HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www. garfield-cou ntv.com
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Com mercia l/M u lti-Familv
Manufactured Home (Single or Multi-Level)v:
Demolition
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Dwelli MAXIMUM S|ZE OF 1,000 SQUARE FEET
Property Owner:
Mailing Address:
Email Address:
Contractor:
Mailing Address
Email Address:
Phone:'o
,
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Phone:
Architect: 5il CL\A ùæfen Phone: ú04 I aî+4Ø3
Mailing Address
Email Address:
Engineer::tû"u¿ 'i-¡C€F ÊL*Phone:
Phone: (_)
Mailing Address:
Email Address:
Manufactured Home lnstaller:
Mailing Address:
Email Address:
Describe Work:
Job Address
Assessor'sParcelNumber: 2l8S 3'.+2 ld OOG
Sub.
Owner's Valuation of Work: S
ZOEÇ Height:
bt b llloru
Ploperty
b"
Size (Sq. Ft. or Acres)
# of Floors
Add¡tion
oetàcrrei
Class of Work:
Garage
5q. Ft. of Buílding:
hed
Remodel/Alteration
Ygwe
Septic:
Type of Heat:
Driveway
Permit:
Natural Gas
Community
ElectricPropane Other
mpt Permit #
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithin1B0days
ofthe date of issuance and ifwork 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 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 acknowk:dge 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 Off icial 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 llability by the County of errors, ornissions or
discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws
and County Regulations rest w¡th me and my authorized agents, including without limitation my architect
neer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required which is correct and accurate to the best of my knowledge,
Property Owner Print and Date
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Special Conditions:
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2äË.ä',äö:Ib
Plan Checkjee
i.373.olo
Permit Fee: . -2.ò52.t"Manu. Home Fee¡*h þi'Ë"íìøviz,ru:
Total Fés:
3s8bP5
Éees Paid:
Sr,rã3.qn
Balãnce Due:
2,052.t5
BP No
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settacks¿þ IOCC Group:
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Const. Type:
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Zoning:
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3.7.22BU|LDTNG / PLANNTNG DTV|S|ON :
Signed Approval
flDirll
Date
Gødreld Coanty
BUILDING DEPARIîNENT
108 E¡ghth Street, Su¡te 407, Glenwood Spr¡ngs, CO 81601
Tel: (970) 945-8272
P NRE VIEWCH CKLIST
Permit No:$t^Æ-o2'Lz-7735
Building lssues Pla n n ing lZoning lssues
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Engineered Foundation
DrívewayPermit 6{ffiÊ**
surveyed site Plan
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Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdívision Plat Notes
5to5737
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Applicatíon Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Description & Summa..
Fr-í A06 6 x 7(.bt= Z8t t17'tf 0
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Property Line setback, Plalnoþg
N,4.3ûft.Stream Setbacks F=6o5=la
Af"1 Ftood ptain
25t
Zoning Sign-Off
lØ Road lmpact Fees E'Ø'> '
Grade/ Topography 40%
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Plannrng {sst¡es
Subdivision Plat
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Building Height
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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 ¿¡nd 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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