HomeMy WebLinkAboutApplication-D (LÇS - Can bo¿*- (a"*"g)
s- i:Z:Ë+ô-o:cl9
ootJ¡-
lJ.J l-
=2À¡. =)ûl=<E(93
Ë
l.rJ
uo
UJ
É,
Community Development Department
108 8th street, Suite 401
Glenwood Springs, CO 81601
(9701e4s-82t2
www.Rarfi eld-countv.com
IJ
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhomel - Þ¿.+Af,lrrL-& Cf W,r r.t-Reroof
Dwell Unit - MAXIMUM SIZE OF SQUARE FEET
b
INVOTVED PARTIES
Barlrya P'Þit[S
c-
Ie.-
Email Address:
Mailing Address:
Phone: 1q7o¡ ?te 3'57 Y Z
a
e_e-
bu"*l
Phone: (q7o )371 - S\ tT
Mailing Address:
Email Address:
B" r'fd+rffirttù:
Phone:tGçtt LDql - Lb*'t- tulf91.¿-, atríçÞ¿S
âlsx
Architect:
Mailing Address:
Email Address:
looôlPhone:
L
*-+-
Zrlra
.ZG Ôö
zt7. LlôMailingAddress:
Email Address:
Phone: ( )Manufactured Home lnstaller:
MailingAddress:
Email Address:
PROJECT DETA¡IS
Assessor's Parcel Numbert Zbl !?- ç ZOo tt Z-
-u7Describe Work:
Job Address:
sr.
Height:I
Sub.
Owne/s Valuation of Work: S
5q. Ft. of Building:!s'4" #ofFtoors: t
Propefi Size (Sq. Ft. or Acres): Ç "-7q aC'res
lot _ Block
Remodel/Alteration AdditionClass of Work:
DetachedGarage:
,f
PROJECT DETAITS CONTINUED
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the req uired information which is correct and accurate to the best of my knowledge.
Ø p Þ "l [S ("bP 7-'
Propefi Owner Print and Sign Date
CommunitySeptic:
OtherPropaneElectricNatural GasType of Heat:
Permit #:Driveway
Permit:
NOTICE
must be signed by the Owner of the property, described above,
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,
(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'
AuthoriW. This application for a Building Permit
or an authorized agent. If the signature below is
CERTIFICATION
pplication and that the information contained above is true and correct. I
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 Permi! 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 noticefrom 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) stopp¡ng
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 liabitity 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
I hereby certify that I have read this A
understand that the Building Division
neer and/ or builderdes
oFFrcrAr usE oNLY Pd . tr 3lz,|F0¿or/t.¿ït êl,.3otofl
Special Conditions:
Misc. Fees:Fee:
l\l
Manu.
87
Check Fee:
FuÊ6- 689943rtFees Paid:
îs
6?
Zoning:z
OWTS No:
u1¿A
ConstOCC Group:
IPêSetbacks:
BUILDIN6 / PTANNING DIVISION :
DateSigned
")"2
Garfteld County
BUILD'NG DEPARTMENT
708 Eighth Street, Suite 407, Glenwood springs, CO 87601
Tel: (970) 945-8212
PLAN EVI EW CHE LI T
Permit No:
Building lssues Planning/Zoning lssues
N,ß Engineered Foundation Property Line Setbacks
Driveway Permit Ð"ì T NF+4 NJ-30 ft. Stream Setbacks
S¿r¡aeyed Site Plan il'1" Ftood Ptain
ic Permit and Setbacks f.l'I Building Height
G Topography 30%Zoning Sign-Off
Attach Residential Plan Review List il,4.Road lmpact Fees
/t"r^¿e/ Topography a0%
ñ. 4-,"
ubdivision Plat Notes
ire Department Rev¡ew
luation Determination/ Fees
Line Plans/ Stamps/ Sticker
h Conditions
Application Signed
Plan Reviewer to Sign APPlication
rcel/ Schedule No
^l
,4 40# Snowload Letter - Manu' Homes
Soils Report
tl.l" Plannin g lssues
d.rl Subdivision Plat
Descript ion & Summarv:
tl 5Ç {4tl:ì bb4
I
,/ 3øç. îL
þr-*"r l¿z'?f
lts s7
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 Officialthat 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.
fucloø-ra* P'bi llS
("(t 72>(
Property Print and Sign
a
a