HomeMy WebLinkAboutApplicationGarficld Coanty
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Cornmunity tÞvelopment Depãrtment
1o8 8s Street, Sulte 401
Glenwood Springs, CO 81601
{970} 94s-8212
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Manufactured Home {lllelq o!49 Lti- Le!9r }
Residential orT Reroof
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Property
klaíllng Address:
ch¡ner: .J¡.:gt t û-Jl,+,I,\E CILDET-\Phone:t3o7 t Stl .q.o8c:
CD 0
I gman Address:J &9ot-\ G - \ t-nl FÀ-eTr}Q-,
contr..tor C phone:rtlo r îlob ^38à7
Mailing Address:(-Ð
E¡nail Address:CRNTNF F-Sråt{bu\\-s Q- cÕ $Ér
Ar€hlt€ct:Gæw \Å,A phone:rt1o ¡ b\b +3+b
r Mailing Address:t.tÆ-
Emall Address:
Engineer:
Malllng Address:
Ema¡l Address:
Manufactured Home lnstaller:
ô.Phone;r Q 1o ' 145. gbtv
Phone: ( I
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MailingAddrerr, ''
Emall Address:
FROJSC?OETA¡Is
Describe Work:\¡rgo
Job Addresc:zúzn
As¡esso/s Parcel Number:lbThL+3t * oo4
sub. U} ôoÞeN çÈE$L *, .Ú Brock '-
Owner's Valuat¡on of Wodc 3 te0 00s o Property Size l$q. Ft. or Acresl:
Sq. Ft. of Bullding:Height:Lã.9lfil,rr) *or
(Iess of Work:Addition
ì Garage:
Y-
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a '].
it Remodel/Alteration
Detached
Z3¡ t c)
PROJECT DETAII.S COl,¡TlNUEf)
Septic:
Heat:Gas
Community
ÈtÁctric Other
; Drlveway
. P-g¡mit¡
tr¡oTtcE
Authoritv. This application for a Building Permìt must be signed by the Owner of the property, described above,
or an authoriued agent. lf the signature below is not that of the Owner, a separate letter of authoritY, signed by
the Owner, must be provided with this Application.
leÊal Access- A Building Permit cannot be issued w¡thout proof of legal and adequate access to the property for
purposes of inspections by the Euilding Division-
Oth€r per{n¡ts. Multiple sepärate permits may be required: (1) State Electrical Permit, {2) County OWTS Perm¡t,
{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 ¡s not commenced within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commençement.
cERT|FTCÂnO¡¡
I hereby cert¡fy that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the ApplicatiÞn, along with the plans and specifìcations and other
däta subm¡tted by me or on my behalf {submittals}, based uPon my certification as to accuracY' AssuminB
completeness of the submittals and approval of this Application, a Building Permit w¡ll be issued granting
permission to me, ês Owner, to construct the structure{s} and facilities detailed on the submittals reviewed by
the Building Division. ln considerðtion of the issuance of the Build¡ng Perm¡t, I agree that I and my agents will
comply with provisions of any federal, stâte 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, constfuction or use
of the structure(s) and facillty{ies}, described above, are not in compliance with County Regulation{s) or any
other applicable law
I hereby grant permissi on to the Building Division to enter the property, described above. to inspect the work. I
further acknowledge that the issuan€e of the Build¡ng Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if an¡ discovered after issuance; or (2) stopping
construction or use of the sructure(s) or facility(ies) if such is in violation of County Regulation{s) or any other
applicable law. Review of th i5 Application, including submittal:, and inspections of the work by the BuildinS
D¡vision do nÕt constitute an âccepta nce 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 Re8ulations rest with me and mY author¡zed agents, including withouT limitãtion my architect
Oeslgf,g! _9.lg4e,er and/ o-r builder
hereby acknowledge that I have read and understand the llot¡ce and Certific¡tion âboue, os well as' have
provided the required information which is correct and accurate to the best of my knowledge.
OUlrù 2t12t21
Pr¡nt and Sign Dðtê
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Permit #
I
otFrclAr usE otr¡tY
Special Conditions:
5, oaManu. Home Fee:36Feel^ÌWg'3"
bq?-,,73Total
Const.Group: -rRoSetbacks:
BUIIDING / PLANNING DlVlSlOfi¡
Signed ApProval Dete
3-t
17 ?tfl4
Garfield County
Community Development Department
104 gû Street, Sulte 4O1
Glenwood Springq CO 81601
(9701 94s-8212
www,E¡¡ rf¡eld -county. corrl
$INGLE FAMILY OR DUPLEX BUILI}ING PERIUIT APPLICATION CHECKLIST
ln order to understand the scope of work intended and to expedite the issuance of a permit, it is
important that complete information be provided. Please review this document to determine if you have
adequate information to design your project and to facilitate a plan review.
APPLICATION FORñll: Please make sure the following information is provided on the application.. Parcel number obtained from the County Assessor's Ofüce.. Job address (assigned physical address). Legal Description: block, lot, tract, subdivision, filing, or section, township and range.r Owner's nâme, mailing address, phone, fax or cell.¡ Contractor's name, mailing address, phone, fax, or cell.r Architect andlor Engineer's n¿¡me, mailing address, phone, fax or cell.. Building size, height, number of stories and lot size.. Type of Construction (Residential).
. Class of Work (New, Remodel/ Alteration. Addition, Repair, Move/ Relocation).o Detailed description of work.. Type of heating (natural gas, propane, electric, other).. Sewer system (Community or OWTS), also see other items belowr Garagê (Attached or Detached).. Driveway permit (please see other items below).r Valuation (labor and materials), see attached worksheet.
OTHER ITEiJIS:
r WLDFIRE MITIGATION - All Garlìeld County property owners are recommended to ernploy
wildfire mitigation strategies in the development and construction of all buildings throughout the
County. Please refer to the following publication: "FtreWse Õqnstruction: Site Desiqn & BULdüq
S4gte¡aj{ which is available from the Colorado State Forest Service for specific wildfire mitigation
strategies applicable to your project.. lf you anticipate obtaining a water-tap from the City of Rifle, please provide a letter indicating thai
the City wifl provide water service. Required to submit buildlng permit application.r OWTS requires a septic permit applícation to be submitted with the building permit application.r A separate electrical permit must be obtained from the State of Colorado Electrical Board.r At the time of building permit submittal, you arê required to show proof of legal and adequate
access 1o the site, This may include proof of right to use a pr¡vate easement, County Road &
Bridge permit, or Colorado Department of Highway permit, incfuding a Notice to Proceed. The
County Road & Bridge Department can be reached at 970-625-8601.. lf you anticipate excavating or grading prior to issuance of a building permit, you will be required
to obtain a separate grâding perm¡t.. lf you belong to a Homeowners Association (HOA) it is your responsibílity to obtain written
approval, if requíred.. Provide copies of any Resolutions and/or Land Use Permits associated with this property.
Gø$ield County
Csmmunity Devetûpment Departrñent
108 8th Street, Suit€ 401
Glenwood Sprlngs, CO 81601
(e70) 345-8212
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Lot:
fu+a)l¿{:.¡å>i.È&¿-Þcc$Ëi.VJAddress
Elock:
. gi'l
inished for Manufactured *-telb f þtrorjÇÉ rÀþ$)$74.68
Basement $41.û0
ce 29*4 $1"8 0C
Garage {Conditioned} {i.e. in sulation, sheetrock)qÕq $3?49
$24.00vv*$r8.ûo
Un q¿2-St2
Misc:
M¡5c:
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Level
New rnsta¡lâtion {5123)
5o.ooffi
Plan Review Fee
Br.rílding Permit Fee
Homc Set-Up Fee
Fee
Other {Ex: Road lmPact Fee}
+**All fees are r¡ttil plan completed""n
Framing plans for eash floor level and roof. All beams, columns, joists, rafters and trusses
spec¡f¡ed. Pre-manufactured strudures reguire the engineers stamp, signature and date.
Framing lconnection details, braced wall lines, shear wall schedule, location and hold downs.
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
and/or plans for compliance, the application may be placed on hold untilthe required information is
provided. Work may not proceed without the issuance of â përmit.
The Building Division will collect a Plan Review fee at time of application submittal. The permil fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit appl¡cat¡on must be signed by the ownÊr or by person having written authority ftom the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occtpancy (CO) is issued. Using the building without a
tO will be considered an illegal occupâncy end mây 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, underetand and will abide by the requiraments of this
cheeklist,
OU2,,2t12t21
Owner Prinl and Sign Date
a
a
Gør.field County
BUILDING DEPARTMENT
108 Eighth Street, Su¡te 407, Glenwood Springs, CO 81607
Tel: (970) 945-8272
PLAN REVI EW CHECKLIST
Permit No: B¿6¿'- A*Z/- bé?A
Building lssues Planning/Zoning lssues
t/
ercrnþl'
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Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
t '/ Subdivision Plat Notes
Property Line Setbacks
N/ft 30 ft. Stream Setbacks
N/rt Flood Plain
Building Height
Zoning Sign-Off
t/
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
dao Road rmpact Fees öA70A,OO
Grade/ Topography 40%
'/ Planning lssues
Subdivision Plat
General Comments:
N/A
t'/ Application Signed
l/
Plan Reviewer to Sign Application
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
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