HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
l0g 8th Street, Suite 401
Glenwood Springs, CO 81601
(e70) e4s-8212
www.garfield-cou ntv.com
BUILDING PERMIT
APPLICATION
DemolitionCommercial/Muiti-Family
Manufactured Home or Mus
ReroofResidential (SF, Duplex or Town home)
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF I,OOO SQUARE FEET
TYPE OF CONSTRUCÍION
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
PROIECÍ DETAITS
Describe Work:
Job Address:
Owner's Valuation
Sq. Ft. of Building:
of Work:
Class of Work:New
Phone: fq10 ) 3-l 9,- zlqD
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Assessor's Parcel Numb"t, 231 5O ZZ Þ I bf,)2-s"u. t \il¿çtbmt¿ Rafgh tot 7 Brock-
S l¿6rOCO,bO Propertvsize(sq. Ft.orAcres)l.?q
LLIA Height: l-1 t lO lt f of Floors:-L-
Addition
D t @
t
rq2^31q- ZlqtÐContractor:
Mailing Address:
Email Address:
Phone: f 3Ô31 t{*Z-- \Zr..I
\I
tArch¡tect:
Mailing Address:
Email Address:
À\cs
3D
Phone¡r 3ôllqt1- l-ìotaEngineer:
Mailing Address:
Email Address:
Mailing Address:
Email Address:
Phone:IManufactured Home lnstaller:
Garage Attached
Remodel/Alteration
Detached
Lt'
, Septic:
Propane
Community
Electric Otherof Heat:Natural Gas
Driveway
Permit:
Exempt 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 Building Division.
Other Permits. Multiple separate perm¡ts 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 180 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information conta¡ned 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 Bu¡lding 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, 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 l2l 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
designer,neer or builder
E
I hereby
provided
Pro
that I have read and understand the Notice and Certification above, as well as, have
which is correct and accurate to the best of my knowledge.
a,(^?-L
Date
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Special Conditions:
, fart'wi'^Ys Manu. Home Fee*/e^'ËËÏy¿:w ')iw",w''
BP No:
gLaâ-?3.t t
OWTS No:
N/A
Paid
Acl50
Fees
+{'uq'¿:?5Totalfees: ^t
l,ttl4.o+
Zoning:
RÙf¿AL
OCC Group:l.ß.c.Const. Type:
L t¿, C.
setbacklò p.
BUITDING / PLANNING DIVISION :
Signed Approval
A,'ZL
Date
I0tilt
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Gørfteld County
BUILDING DEPARTMENT
708 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 81601
Tel: (970) 945-8272
PLAN REVI EW HE
Permit No: gl&l- Oz-?krcú/
KLI T
Building Issues Planning/Zoning lssues
Engineered Foundation
n¿À Driveway Permit
Surveyed Site Plan
ø/2-
øl¿_
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact
Grade/ Topography 40%
Planning lssues
Subdivision Plat
RIT E,F,Seotic Permit and Setbacks5æfu-6 in#ile
Grade/ Topography 30%
N14
,/
NA
'/ Application Signed
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Revíew
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
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Description & Summarv:
Nrt 40# snowtoad Letter- Manu. Homes
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Plan Reviewer to Sign Application
Parcel/ Schedule No
Soils Report
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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 planç 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 submíttal. 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 Gertificate 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
checklist.
read, understand and will abide by the requirements of this
z ZL
Sign Date
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