HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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www. ga rf ield-countv.com
Manufactured Home lnstaller: Phone
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work:rUQ,t/ /,ArYL e-
JobAddress: TBD ' PlNYoF,l MÉ,s4 DA,
Assessor's Parcel Number: Z3 q 3 ' Ol .ot. coos
Sub.Ftß. J 3 Block-
Owner's Valuation of Work:Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:?na t7 # of Floors: 2
Lot
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BUILDING PERMIT
APPLICATION
Com mercial/M u lti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
t Dwell Unit DU - MAXIMUM SIZE OF 1,OOO SQUARE FEET
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¡NVOIVED
Property Owner:
Mailing Address:
Email Address:
-.zrû//rn Phone:
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d -.ul¿/ lrrz oContractor:
Mailing Address:
Email Address:
Phone: tWot%Yq'Z2€
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Architect:
Mailing Address:
Email Address:
Engineen -KV+t, è. fssoctkT€S êPhone:
Mailing Address:
Email Address:
Remodel/Alteration AdditionClass of Work:
Garage:d
Height:&9,.
Detached
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PROJECT DETAILS CONTINUED
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.
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L-/Property Owner Print and Sign Date
]WTS mmunity
Other
Septic
Type of Heat:Natural Gas Propane Electric
Permit #:Driveway
Permit:
pt
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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.
Itiple 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 after commencement.
Other Permits. Mu
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 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 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 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 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
designer, engineer and/ or builder.
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Special Conditions
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Adiusted Valuation:
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Plari Check Fee:
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Permit Fee:
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Manu. Home Fee:u/¡Misc. Fees:
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Total Fdes:
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Fees Paid:
$ t,¿1,t .o ô Balance Due:
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BP No:
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OWTS No:
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Setbacksn rUWI_ÔL OCC Group:rR(-Const. Type:
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Zoning:PUÞ
Mr.r",BUILDING / PLANNING DIVISION :
Signed Approval Date
i'rit:
Garfteld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701s4s-8212
www.ga rf ield-cou ntv.com
lica nt:P one:
Project Address
bdiùsion:Lot Block
***All fees are estimates until final plan review is completed***
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BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
s74.682786Finished Livins Space (N/A for Manufactured Homes)
s41.00Unfinished Basement
1435 s18.00Crawl Space
s68 S:z.ooGarage (Conditioned) (i.e. insulation, sheetrock)
s24.00Garaee (Unconditioned)
s18.00309Covered Patio/Deck
S12.ooUncovered Patio/Deck
so.ooMisc:
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Misc:
5o.ooSinsle Level(5400)
50.00Multi-Level (S600)
s0.00New lnstallation t23
so.ooAlteration and/or s)ir
Plan Review Fee
Building Permit Fee
Manufactured Home Set-Up Fee
Septic Fee (OWTS)
Other (Ex: Road lmpact Fee)
This Section Determined by Garfield County
So.ooTotal Fees Due
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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 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 this
checklist.
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rty Owner Print and Sign Date
Garfield County
BUILDING DEPARTMENT
L08 Eighth Street, Suite 407, Glenwood ,pr¡ngs, CO 87607
Tel: (970) 945-821"2
PLAN RE V IEW CHECKLIST
Perrnit No: t LRE-0?2þ 6787
Pla n n i ng / Toning lssues U,DBuilding lssues
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Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
soirs Report (UTUAK 2l'44q
N/ Ftood Ptain
C1l\IÏ.' Buitding Height
t/Zoning Sign-Off
\Fl Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
CON¿\ property Line setback , 6e+bvtlKçf
Ñ/+ 3o fr. stream setbacks
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