HomeMy WebLinkAboutApplicationGarfuld Counly
BUILDING PERMIT
APPLICAT]ON
Community Development Department
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GARFIELD COUNTY
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Commercial/M ulti-Familv Demolition
Manufactured Home (Sincle or Multi-Level)
Residential (5F, Duplex or Townhome)Reroof
AccessorV Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
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Property Owner:
Mailing Address:
Email Addressr a
Phone: ( q?0
)b
Phone: ( )Contractor:
Mailing Address:
Email Address:
Architect:
ô \,1Email Address:a
Mailing Address:Stz a
\itb.Phone:rî10r j04,&72
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Phone: (¿l'?0 ) 1s4 . Ò3?0Engineer:
Mailing Address:
Email Address:
A9Ool,z0ôolt
Height:
Lot
Describe Work:
Phone: ( I
2 tÆlt1 ',,\Àn\,t \frù^l\h,rr.FVlT1s¡ SFR,
Block
Manufactured Home lnstaller:
Owner's Valuation of Work: $
Sq. Ft. of Building
Propertysize (sq. Ft. orAcres): 2&
^Cffir-6tt # of Fborst Z
Mailing Address:
Email Address:
Assessor's Parcel Number:
Sub.
Job Address: Fl
v Addition€la¡¡ of Workr,.
DetachedGarage:Attached
.1
i
ì
Septic;
Type of Heat:Natural Gas Propane Electric
Permit #:
Other
Driveway
Permit:
mpt
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwnerof theproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal Access. A Building Perm¡t 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of L80 days after commencement.
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, lagree 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
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 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
er 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 information which is correct and accurate to the best of my knowledge.
08. 0", 4
Property Owner nt and Sign Date
d
,;?8r.CIFFrCrÀt usE ONTY
Special Conditions:
Manu. Home Fee
¡.th
Misc. Fees: . å
RIF ß.8.0)Tf B II
PI
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Permit Fee:
þzl+1,35Adiusted Valuation:. "#'205^0L6't{
OWTS No:
Å/a
Zoning:Lv øAu
Total Feeı:
43,543,1"
Setbalks:.n<
7oL
BP No:
35
Ba DuceFees Paid
OCC Group
3qî.18
Const. Type:
lrzL
-B-zoBUILDING / PLANNING DIVISION :
Signed Approval Date
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Gørfield County
B'IILDING DEPARTMENT
108 Eighth Street, Sutte 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN RE VIE W CHECK L rsT
6LRE-Cø-21-70ú+Permít No:
Building lssues
t/
Pl a n n ing / Zoning lssues
Engineered Foundation
Drivewav Permit
Gæ,URffi3-tØ-ltt
Property Line Setbacks
la
Surveyed Site Plan
Septic Permit and Setbac
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
Parcel/schedule No'
40# Snowload Letter - Manu. Homes
Soils RePort
5),'/ Flood Plain
,/
/
30 ft. Stream Setbacks
Building Height
Zoning Sign-Off
Road lmpact Fees
,
Description & Summarv:
o,t,D,*t,øtt
t/
t/
Grade/ Topography 40%
Planning lssues
Subdivision Plat
T'tLl LcreS î5q3zs reæfFìon
Ul
m / 25W4, t+A proi. LI-7'32J
Moï Iz2zozl ) 3b,,f-oe"l-
FLT 3?3o y- 7+, ¡eS= 2l4l?21b ,W
Lfû^r".^tlP&y- Lll = Ltort2ï,Oo
o0etnwY'
cPld 48Ô x 18 = tl)bw,ffi
ucPld 195 x tL = 2)z+t,æ
adí\LgleÀ,b ni di^o s 305, tr25jÐ
va¡na*rôn=
-
ñ A
alv (5,Ø,Ð = $I
Uf\D
(zmpÞfor isolû]edpi?Ð
)
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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.
09,07. z¡
Prope Print and n Date
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