HomeMy WebLinkAboutApplication>b
" Fur" z.=,ô F.; ÐRU iiì 9t
- L.r>ul Lç' oä() ¡i**! J >l¡J ..-r uJ
=g ::: u-5É'=
óã
GurJield County l
Community Dæelqment lÞpartment
108 8s ttreet, Suite ¡1{t1
Glenrpoad Springs, CO 81601
{9701 945-S212
gìaujß¿t fi êld:Eq$ätt .glql
CommerciaUMulti-Family
Manufactured Home {single or Multi-t-evel}
{51 DuBlex or ïownhome}
ll lDemolitio¡r
ifJneroor
Accessory Dwellìng Unit {ADU)- MAXIMUM SlIf OF 1,O0Û SQUÀRE fËET
tr{Y¡orvtDt$rng¡
Property Ownen o¡r¡rcl l.Phone: t ?tt ¡ ¿31*rt*=___.
MaitinsAddress, är¡e"$fgl.8 dr!ãt Êsfi>_åfr g.:loð r{1¡$ü0ooÞJf&b*tp*Êt¡ot
Ernail Addre¡sl
Conträctor:Phone:{q?ô I zBO"OOEO
Mailing Âddress:
Email Address:åLI
Architect:Phone¡ rl10 I Iüf ,lzeo
Mailing Address:
Ernail Address;af,ir¿- ùJ!.¿t4 È Ê r*ne.as¡ç', l¡€f.
Engineer:LruÞortøÊ-1¡¡r-Phone:tq1o | ãll fsA¡ì
EmailÀdd¡ess:
Manufactured Home lnstaller:- Phone:
EmailÄddress:. . ,.
PnclErgfrfiLs
Deseribe Work;tIø.,¡ llr*r¡¡ få¡rqrr¡rtfl aü
rob Àddrcss: :gMtlç-.C{rål¡ùç*Þ@
ì Assessoy'sParcell{umber: ¿t13 9¿l 0? -e?t -.*-
Suü.tr-r¿ åFll¡¡ltrÉ rct 1{ Bbdr 1
owner's Yaluarion of work: s tSq . qq-o- :
-
Froperty size {5q. Ft, or Aøes}:3.1¿
sq. Fr. of Buildins: 3f5:- f¡eiglrt: tf' I T¡" # of Ffoots;**l*-
ArJditionÇlass sf Work:
6araget
ffirue*
,ffion*tt''*tt
iÜ RemodeUAìteration
tetached
. PN{UfCT DETAITS OOilTIâIT'EO
r Septic:
; Type of tleat:
1f-]wts
ffi*ututu'uut
Propane
Community
Electric
Permit #:
iil
Other
Ì Driveway
, Fermlt:
, NOTTCI
i ¡C!þSI&, This application for a Building Permit must be signed by the owner of the property, described above,
cr ar¡ aulhoriaed agent. If the signature below is nôt that cf the Owner, a separate f etter of auih*rity, signed by
I the Owner, must be provided with this Application.
1 tgëêl åSgåã. A Building Pernrit cannot be issued without proof of legai and adequate access to the property lor .
;purposes of inspectíons by the Building Division.
.
; Olhef Peroüs, Multiple separate permíts may be required: (r) State Electrical Permit, (2i County OWTS Permit, .
, {3} another perrniT required fr¡r use cn the propeúy identifieel ab':ive, e ,g, State or County Highway/ fioad Accessj or a State Wastewater Discharge Permit-
V+id Pef$it, A Building Permit becornes null and void if the work authorized is not commenced withín 180 days :
, of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. :
CERTIFICATIOI{
I hereby certify that I have read this Applícation and that the information contained above is true and correct. I' understand that the 8r-ríicling Divisior¡ ac{epts the Application, aìong with the pians arici specificatíons and other .
, datasubmittedbymeoronmybehalf{submittats),h¡aseduponmycertificatíonastoaccuracy.Assuming .
, co¡tpleteness af the suilr*[ttâls and approval of this Application, a Building Perruit will be issued granting ,:
: permissïon tû me, as Owner, tÕ constrllct the structure{s} and facilities detailed on the submittals reviewed by
:ì the Buiid¡ng Division. ln consideratíon of the issuance of the Building Permit, I agree that I and my agents wiil
1
, con:ply with provisions of any federaf, state or local larv regulating the work and the 6arfíeld Cartnty fluif díng
, Code, OWTS regulations and applicable land use regulations {County Regulation(s}). I acknowledge that the
: Building Permit rnay be ruspended or revoked, upon notice frorn the County, if the location, construct¡on or use .
: of the structure{s} and faciliÇ{íes}, dexribed above, are not in compliance with County Regulaticn(s) or any
other applicable law,
I hereby grant perrnissian tc lhe Ðuilding Lllvision to enter the prcperty, described above, to inspect the wark. I
further acknowledge that the issuance of the Building Permit does not prevent the Buíldíng Official from: (1)
rec¡uiring the correctíon of errors in the submittafs, if any, discovered after issuance; or {l} stopping
construction or use of the strr-rcture(s) or facility{ies} if sr¡ch is in violation of County Regulation{s} or any other
; applicabie law. Review of this Application, includinË submiitals, and inspections of the work by the Building I' Division de: not constítute an acceptance of responsibility or líability by the Ceiunty of errers, omissíons ar
i discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws
. and County Regulations rest with me and my aulhorized ägents, including witirout lintitation my architect
i designer, engineer andl ar builder.
I hereby acknowledge that I have read and understaftd the Notke and Certification above, as çell at have
pr+vickd the required inform;¡tion nrhich il dûrre{t ar¡d accurate to the best of my knowledge.ttrJftT#f*'
zösJh4 er
Prûp€rty ûwner Print and Sign Ðáts
,,t,,(00
Mr*%4ø-f-î'zL
t,oFFrcl*r. ust oNrv cc
Adlusted Valuation:
97?,ß.QVl tz
Special Conditions:
rmit Fee:t5 Misc.Fee$l- I- -N/ A lKlþ=
Total Feés:
$z-qz*.ø
Manu, Hsme Fee:
Balance Due:t9 E9-t*s:Paidl
l5 ¡.to
Fees
I
Igufit_ss:
N/A
Setbacks:æNT>OÇC Group:
rac
Const. TypÊr
lRc
Zoningl
PUD
BUILÐlNG / PLANNING tlVISlON r
Signed Approval DatÊ
Gurfield Coanty
BUILDING DEPARrMENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 87601
Tel: (970) 94s-82L2
PLA N REVI EWC HECKLIST
Permit N"' útRE -ô7- 2 F bq(L
Buílding lssues
eenfY
Nh
/
lr/
t/
Attach conditions LnefÅø yfùþ
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No'
40# Snowload Letter - Manu. Homes
lndþ
ry:ired
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
Subdivision Pl.at Notes
loØl-71+
Fire DePartment Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Pla n n i ng I Zoning lssues
/^ t lf Properry Line setbac r, (6,E)
N4 30 ft.Stream Setbacks
N* Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
il (
/
t?ecep1on b81774
Descri & Summa
ñÂ
\1--î462,o1
"tlzllznzt
fptat-,rrola
" 3* lo15 * 3L=
¿Pl¿,1q4 x ß--
""Pld "ú x lL=
Q.ttr = 0,OO
ft6 L75qx 1+,bØ= $ tbgt7y2¡z
crurl zzSq y lg = 40?b6L
2\llô
4+1L
?)87 t
a{juole/ buit/"val,u t Øort}'-F
#Ð
bo /\Jdi- Sc,+hl
sul K+A neporl
@ s+"pte p lo^ n{lor]"
p"i r,",'{- Crñ Þ I TloNl S
a Framing plans for each floor level and roof. All beams, ælumns, þsts, raffers and trusses
specified. Pre+nanufactured structures rcquire tlæ engineers stamp,, sþnature 1$ 91:.
¡IOTE: lf any required information is missing" delays in issuing the permit are to be expcted. lf
determined by the Building Official that additional information is necessary to revigwj|g application
provlded. Work may not proceed withor¡t the issuance of a permit.
wel! as any Road Impact fees will be coltected when the permit is issued.
to acf as their representative
CO w¡ll be considered an illegnl occupancy and may be grounds for vacating the premises. {FinallCO
I hereby acknowledge I have read, unden¡tand and rrill abide by ttre rcquiremênts of this
T.
2-l
Owner Print and Date