HomeMy WebLinkAboutApplicationGarfield County
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
lsTols4s-82t2
www. ga rfield-cou ntv,com
TYPE OF CONSTRUCflON
Commercial/Multi-Fam Demolition
BUILDING PERMIT
APPLICATION
anufactured Home (or Multi-Level
Reroofor TownhomResidentialFDu
Dwelling Unit - MAXIMUM SIZE OF SQUARE FEETADU
INVOTVED PARTIES
Property owner:
Mailing Address:
Phone:Y
5 i [s-
Email Address:
Manufactured Home lnstaller:Phone:
Mailing Address;
Email Address:
PROJECT DETAITS
Describe Work:
Phone: tlVal&sL *åt¿ez
bç
Contractor:
Mailing Address:
Email Address:
Architect:
Mailing Address:
Email Address:
Phone:Engineer:
Mailing Address:
Email Address:
AdditionîT"*Remodel/AlterationClass of Work:
Job Address:
Assessor's Parcel Number
Sub.
Owner's Valuation
Sq. Ft. of Building:
øt 5 0 Block-
of Work: $ I Pr Ûü) ., ffi Property Size (Sq. Ft. or Acres)
Height: 'ZS' 7li " # of Floors =4
Garage:Attached Detached
,"3^ Etf
ll l,Septic:
Propane Electric OtherType of Heat
ZINaturalGas
Driveway
Permit:
PROJECT DETAIIS CONTINUED
Community
Exempt Permit #
NOTICE
Authoritv. This application for a Building Permit must be signed bythe 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.
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.
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 th¡s 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)
requiringthe 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 Bu¡ld¡ng
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
desi tneer a or builderr
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.
¿-
Pro perty Owner Pr¡nt and S¡gn Date
oFFrclALusEoNry p{ $ ¡3q1.,{¿ ec oz/'7lzo?liüD
Special Conditions:
R.o çtal,ttî
^4"il',TTi Plan Check Fee:
thw.47
Permít Fee:
2-t67 cÌ5 Manu. Home Fee:
rt/A
Misc. Fees;2385.oo
Total Fees: ñ -T5 5),,J',1
Fees Paid:
{ r,31q.{z
Balance Due:
2t52.95
BP No:
BLR,E- L99'
OWTS No:
SePr- 699+
Setbacks:OCC Group:lßc Const. Type;
iltq
Zoning:
?u9
g7lÆL
Date
BUILDING / PLANNING DIVISION :
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 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 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.
Owner rint and Sign
a
a
+
Gørfield County
BUILDING DEPARTMENT
708 E¡ghth Street, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8212
PLAN REVIE c HECKLIST
Permit No: b. íl Z, êqqs
Building lssues Planning/Zoning lssues
/
"/ Engineered Foundation
,l/,4 Driveway Permit
rveyed Site Plan
Permit and Setbacks
rade/ TopograPhY 30%
h Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Plans/ Stamps/ Sticker
Attach nditions
Ap cation Signed
Plan ewer to Sign APPlication
Property Line Setbacks
--fuÁ30 ft. stream setbacks
,u, ,( .
O'1.
ning Sign-Off
lmpact Fees
Grade/ Topography 40%
--¿í-/¡t
anning lssues
Subdivision Plat
Description &Summarv:
ol¿'
Flood Plain
Building Height
't(
parcet/ Schedute No.
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