HomeMy WebLinkAboutApplicationGurfield Coanty
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www.garfield-countv.com
BU¡LDING PERMIT
APPLICATION @
TYPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home (Single or
Residential ,D or Reroof
Dwell Unit - MÐflMUM SIZE OF 1,000 FEET
INVOLVED PARTIES
propefiowner: J,ofSA çl¿ r¡eti Phone: ú10 | 3+4-8q67
Mailing Address:11 la ßÅiord Ave SÌr+-¿o H6fa
Email Address:
Contractor:fùt h,¡rsl.¡Urh'An Phone:¿/- 0
Mailing Address:+¿ ßôx ,+A (ìll,- tt¿A tÁre
Email Address:È v
Architect:ünt Phone:r?xf I ?lAq,A
Mailing Address:
Email Address:
Engineer:Phone: ú41 t366'9óQo
Mailing Address:I
I
I
Email Address:
Manufactured Home lnstaller:Phone: (-)
Mailing Address:
-
Email Address:
Assessor's Parcel Number: zl21 365 Û Õ C-8 7-
PROJECT DETAII.S
Describe Work:
EW
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4
s
of Work:
# of Floors:t,4 lv
Job Address:
5ub.
Size (5q. Ft. or Acres): 1 'O?î fr,efe|Owne/s Valuation
Sq. Ft. of Building:
Propefi
q'tHeight: _
rot rl3 Block
-
Class of Work:Remodel/Alteration
ttachedGarage:Detached
PROJECT DETAILS CONTINUED
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
NOTICE
Author¡W. 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.
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 ¡s 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 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 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 (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 respons¡bility 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
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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.
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Property Owner Print and Sign Date
Permit f:
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¿hthd ØllbtnoMsSpecial Conditions:
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Manu. Home Fee:N/A
Misc. Fees: f
RITNRD I3?2CheckFee:IPlanq77, t
Permit Fee:
1503,"5Adiusted Valuation:[ao H4 &
BP No:
BLR€ -1509
OWTS No: t
sÉ?1. ?troFees Paid:
$ qr?,18 Balance Due:
160V,352 ¿lø0,ç,Total Fees:
Zoning:
RURALocC Group;
I Rc-
Const. Type:
t, R.<k-
Setbacks:
0
BUTLDTNG / PLANNING DIVISION
Signed Approval
o-t-77
Date
ttil,',rl4n
Gwffietú Cowrn@,
BUILDING DEPARTMENT
108 Eighth Street, Su¡te 401, Glenwood Spr¡ngs, CO 87607
Tel: (970) 945-8272
PLAN R EVIE WC HECK L IST
Permit No: B ¿Rg-O5-2-7507
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NI
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Property Line Setbacks
3û ft Stleam Setbacks
Flood Plain
Building Height
ZoningSign-Off
Building lssues
./ EngineeredFoundation
Driveway Permit
Surveved Site Plan
€Eirr-7fla
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Nlotes
Fíre Department Review
Application Signed
Plan Reviewer to Sígn APPlication
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Planning/Zoning lssues
NFÞ
^Jâ
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision PlatValuation Determinatio
¿/ Red Line Pla ns/ Stamps/ Sticker
Attach Conditions
-Descri otion &Summarv:
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craùl trvx t8 = $ 3t2î96,æ.Jú 5rø x aZ = i, tg)¿132,oê
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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 Officialthat additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold untilthe required information is
plovided. 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 havíng 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
GO 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.
Jeçeo Flôulprç s- t- ee
Property Owner Print and Sign Date
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