HomeMy WebLinkAboutApplicationGørfield Coungt
Commu nity Development Department
108 8th Street, Suite 2101
Glenwood Springs, CO 81601
(970) 94s-8212
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ÎYPE OF CONSTRUCTION
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Mailing Address:
Email Address:Çn¡+Ê
BUILDING PERMIT
APPLICATION
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Manufactured Home {Síngle or Multi-Level)
\¿ReroofResidential (SF, Duplex or Townhome)
::Accessory Dwelling Unit (ADU)- MAX IMUM S¡ZE OF I,OOO SqUARE FEET
INVOLVEÐ PARÏIES
Property Owner:
Mailing Address:
Email Address:
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Architect: Phone:
Mailing Address:
Email Address:
PROJECT DETAITS
Engineer:BLue ur ñE Lo6t C
Mailing Address:
Email Address:
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Manufactured Home lnstaller: Phone:
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Mailing Address:
EmailAddress:
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Describe Work:
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Job Address:
Assesso¡/s Parcel Number;?.1/1 9o2.ol oòL
su¡. øt (-e Bbck-
,22,5 aæ\Owne/s Valuation of Work:Property Size {Sq. Ft. or Acres}
# of Floors: 2 -.
xRemodel/AlterationClass of \¡l/ork:
Garage:ched
Sq. Ft. of Building:rllsô Height:
Detached
PROJ ECT DË'TAI I.s CONTINUED
Septic Cornmunity
Type of Heat:Natural Gas Propane Other
Driveway
Permit:
pt Permit #:
NOTICE
Authoritv.This application for a Building Permit rnust 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.
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 required: {1} State Electrical Permit (2) County OWTS Permit,
{3i another permit required far 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 1-80 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICAT¡ON
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the Buiiding 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, t<¡ construct the structure(s) and facilities detailed on the submittals reviewed by
the Building Division. ln consideration of the issuanee of the Building Permit, I agree that I and my agents will
comply with provisions of any federal, state or local iaw 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 cornpliance with County Regulation{s) or any
other applicable law.
I hereby grant permission to the Bu¡ld¡ng 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 (2i 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 ûwner, 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,and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
required is correct and accurate to the best of my knowledge.
Electric
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532.1q - cc 'OFFICIAL USE ONLY
Special Conditions:
Manu. Ho''. ; Fee:
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Misc. Fees:RtF =.ÉA,Ot
Plan Check Fee:
4To4, tg Pármit Feé:
#1,æ3"26
Adjusted Yaluationy'Êitç-gsa,&
BP No:
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OWTS No:
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Fees Paid:
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Balance Due:
þt^255,3*
Total Fles:
$ t^ry9r,53
Const. Type:
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Zoning:p.vRAl-Setbacks:DlL OCC Group:
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e/ø"."_%r;fuBUiLDiNG / PLANNING D|VISiON
Signed Approval Date
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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 B.uilding 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 þe attached to your approved field set of plans.)
I hereby acknowledge I have understand and will abide by the requirements of this
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Print Sign DÑ1
Gørfield CounQ
BUILDING DEPARTMENT
708 Eighth Street, Su¡te 407, Glenwood Springs, CO 81607
Tel: (970) 94s-8272
PLA NRE VIE W CHEC KLIST
Permit No:BtRE-05-21-b851
Pla n n i ng lZoning lssuesBuilding lssues
(/Engineered Foundation
Driveway Permit
Surveyed Site Plan
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
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G rade/ ToPogra PhY, 30%.øaøCesthn
attr.h Resideftia I Pla ndeview List
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t/ subdivision Plat Notes
Fire Department Review
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
Subdivision Plat
Descri ot on & Summa
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