HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8"' Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
TYPE OF CONSTRUCTION
BUILDING PERMIT
APPLICATION
Commercial/Multi-Family
Q Manufactured Home (Single or Multi -Level)
ResidentiallSF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
emolition
Reroof
INVOLVED PARTIES
Property Owner: < 1; c c( 1• ? oyc . Phone: ( VS8 ) 3i5"-- .=4
Mailing Address: ) IAS CR )10 6ws CO iSI%OI
Email Address: Iley6.Mi6Le1.re) 9.--1,,,a. op"
Contractor: 1 Mt) L.1. Phone: ( 6170 ) c74- $r1/i
Mailing Address: 1601 Mlle_ Creek I24st. i2A c r& ctt (0 V6A3
Email Address: wry +•ate: i eeni
Architect: Ro! put$ScI/ Phone: ( 6If/0) 355- 613. SC
Mailing Address: 149 c I4 A ear& Ag4ie Co g) 3
Email Address: rob 9ro,,, 'c1 sp''°i 1 coil,
Engineer: Saver aGv, 5tnititre5 Phone: ( q70 ) 3$5- °1)69
Mailing Address: 133 Pf t.46-- I Unri i/ 4P-11 CO SO
Email Address: 0%0yr- 4100 *drys. net -
Manufactured
Home Installer: Phone: (
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: p„:14
L. VC4cr14 )
Job Address: ) (0 (R. 110
Assessor's Parcel Number:
Sub. +, Lot Block
Owner's Valuation of Work: $ 4 0,1-30. 00 Property Size (Sq. Ft. or Acres): �extreS
fa73 Height: P Q, 141'# of Floors:
Sq. Ft. of Building:
Class of Work:
Garage:
New
Remodel/Alteration
Addition
Attached
Detached
I filmy DETAILS C ATINUED
Septic: j OWTS ` F
Propane
Type of Heat: ; Natural Gas
Community
Electric I Other
Driveway I Exempt _- µ Permit II:
Permit:
NOTICE
Authority.This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. If the signature below Is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Legal Access, A Buliding Permit cannot be issued without proof of legal and adequate access to the property for ,
1 purposes of inspections by the Building Division.
Other Permits. Multiple 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.
Witt 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.
Y
•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. In consideration of the issuance of the Building Permit, I agree that I and my agents will
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, 0 the location, construction or use
of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any
•
other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Building 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 Regulations) or any other
applicable law. Review of this Application,_ including submittals, and inspections of the work by the Building
Division do not constitute 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
designer, engineer 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.
I "'e—e eit/L//2C)
Date
Property Owner Print and Sign
OFFICIAL, USE pm. :r 4ut..:,N- r:�: s . :'' ---2 :. _
... .... r� ,: -:—•‘-..4.•§:,•,,..:,4..),.:... . r
Special Conditions:
j steel Valuation:
74I,410.ab
Pan Check Fee:
`# £
Permit Fee;_
Lie' .di
Manu. Ho a Fee:
Misc. Fees•
Tptal� :h�
les
.?1 Jr
5Q(941.2 `
OWTS No:
1J/A -
B T' Ofq-17
s r
tIPcks S� (Q
OCC Group: 1R
Const. Type: IRC
Zoning: g , I
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fr
BUILDING / PLANNING DIVISION :
/ + "
1bh`90-10
Signed Approval
Date
ifi# 359.35, ZI'$, 9110107
• Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre -manufactured structures require the engineers stamp, signature and date.
• Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: ff 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 Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any 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.)
1 hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
Property Owner Print and Sign
?//
Date
�.L Garfield County J
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: 454.42-01-20-
Building
51R-6q-20-
Building Issues
7
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Yom` Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
' VA Subdivision Plat Notes
N/A
Fire Department Review
Valuation Determination/ Fees
%• Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
/r
N/A
Planning/Zoning Issues
40# Snowload Letter — Manu. Homes
Soils Report
N/A
Property Line Setbacks
30 ft. Stream Setbacks
191 Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
r A Subdivision Plat
Description & Summary:
N40 &IW4 Aro- --
2i X 46 I) 24 g•r
ala 4u�i,�0�
A) �a5 i 3a. _ & 41) 440.00