HomeMy WebLinkAboutApplicationRECEIVED
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
lp7ols45-8212
www.garfield-countv.com @
GørfuId County
BUILDING PERfvll'I'
APPLICATION
TYPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
>¿Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
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Property Owner:Phone: (q+ú Ioß - q4M -L.s¿
Mailing Address
Email Address:
Phone:Contractor:
Mailing Address:
Email Address:
Architect:hral lor¿rt- T.{¿a n â(chìtr^,hÆîÍdne, r1?D llol É- ttucÌ0
CoMailing Address
Email Address:
Phone: tQâO I St O.O?13
Email Address 4¡ ttì (â o./aìrl ? Srh/r¡-a-t . ?-r: vt¡'
Engineer:
Mailing Address:
Email Address:
Phone:Manufactured Home lnstaller:
Mailing Address
PROJECT DETAITS
Describe Work:tb €ñ¿t
hído qò, Øutaons
Owner's Valuation of Work:s
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Sub.
Assessor's Parcel Number:
Job Address:
sq. Ft. of Building: 4tLb Height:t o1¡loors: 2.
lot (1 Btock
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PropertySize (sq. Ft. orAcres): n O?i? nççt
Class of Work:
Nltrtew Remodel/Alteration Addition
Garage ed Detached
orl
PROJECT DETAITS CONTINUED
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information whi ts and accurate to the best of my knowledge.
Owner Print and Sign Date
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:RlExemnt
Permit #:
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 Buílding Division.
ple separate permlts 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 andvoidiftheworkauthorizedisnotcommencedwithinL30days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
Other Permits. Multi
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 land 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 (21 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
designer, engineer and/ or builder.
I,Cbr,OFFICIAL USE ONLY too otCK
æe a,M(heÅ c0NDm0N6Special Conditions:
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sted Valuation:.¡q4q9rAdju
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Plan Check Fee:
t,bbl-ço
Permit Fee: . /zá5¿.'?Home FeeleManu.
N HitË""äsw,qo
Total Feés:Ò54.zla Fées Paid:
{ l, ¿6¡ '54
Balance Duez ,¿
2,65¿,',e
BP No:
ß1,RÉ,1?-z.1
OWTS No:
sÊw-1322
'"*ÐÞNT>OCC Group:
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Const. Type:
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Zoning:
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BUtLDtNG / PLANNTNG DTVTSTON :\ttllr*h
Signed Approval
22tl-ZZ.
Date
Garfteld CounQ
BUILD'NG DEPARTMENT
108 E¡ghth Strcet, Suite 407; Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN R EVIEW CH EC KLIST
Perm it No: þ t-Bg:-¿l-2:7721
Building lssues Planning/Zoning lssues
UNÞ Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
'/ Building Height
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Grade/ Topography +oU" Aþ
Planning lssues
Subdivision Plat
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ry Engineered Foundation
Driveway Permit
Surveyed Site PlanSePr-732?-
Septic Permit and Setbacf,soZ (Kuøu
^::i-"T:'iii'#.,#t&)
,./ Subdivision Plat Notes
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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
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Description & 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 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 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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Owner Print a n Date
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