HomeMy WebLinkAboutApplicationGorfielú CounQr
J
l¡.,
l!ô
Þz
==
z5o(J
o
t¡J
IL
6 !:.rl¡J¡À
uJ c3:)(tUl d::.U .'+;l
unity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
ls7ol94s-82t2
www.earf¡eld-cou ntv.com
BUILDING PERMIT
APPLICATION
lÉpe or coNsrRucÍtoN
DemolitionCommerciaUM u lti-Family
Manufactured Home (Single or Multi-Level)
x ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
PROJECT DETAIIS
Describe Work:
Job Address:
Assessor's Parcel Number:
Sub.
ç t*V
v[f 7
(uN
owner'svaluationofwor ft Ç-or, aao
Lot i slock
Property Size (Sq. Ft. or Acres):
Height:),ç( r or
îç,t
INVOLVED PARTIES
,!"ùkeé
A
"l
Phone:t4'?,t t L'Vq-.¿þL{Í
l ð ø /62-1
l4.o¿-
1\¡>o{
Email Address:
Property Owner:
Mailing Address:
7a"t --ll ë'6Phone:Contracton
\
Nçkr¿o Ltu
,Mailing Address:
Email Addressl
à r'-\|lu,i,rnon.-7-
oI10
Arch¡tect:I'1,,,h^tl Þt1".
t'z t
¿2a
Mailing Address:
Email Address:
J lo -o't'tJPhone: (lo ,
lL'aôl"'0
!o lu ¿ ÇIr, '1,¡oEngineer:
Mailing Address:
Email Address:
Phone: f )Manufactured Home lnstaller:
Mailing Address:
Email Address:
($emodel/Alteration AdditionClass of Work:New
Detached)AttachedGarage:
Sq. Ft. of Building:floors:-?
-
7
l
Septic
Electric OtherPropaneType of Heat:Natural Gas
Permit #:ExemptDriveway
Permit:
PROJECT DETAILS CONTINUED
Community
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner ofthe property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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 ¡dentified 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 i nformation contained above istrue 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 guilding 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, 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 hereby 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 (21 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 ra or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required i n which is correct and accurate to the best of my knowledge'
'Z-t'7'\
Property Owner and Sign Date
ðîq
oFFlClAt usE ONIY PD. t T tE..t't c,. c.. o3 tz
r%rê
Special Conditions:
4tre
Manu.
il
Home Fee:
/;
fíisc. Fees:,u/4Permit Fee:643.75Adiusted Valdation:'4o,ooa.æ Plaí Check Fee:1t8.14
OWTSffo:
xlA
BP No:
ßtR,e -13q5Fees Paid
{ttt.'lt
Balance Due: -
643,2s'"*lr'Íäz,r?
Zoning:
Rue.Ar-
Const. Type:
tR<OCC Group:
tf¿r-Setbacks:EK
,Tilï*/lnBUILDING / PTANNING DIVISION :
Signed Approval
,/+4-
Date
Garfield CounQ
BIJILDING DEPARTMENT
L08 E¡ghth Street, Suite 407, Gtenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN RE VIEW CHE c KLIST
ØuRE-oTz-73î5Permit No:
Building lssues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
ø, AF Septic Permit and setbacks
PlanninglToning lssues U
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
,/
./
^"w-/ soils Report
Lt-l-zL en^l7
on vúorK 3
-/
/
./
./
3 Valuation Determination/ Fees
N4
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Descri otion & Sum marv:
æ
Rv^l
Sqlrztúêd 'ta/uahfu
úargM
70wpç€
oo;h"b
þa r)'
lu¡u"
^þh,u&¿a-a
E,t4/r!¿h
*
. 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 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 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.
/aZza,-ô"1 lt
Own Print and Sign Date