HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www.garfi eld-cou ntv.com
BUILDING PERMIî
APPLICATION
ÎYPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Phone: (å|D-l qL
.,û{-Õfra
Contractor:6 Phone:(1?(2 ¡ 31?'ttZl
Mailing Address
Email Address:
Architect:Phone:,SJO rQgfr, lq lß
Mailing Address:â,t å
Email Address:
Engineer:Phone
Mailing Address:
Email Address:
Manufactured Home lnstaller:
^j
#Phone:(' d¡l
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:\e.
Job Address:
Assessor's Parcel Number:ry
?.rl*t¿vr-ot 3 f.p elocr
Ø Property Size (Sq. Ft. or Acres)\Owner's of Work:
Sq. Ft. of Building:Height:fofF
*
$Ð
4Id f'f,*¡
Class of Work:lFfruew Remodel/Alteration dition
Garage:ched Detached
PROJECT DETAILS CONTINUED
Community
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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 perm¡ts 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
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 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 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)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construct¡on 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 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
designer a or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
the required information ts and a to the best of my knowledge.
3 oå. I
Property Owner Print
-2Leo
Date
I
Septic:CWTS
Other
lXlNaturalGas
Propane ElectricType of Heat:
Permit #:Driveway
Permit:
pt
oFFrcrAr usE oNrY ?å b t,911 .í6 e-e- at/r'/¿c"2ræ
At l-^7-N*w
Special Conditions:
Manu. Home Fee:
rJ /t.
Misc. Fees:
Ê L77. OG
Adjusted Valuation:
2 Q7 1EO ''Í'a*fun.'öp 'üfg,ø5
"îT*li'oÒ BP No:
9vßL-1oto
OWTS No:
¡,t /^('rÀtÀv N rlTotal Fe'es:-
3 b!0.L¡
Fees Paid:
þ t,t 11 .tt
Zoning:? úÐConst. TypeOCC Group:
l'Ç
Setbacks:
BUILDING / PLANNING D]VISION :
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zo4
Garfield County
BUILDING DEPARTMENT
708 Eighth Street, Su¡te 407, Glenwood Spr¡ngs, CO 81607
Tel: (970) 945-8212
PLAN R E VIEW CHECK LIST
Permit No:btßn-W
Br,rilding lssues Planning/Zoning lssues
G Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
,,, l Department Review
tion Determination/ Fees
Line Plans/ StamPs/ Sticker
Atta nditions
App on Signed
an
Parcel/ Sched
Engineered Foundation
Driveway Permit
Surveyed Site Plan
A
^1
Se c Permit and Setbacks
Soils Report
ing Sign-Off
Road
rad e/ Topography 40%
UES
Plat
Descri ot ion & Sun'lrna
mpact r""rQr+*em
h.(.
/(1.
tv,A
ø,,,f
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
r ro sign Apptí.r.ioz, I. Z!¿OO >
ure No. C.S 7g æ *
Snowload Letter- M^anu. Homes
lo¿4n
4gt,
71 lt
/g øo
l14,tlng
4b,goÒ
33,o83
8ø14
297,7ñ
6*È
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to \,ô
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 ior complianðe, 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 wilibe 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 Print and Sign
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