HomeMy WebLinkAboutApplicationGarftcld CounlyþzÐoc,
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munity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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www.g?rf¡eld-counW.com
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BU¡LDING PERMIT
APPLICATION
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Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessorv Dwellins Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET
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Email Address:
Property Owner:
Mailing Address:
+ LLc-q7Du --0Contractor:
Mailing Address
Email Address:
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2IQ7o7Phone:
Mailing Address:
Email Address:
sArchitect:
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Engi
Mailing Address:
Email Address:
Describe Work:,"ts id"onca
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2.Height:
Phone: ( )
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Block _rylSize (Sq. Ft. or Acres):
#of ,roorr' 2)
Manufactured
Mailing Address:
Email Address:
Sub.
Assessoy's Parcel
Job Address:
Owne/s Valuation
Sq. Ft. of Building:
of Work:
qht
Remodel/AlterationClass of Work:ffiew
DetachedGarage:
I type of Heat:
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PROJECT DETAILS CONTINUED
I Septic:Community
atural Gas Propane Electric Other
, Driveway
Permit:
I.
NOTICE
nutnoi¡tv. fhisãpplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
or an a uthorized 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.
Legat 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 Perm¡ts. Multiple separate permits may be required: (1) State Electrlcal Permit, (2) County OWTS Permit,
(3) another permit required for use on the property ¡dentified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Voíd permit. A Building Permit becomes null and void if the work authorized is not commenced within 1-80 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 ırrect. I
understand that the Building Division accepts the Application, atong with the plans and specificat¡ons 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)). lacknowledgethatthe
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 herebv grant permission to the Building Division to enter the property, described above, to ¡nspect 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 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
d neer a or builder
I hereby acknowledge that I have read and und erstand the Notice and Certification above, as well as, have
provided the required i which is correct and accurate to the best of my knowledge.
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Permit #:
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Owner Print and Sign Date
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Special Conditions:
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Misc. FeesÉManu. Home Fee:
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rmit Fee:?5nFee:gzVal
Bu?e'1187,
BP No:OWTS No:
COMÞ{uN455,¡¿
Fees Paid:77
Zoning:
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Const. Type:OCC Group:
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Setbacks:
tz-z-2o4BUILDING / PLANNING DIVISION :
Signed Approval Date
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Garfield Coun ty
BUILDING DEPARTMENT
108 Eighth Street Su¡te 4Ol, Glenwood Springs, CO 81601
Tel: (970) 94s-82r.2
PLAN RE VIEW CH EC LIST
Permít No: ÞLR E- /O-Zk 7/gr3
Buildíng lssues Planning/Zoni ng lssu es P//Þ
I dcre 19Þ*
Property Line Setbacks
NA Driveway permit eK%rp l'/U4 3o ft. stream setbacks
tr" Surveyed Site plan /u4 Flood Plain
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Resídential plan Review List
Subdivision plat Notes
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tl Subdivision plat
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Descri ion & Su mmarv:
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
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l/ Red Line plans/ Stamps/ Sticker
t/Attach Conditions
Fire Department Review
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Application Signed
Plan Reviewer to Sign Application
Parcel/Schedule No.
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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 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 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 íssuance 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
checklist.
understand and will abide by the requirements of this
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