HomeMy WebLinkAboutApplicationGørfield County
Community Development DepartmentRECEIVED 1Og8th Street, Su¡te 4O1
r *r., ,l Í,: .Ì,i,¡.r GlenwoodSprings,CO81601
,."i¡i.: "i u i';: , lgTO)945-3212
tì ARF I ELD CO U NT f'ww.farfield-countv.cqnl
lO¡ltvlUNlTY DEVELOPMENT
BUILT}ING PERMIT
APPLICATION
Res¡dent¡el
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SQUARE FEFÍ
INVOTVED PARTIES
Property
Mailing Addressr
Email Address:ÞNt ß"oe
owner: DEÂbt. *'P¡o4 Ntf{ê Phone: $4'l ftþ1,17"(9
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contractor: lllrlo¡çtlN¡ Þçt{pçt hutlS W ¿ phone:0
Malllng Address:Ltd Vt
Email Address:f f¡Âtr¡Frqn¡ Þtr9l/¿{rt.ÞUl\-b @.Corq"eÁår" ¡JËr
Archltect:êRtp ¡"Þglt.?LLC Phone:rL1t r üt
Malling Address:
Email Address:
Fn6ineen Phone: t {-10I 145" Qt¿i?
I Mailing Address:
i email Address:
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EmailAddress:
Manufactured Fftcme lnstaller:Phone:
Mailing Address:
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Describe Work:bLÞ
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Job Address:
Assessor's Parcel Number:'Lmb- \91.0r oãt
5ub.Âst€j.[ giÆN r", L"l Bbck R0&RJrtþ çoF{t b4Eå,\
Owne/s Valuation of Work¡O0Ö, gg Property Size (5q. Ft. or Acres):t3,rL\ 6F
5q. Ft, of Eulldlng:+72 t,0 z4,k1t fof¡loors: ?z
Class of Work:ition
Garage:Attâched
Remodel/Alteration
Detached
PROJ ECT DETAITS CONTI NUED
Septic;
Type of Heat:Natural 6as Propane Electric
P;;;ü¡,
Other
Dr¡veway
Perm¡tì lElExemot
NONCE
AuthorlW. This application for a Building Perm¡t must 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 separete 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 requ¡red for use on the propefty identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit,
Void Permit. A Building Permil becomes null and void if the work ¡ruthorized is not commenced within 180 days
of the dåte of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERflFICATIOT{
I hereby certify that I have read this Applicat¡on and that the information contained above is true and correct. I
understand that the Building Division accepts the Appl¡cation, along with the plans and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to;rccuracy. Assuming
completeness of the subm¡ttals 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 reviewecl try
the Building Division. ln cons¡deration 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 regulaling 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, construct¡on or use
of the structure(s) and facility(ies), described above, are not ¡n compliance with County Regulation(s) or any
other applicable law.
I hereby grant permlssion 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 const¡tute ån acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsib¡l¡ty for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limilation my architect
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hereby acknowledge thal I have read and understand the Notlce and Certification above, as well as, have
ed which is correct and accurate to the best of my knowledge.
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Propefi Owner Print and Sign Date
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OFFICIAL USE ONLY ztIc¿o
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Specia l€onditions:
Plan Check Feerqo Fee:,5 ñ A
Home Fee:
Ba Due:t97V2,
QlllTlNs:
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Fees Paid:
OCC Group:t2
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8P No:
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€onst. Type;
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Zoning:
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BultÐrNG / PLANNTN6 DIVTS]ON
Signed Approval Date
Garfield County
BUILDING DEPARTMENT
108 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 81601
Tel: (970) 94s-8212
PLAN REVIEW C HECKLIST
Permit No: 8tß,€*æZþ7ÔL7
Building lssues Planning/Zoning lssues P
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
,/ Planning lssues
t/Subdivision Plat
recr4fi'on flbqbî
Descri ion &rnma
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
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Parcer/schedule No' c qar bØo K&z= ztiÐ
40#snowroad Letter-Manu' Homes Fls aÕþ x 7+.6g= zbabv,zo
Soils Report
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Framíng 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 lconnection 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
andlor 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 authoriÇ 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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Property Owner Print and Sign Date