HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
le7ol94s-82L2
www.ga rfi eld-cou ntv.com
BUILDING PERM¡T
APPLICATION
TYPE OF CONSIRUCÍION
Commercial/M u lti-Family Demolition
Manufactured Home (Sin e or Multi-Level
Residential (SF Du lex or Townhome Reroof
Dwelli Unit - MAXIMUM SIZE OF SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Phone:U)-
Contractor: S€ t_f phone
Mailing Address:
Email Address:
Archltect: ñ ,/ n, Phone:I I
Mailing Address:
Email Address:
-
Engineer: X ,/¡Phone: ( )
Mailing Address:
Email Address:
Manufactured Home lnstaller ñ /,r.Phone: f )
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work:I
¿t-
Job Address:L
Assessor's Parcel Number:z79f rît ta ot 9
Sub.0 c"lt tv\ ¿ a-d ct,( ?^..¿h Yth lot l9 Block-
Owner's Valuation of Work: S 9o.øo Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:Heightr * of Floors: 2
Class of Work:New Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAITS CONTINUED
Septic:Community
Exempt Permit #:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Lesal 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.
VoidPèrmit. 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 Sranting
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, construct¡on 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 (2l,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 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
e ineer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as we ll as, have
provided the required i which is correct and accurate to the best of my knowledge.
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Owner Print and Sign Date
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Electric Other
ffaturalGas
PropaneType of Heat:
Driveway
Perm¡t:
OFFICIAT USE ONLY Lo
SpecialCondjtions: . I rcond. wÙ bav- 1nÊu,9zç çF
ßes;AMisc
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Mahu. Home Fee:
t'VA
Adiusted Valuation:#li^m-ÔÒ Plan Check Fee:
òzDß.8t
BP No:
BL߀-1o{t
OWTS No:
x./r
Fees Paid:
$zot.rl
Balance Due: -þzul zs"$'åiä6,oto
Const. Type:
¡t?(
Zoning:
?o0OCC Group:
rß(
Setbacks:
N /tt
g-26-21
BUITD¡NG / PLANNING DIVISION
Signed Approval
,
Date
ú/þ'*
Garfield County
B'TILDING DEPARTMENT
708 Eighth Street, Su¡te 407, Glenwood Spr¡ngs, CO 87607
Tel: (970) 945-8212
PLAN REVI EW CHh c KLIST
ØtRe- oØ-2t-70¿{lPermit No:
Building lssues Pla n ning/Zoning lssues
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
Applícation Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road rmpact Fees NA Ainí'nUt>
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Descript ion & Summarv:
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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 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.
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