HomeMy WebLinkAboutApplicationßU{L-ÞltfG
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
leTole4s-82L2
www.garfield-countv.com
CONSTRUCTION
Commercial/Multi-Family
Manufactured Home le or Multi-Level
Residential (SF, Duplex or Townhome)
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Garfield County
BUILDING PERMIT
APPLICATION
INVOTVED P4lIrEs CrqêtL//Ue p ._t/Aøgùr
Property Owner:
Mailing Address:
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Aeer 3
Email Address:
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Contractor ft4 /I,tø &t)l'/a.t phone: ,?7o , zú. ?gol
Mailing Address
Email Address:
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Mailing Address
Email Address:¿ilrau q- +4,&e . Cozn
Engineer:Phone: I
Email Address:
Mailing Address
Mailing Address
Manufactured Home Installer:Phone:
Email Address:
PROJECT DETAITS
Describe Work:
Job Address:7 ,-fu*or, ¡)"¿{1" (r¿-t j-- (- (¿,
Assessor'sparcetNumber:,3.7ç 4 ¡'V+ P / A tq
tot I Block
-
Sub.
Owne/s Valuation
5q. Ft. of Buildingr
Class of Work:ition
I Garage:
New
hed
Remodel/Alteration
Detached
DSTAII.s CONTINUED
Septic:Community
atural Gas Propane Other
Driveway
Permit:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
or an authorized 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.
Lesal 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 Pernrils. 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.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within L80 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 Euilding 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, I agree that I and my agents wlll
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) 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
constructÌon 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 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
dg¡!e¡e1 gnsi¡egr an{/or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the req uired information which is correct and accurate to the best of my knowledge'
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Property Print and Date
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*'(øxtàt*r Pn,¿u Permit #:
Type of Heat:Electric
OFFICIAT UsE ONLY
Special Conditions:
Rermit Fee:
63ot'/. z5 Manu. Home Fee:ñ/ft Misc. Fees:N/*Adiusted Valuation:6ts.4/4.u 9lan Check Feett4î.71
Balance Due:
ézsq,lÉ We-w OWTS No: InløTotal lees:ö son qb Fees Paid:f lrt.rl
Co
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Zoning: RUR¡rL.KSetbacks:
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occ GrouP: tr<c, 1r,¿ )
BUttDtN6 / PIANNTNG D|V|S¡ON
Signed Approval Date
3-tb
co)n
Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specífied. Pre-manufactured structures require 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 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 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 thisI
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Prope Owner Print
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Date
Garfield CountY
BUILDING DEPARTMENT
108 E¡ghth Street, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLA N REVIE W CHEC KLIST
Permit No: Øt-Rl -CIz-Zl-6V07-.
Planning/Zoning lssuesBuilding lssues
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N,A
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La
N A
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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 /V +
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No'
40# Snowload Letter - Manu. Homes
Soils RePort
v/ ProPertY Line Setbacks
^l
A 30 ft. Stream Setbacks
U Flood Plain
l,a Building Height
Zoning Sign-Off
N Road lmpact Fees no ne)t') li't¡ry+
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
Descri otion &Summa rv
Barn Addnovt
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4{^ust-e/ buillin1 valmtin# tør+t+