HomeMy WebLinkAboutApplicationGarfield County
BUILD¡NG PERMIT
APPLICATION
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701e45-82L2
www.garfield-cou ntv.com C1
DemolitionCommerciaUMulti-Family
Manufactured Home (Single or Multi-Level)
I ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 FEET
Allen J. HeiserProperty Owner:
New Castle, Co 81647
Phone:
Mailing Address:128 Glen Eagle Cir.
EmailAddress:alheiserl @gmail.com
r801 ì599-9021
Mailing Address:
EmailAddress; ,
self Phone t)Contractor:
Architect:
Mailing Address:
EmailAddress:
)(
Engineer:
Mailing Address:
EmailAddress¡ ,
I
Manufactured Home Installer: Phone:
Mailing Address: -
EmailAddress: ,
add a 1 levelfamily/dining room with 1/2 bath
212334404010Assessoy's Parcel Number:
sr6. Riverbend 2nd
16'
.4645,000
Height:
Describe Work:
Job Address:128 Glen Eag le Cir. New Castle, CO 81647
1
Owner's Valuation of Work: $
Sq. Ft. of Building:510
Property Size (Sq. Ft. or Acres):
#of
tot 10 glock 2
r'AdditionRemodel/AlterationNewClass of Work:
DetachedAttachedGarage
PROJECT DETAILS CONTINUED
r Sept¡c:
of Heat:Natural Gas
Driveway
Propane
Community
Electric
Permit #
OtherI
Author¡tv. This application for a Building Permit must be signed by the Owner of the property, descri bed above,
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.
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. Multiple separate permits may be requíred: (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 Díscharge 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.
I 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 Appl¡cat¡on, 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, lagree that land 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 permíssion 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 Regulation(s) or any other
applicable law. Review of this Application, including submittals, and inspections of the work by the Building
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
desi neer and/ or builderr
I hereby acknowledge that I have read and und erstand the Notice and Certification above, as well as, have
provided the requ ired information which is correct and accurate to the best of my knowledge.
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Owner Print and Sign Date
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Special Conditions:
Misc.09_Permit Fee:
ç532,65 A
me Fee:
N
Manu.Plan
t g't Check Fee:b,22Valuation:
OWTS No:
¡l /¡
BP No:
ELßE'nq?
Fees Paid:
l34azz
Balance Due:
5s
Total Fees:
6s?8,
Zonine:
PVConst. Type:lÊ(-OCC Grou¡: aSetbacks:
0
Signed Approval
BUil.DtNG / PIANNING DIVISION :/-5-.2
Date
&/k'r-%zÁ,
Gørfield County
BUILDING DEPARTMENT
108 E¡ghth Street, Su¡te 407, Glenwood Springt CO 87607
Tel: (970) 945-8212
PLAN REVI E W CHECKLIST
Permit No: BLRl-A2l- b7+Y
Building lssues Planning/Zoning lssues
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Engineered Foundation
Driveway Permit
Surveyed Site Plan
Seotic Permit and Setbacks'"narl<d "Ømmunt
Grade/ TopographY 30%
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision PlatL/
r/ Red Line pra ns/ Stamps/ Sticker
t/Attach Conditions
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Val uation Determ¡nation/ Fees
Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No'
Descript ion & Summarv:
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Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specifieO. Pre-manufactured structures require the engineers stamp, signature and date.
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 Official that additional information is necessary to review the application
and/or plans ior 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 subrnittal. 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 wilfbe 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.
î r 5 ^/1,7/
Property Owner and Sign Date
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