzlqblqb o Signed Approval Date Garfield County BUILDING DEPARTMENT 108 E¡ghth Street, Su¡te 407, Glenwood Spr¡ngs, CO 81601 Tel: (970) 945-8212 sILKcEHcWEVERNLAP Permit No: f¡Fç-Ø-?þ. b4Vz Building lssues Pla n ning/Zoning Issues Nl\ Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks 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 Property Line Setbacks 30 ft. Stream Setbacks N/^ / Grade/Topography 3o% Attach Residential Plan Review List / Subdivision Plat Notes Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat Description & Summarv: win wu¿l 40t0 Votlw Ltucl kafuia lltal 2tØ çf, Nl\ NÁ N/A x FA¿ trnry,ú+ ft¿ ., øtì%tø.oo (ø^Íu eistu¿+) vAlwl¿n tnur'4t fuu&-?attoq, 4fux4fr.00,qn6,ÞØ. 1^ . 4t0 , q %.00 ,: %ttØ I "211)2fu. ä70 x ç rc.aO oø A¡oø0. Gørfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (97Ole4s-82L2 www. gq rf i e I d - c_o u nty._qo m BUILDING PERMIT FEE ESTIMATE WORKSHEET 7oz LÓt 6Pone:cant:o!pV¿q)ro dress:Ad R ,/<rqject Block: 2 Finished Living Space (N/A for Manufactured Homes)-, nlnsz-'l)68 Unfinished Basement s41.00 Crawl Space 121 lZ,øKt S18.oo Garage (Conditioned) (i.e. insulation, sheetrock)SEz.oo Garage (Unconditioned)L Covered Patio/Deck n--lr'l 9¿, \'L,I aO s18.00 Uncqvered Patio/Deck Misc Srz.oo Misc:So.oc TotalValuation So.oo Level 400)So.oo 600)So.oo Total Set-Up Fee So.oo New lnstallation (S123)So.oo Alteration arrd/or Repair (575)so.oo TotalSeptic Fee So.oo Plan Review Fee Building Permit Fee Manufactured Home Set-Up Fee Septíc Fee (OWTS) Other (Ex: Road lmpact Fee) This Section Determíned by Garfield County Totäl Fees Due So.oo b ***All fees are estimates until flnal plan review is completed*** NOTE: lf any required iflformation is missing, delays in issuing the permit are to be expected. tf determined by the Building Officialthat 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 illegaloccupancy 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. 7-e7_D Property Owner Print and Date 3