HomeMy WebLinkAboutApplicationputtotNê
Community Development Department
RECEIVEóù 8th Street, Suite 401
Glenwood Springs, CO 81601
19701s45-e2L2
G A R F I E L D O,@ld,ltlltfield-countv'com
COMMUNITY DEVELOPMENT
DIGørficld County
BUILDING PERMIT
APPLICATION
DemolitionComme
Manufacture{ Home (Single or Multi-Level)
Rerooflesidential (SÐ Ouplex or Townhome)
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF SQUARE FEET
{v I
I I
Phonerhwn¿r aç a-l'pv"eConffactor:
Mailing Address:
EmailAddress
Property Owner:
Mailing Address:
EmailAddress:
Phone: û1O t7 ú-LlnlL
I {r
(2 e
Phone:,î10 t>1cf- l3(&/Architect:
Mailing Address
Email Address:
Mailing Address:
Email Address:
^(Z)7
Phone:
t^L
t
ìPhone:I
v telLo
b9C
Manufactured Home lnstaller:
b2"
Engineer:
Mailing Address
Email Address:
DErÄ[S
Job Address:
l,tb acrc
Describe Work:frlrn 9l"r,n, o,l' a . Atllt S'f l¿-
Sg. Ft. of Building:L3fl Height:
ê I t", 5L Btock-
#ol
Su
,5,,t5t
Assessorr's Parcel Number:
000Owne/s Valuation of Work: $Property Size (Sq, Ft. or Acresf:
2mç lo+ 0qo6L
Addition
Detached
RemodeUAlterationew
Attached
Class of Work:
Garage:
: PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
iloncE
Author¡ty. This application for a Building Permit must be signed by the Owner of the 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.
Leqal 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 Perm¡ts. 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 wíthín 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 Applicatíon 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 (subm¡ttals), 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 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, 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 Divisíon to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Build¡ng Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, díscovered 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 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 complíance 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 buil der
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the information which is correct and accurate to the best of my knowledge.
Permit #:
Property Owner Print and Sign
1-..1 lZ*rn** .^>.1>d>t;J" f
PÀCI
.t EEA.
ÉÞ
órn-lÃi usE oNty pD. I l.¡R.tl-6 c¿ atþrlæ21
Special Conditions:
.Adjusted Valuation:
þ 2+0.7Ø2,roø
Plan Check Fee:$tsq"ß Permit Fee:
# t.zsz 36 Manu.
ñ
Home Fee: I Misc. Fees:lx $'/, 37-1. *c Ro¡tB tr
5T¿ D
Total fees:
þ2-q42,53
Fees Paid:
$l,ot7,o9
Bafance Due:{t 4o3,1rl
BP No:
gL߀- -npl OWTS No:
CorlrrvNtll/
setbãcks a OCC Group:lRc
,l Const. Type:
l3f-.
Zoning:
OvÞ
/re/-*%;á*,3-lBUILDING / PTANNING DIVISION :
Signed Approval Date
r42,
. Framing plans for each floor level and roof. All beams, columns, ioists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
o Framing /connection 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 Otficial 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 affached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
il>J*t
Print and Sign Datå (
Tè..y fZ*o ^4r/4a-t'e
Garfi,eld CountY
BUILDING DEPARTMENT
108 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 87607
Tel: (970) 945-8212
PLA NR EVI E W CHE CKLI T
Permit No: B¡BE-03-21- b7tl
Building lssues
ÑA
Engineered Foundation
Driveway Permit
Surveyed Site Plan
NA Septic Permit and Setbacks
Planning/Zoning lssues
À,4
t/
y/
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
t/NA
NA
/
fV
l/ soils Report
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Rev¡ew
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
'/ Road lmPact Fees
t/Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
Desc riotion &Summa rv:
RIF = 57r, ng ?,,lXz Ph. llt st1a-1[*ea-
i'1 3+t, * 8Þ
't
o on elqn oleàd
'iis{-
tlrÁel Lvlng zø5t4 xû74,bØ -- * n45vz, bB
Lonà q^rq b7bÉ x t ez = ( 21, baz'oo
c- p"/dJ 67v+ x+ et : $ lo23tLl,Ø
orailler t 28+84 x .* lg = + ?ztZbLl, æ
Stllaliy.
n vØ^tu/
Aà¡wøl Bvitd;n2 Val vLotìon #zørZøZ,bg