HomeMy WebLinkAboutApplicationGarfield County
BUILDING PERMIT
APPLICAT¡ON
Community Development Department
108 8th Street, Suite 401
RECË|VEÞ Gl"n*ood Springs, CO 81601
, ,, {.: ,, '.;. 19701945-8212
'|j!i¡11 L'r ri tå¡ ' www.garfield-countv.com
GARFIËLÞ COUNTY
OOMMUNITY
@
'ffp STRUCTION
Commercial/Multi-Family Demolition
Manufactured Home e or Multi-
T Residential (SF, Duplex or Townhome)Reroof
Acce Dwelli Unit u)- MAXIMUM SIZE OF I,OOO SQUARE FEET
INVOTVED PARTIES
Property Owner:Brandon & Sarah Moon Phoner ( 303
)
507-0001
Mailing Address:5620 County Road 342 S¡lt, CO 81652
Email Address:sarah. moon@summitmidstream.com
contractor: James Martinez prrone,(970 )319-9019
Mailing Address:580 North Meadow Drive Rifle, CO
Email Address:j ma rti nez@m a rt¡ n ezwestern. com
Architect:Studio M Engineers LLC Phone:r970 t366-8690
Mailing Address 111 East 3rd Street Suite 202
EmailAddress studiom.engineer@gmail.com
Engineer . Studio M Engineers LLC Phone:t970 1366-8690
Mailing Address 111 East 3rd Street Suite 202
Email Address:studiom.engineer@gmail.com
Manufactured Home lnstaller: Phone:
Mailing Address
Email Address:
PROJECT ÐETAI!S
Describe Work:Construction of a 2,062 sq. ft home, attached 593 sq. ft garage and 297 sq ft upper storage area
Job Address:5620 County Road 342 Silt, CO 81652
Assessor's Parcel Number:245515100030
5ub.15 tot 8 elock92
Owner's Valuation of Work: $238,562.12 Property Size (Sq. Ft. or Acres):10.289 acres
Sq. Ft. of Building:2359 Height:20'I314"# of Floors:-l--
Class of Work:r'New ition
Garage:Attached
Remodel/Alteration
Detached
PROJECT DETAI[S CONTINUED
Septic:I OWTS Community
Type of Heat Natural Gas Propane Electric Other
Driveway
Permit:
Permit #
NOTICE
Authority. 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 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.
VoÍd 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 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 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) orany
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 Regulation(s) or any other
applicable law. Review of this Application, including submittals, and inspections of the work bythe 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 hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provi ded the req uired information which is correct and accurate to the best of my knowledge
Owner Print n Date
1
?Atù,d1/5r,10 eß* r53 ô'iln /zozzfOFFICIAL USE ONLY
3eø a,Lb^ched, &iPD lt]ôN 3Special Conditions:
Misc. Fees:
j,,t /Ait Fee:,lFee:éloPlan Check5
ome Fee:l¡Manu. H
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Valuation:
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OWTS No:
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BU¡IDING / PLANNING DIVISION :
Signed Approval
5'3-%
Date
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Gørfield County
BUILDING DEPARTMENT
708 E¡ghth Street, Su¡te 407, Glenwood Springs, CO 87601
Tel: (970) 945-8272
PLAN REVI EW CH ECKLIST
Bl-<,g-04-zz-74ıéPermit No:
Building lssues Planning/Zoninglssues RüøL
Engineered Foundation
Driveway P ermiteW) ì^l q?/n
nppliet{
Surveyed Site Plans€nzoÞ22-7ï3b
Septic-Permit and Setbacks
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Grade/ Topography 40%
Planning lssues
Subdivision Plat
-/ Grade/TopograPhY30%
Attach Residential Plan Review List
Nl4
N,4
/
Application Signed
Plan Reviewer to S¡gn APPlication
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
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
determlned by the Bullding 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.
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