HomeMy WebLinkAboutApplicationGørfield County
Community Development Þepartment
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www.garfi eld-cou nW.com
WPEOFCONSTBUCÍION
BUILDING PERMIT
APPLICATION
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DemolitionCommercial/Multi-Fa mily
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVEDPÂRNES
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Emall Address:
Property Owner:
Mailing Address:
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Mailing Add¡ess: 73
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Alchitect:Phone: { )
Mailing Address:
Email Address:
Eneineer:Phone: I )
Mailing Address:
Email Address:
Phone: ( IManufactured Home lnstaller:
Mailing Address:
Email Address:
Remodel/Alteration
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PROIECÍ DETAIIS
Describe Work:
Detached
J
ition
Job Address:(
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5q. Ft. of Building:312.='Height:
Owne/s Valuation of Work:00
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31 ßatço*., L^
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Assessor's Parcel Number; Z I
Property size (sq. Ft. or Acres): 2,'6] ît"'9
Class of Work:
Garage:
i PROIECT DgrAllts COiIilNUED
Septic:Community
Type of Heat:atural Gas Propane Electric Other
Driveway
Permit:
NONCE
Authoritv. 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 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 íssued 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 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 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days aflter commencement.
CERTIFICANON
I hereby certifo 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 specificatíons 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 grantíng
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
Buílding Permit may be suspended or revoked, upon notice from the County, if the locâtion, 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 perm¡ssion to the Building Division to enter the property, described above, to ¡nspect 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
construct¡on 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
neer 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.
Permit f:
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Property Owner Print and Sign Date
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Special Conditions:
Plan Check Fee: I Permit Fee:. , /
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Manu. Home Fee:
N/A "o".rñvÆ.Adiusted Valuation:t i. q45
Fees Paid: I Balanc,/Due::f{s.o-f t (ffi,L6 BP No:
Bur<E. bltL OWTS No:
N/A
'Totál Fees:
H n+,Zb
F OCC Group:
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Const. Type:
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Zonine:
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UUt*Ør,âLBUTTDTNG / PIANNING DTVTSTON :'t-zJ-Z!
Signed Approval Date
con ìhon
Garfield Coanty
BUILDING DEPARTMENT
708 E¡ghth Street, Suite 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN R EVIEW C HECKLIST
Permit No:6txs-oz-zFb7gla
Building lssues Pl a n n i n g / Toning lssues l)
Engineered Foundation
Driveway Permit
Surveyed Site Plan
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ñ/A
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N/ft
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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0R)
N/
/
,-/- s"ptic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
L subdivision Plat Notes
N/ft Fire Department Rev¡ew
Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
,/
t/Valuation Determination/ Fees
'/ Red Line Plan s/ Stamps/ Sticker
¿./ Attach Conditions
î/Descri on & Summ
Aà¡'vslet) value-- + \1q5
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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: 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 lssuance 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 this
checklist.
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Properg Owner Print and Sign
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Date