HomeMy WebLinkAboutApplicationGørfield County
GA RFIEL
Commulity Development Department
RECEIVEEb 8th Street, Suite 401
Glenwood Springs, CO 81601
tl\it il ri 1111 (e7o) sqs-82t2B_w
Demolition
TYPE OFCONSTRUCflON
Iti-Fa
Manufactured Home (Single or Multi-Level)
ReroofIResidential (SF, Duplex or Townhome)
Dwelli Unit (ADU)- MAXIMUM SIZE OF 1,OOO SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:smclean@colorado.net
JIM RAITT
P.O. BOX 1774 GYPSUM, CO 81637
r 970 | 977-0161 +Phone:
Manufactured Home lnstaller:N/A (existing manf. unit) phone:
Mailing Address:
Email Address:
Architect: Phone:
Mailing Address:
Email Address:
BROCK CIVIL, LLC
PO BOX 3644, EAGLE, CO 81631
Phone:r 970 | 471-2121
Email Address:vern@brockcivil.com
Mailing Address:
Contractor:
VERN L. BROCK, P.E.
PO BOX 3644
Phone:
Email Address:vern@brockcivil.com
1970 | 471-2121
Mailing Address:
Engineen
PROIECT DET,AIIS
Describe Work:chang ing premanufactured building zoned commercial to
residential. No structural or insulation changes, no egress changes, adding a full bathroom, remodel kit.
Job Address:7094 Hwy 82, Glenwood Springs, CO 81650
Sub.
Assessor's Parcel Number:
Van Rand Park
2393-0630-1009
Lot I Block
of Work
Height:
0.469 AcOwne/s Valuation
Sq. Ft. of Building:
Property Size (Sq. Ft. or Acres):
1576 SF
$25,000
Re
18 FT # of Floors: 1
] PRO'ECT DETAITS CONTINUED
Septic:Community
of Heat:N Gas Propane I Electric Other
Exempt Permit #
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
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.
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 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.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 1-80 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, lagreethat land myagentswill
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 facílity(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 Regulatìon(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 lim¡tation my architect
engineer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
raluat
I
Driveway
I Permit:
Ârn' f?^'"tt ß^{ælL
Property Ñner Print and Sign
Lz:l
L-,Date
OFFICIAT USE oNLy pÞ. S{tt.ï.t c-c. or/a6/zoz2_ ¿gÐ
Special Cond¡t¡ons:see attaúed Ø/vÞlnotv6
Adiusted Valuation:_síJbø.q
'"1,1ït.4?
Plan Check Fee:*tll.74 ,\VF:US Manu
/ome
Fee:*o"ñzft
Fees Paid:
$rtttr.+.t
Balance Due:,l t3 ,05
BP No:
BLP-E-1Lq o
OWTS No:
¡l /t
Setbacks:OCC Grouo:'tRc ,o"t.lrp.t Zoningrc. G.
hrl),,3-lBUILDING / PTANN¡NG DIVISION
Signed Approval Datê
-zz
Garfield County
BU'LDING DEPARTMENT
708 E¡ghth Street, Suite 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN R EVIE WC HECKLIST
Permit No: g¿RÊ-Ol-Z-72?A
Building lssues Pl a n n ing I Zoning lssues
mCAmfûllge ,rîkl"Ye5;d&,ü.ûniP
Engineered Foundation
Driveway Permit
Surveyed Site Plan
c 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
Application 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 lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
KenoÅel.s 6¡ #zøfs.f.
Des ion & Summa
t61{pâ{. Í rO ,ac¡tatel btdg
Velua"frbn / 5 Ø
W{errd g+Tur}rnl
+y,rydelalçry
of\,,l
Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specifieî. 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 bV thè Building Official that additional information is necessary to review the application
and/or plans ior complianıe, 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 Certíficate of Occupancy (CO) is issue.d. V."ing the building without a
Co will be considered an illegal occupancy and may bb 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.
a
a
R¡ II
Property Owner Print and S
tl "JDate