HomeMy WebLinkAboutApplicationGarfreld County
>zl- rrrz' ='lf ".; :¡*E : 84t r'.:i'.¡ o H() J>UJ :,' Lu E
Í. .i t¡_5': ü,=
óã
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
lpTols4s-82t2
www.garfi eld-cou ntv.com
33t y(
BUILDING PTRMIT
APPLICATION
TYPE OF CONSTRUCÍION
Commercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:
lzoPhonel
,'ak
5
I
Contractor:
Mailing Address:
Email Address:
Phone:
\
Architect:
Mailing Address
Email Address:
Phone:
I
gtEngineer:
Mailing Address:
Email Address:
Mailing Address:
Phone:
Email Address
Manufactured Home lnstaller:
PROJECT DETAIIS
Yz &p-te-v ,Describe Work: _
fofF
Block
Size (Sq. Ft. or Acres):ô"549
3 5!{arr¿5 Uñ I f '/
Owner's Valuation of Work:
sub.-f t €r¿,-t G(¡-*,+
Height:
Assessor's Parcel Number:
Job Address:
3tZ
sq.Ft.ofBuitding: %-
x Remodel/Alteration AdditionClass of Work:New
DetachedAttachedGarage:
PROJECT DETA¡IS CONTINUED
Septic:CWTS Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Perm¡t:
Permit #:
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
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 cert¡fy 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 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 Perm¡t 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 inspectthe 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 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, engineer and/ or builder
NOTICE
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is nd accurate to the best of my knowledge.
Property Owner Print and Sign Dete
t,42l.ZÇ o6/t3/zøzz- æOFFICIAT USE ONtY ID
6ee attaêtæl Ø/1/Þ/nONsSpecial Conditions:
Manu. Home Fee:
rJ /*Misc. Fees: .
RIFEEÞ €2707,Plan Check Fee:h421,þ Permit Feez n¿2,lgô,wAdiusted Valuat¡on:3t2-3n,+t
Bafance Duea--
2,19b,2e
BP No:
tsvs€'159ø
OWTS No:
4o¡4,¡¿.¡ ¡ r fY"'^'äÍ'bozg,F'ees Paid:
t l,1z¡ -r,
Zonine:1,v.ÞConst. Type:
t. F.c.
Setbaíks:bAND OCC Group:
l,L'C-
7.22.2¿-tilt1 u'/,BUILDING / PTANNING DIVISION :
Signed Approval Date
Gørfield CounQ
BUILDING DEPARÍMENT
708 Eighth Strcet, Suite 407, Glenwood Springs, CO 81601
Tel: (970) 945-8272 [,lnÈ
PLAN REVI WCH ECKLIS
Permit No: 6LRE- O b-ZZ-258 b
Building lssues PlanninglZoning lssues ?tlÞ
Reøidrlrú,øreútl,ç 7zzz-
UNDtNA
^IA
Engineered Foundation
Driveway Permit e-Lq4
Surveyed Site Plan
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
UflÞbuitding Height
/ Zoning sign-Off ,
y6 Road tmpact Fees E, EÞ,
/o rade/ Topography 4O%
Planning lssues
Subdivision Plat
47bâffi w hrte bin&s.v
Description & Summarv:
Subdivision Plat Notes.
?fr#.ffi(K6ft{r,>A4 nofs:q4
Valuation Determination/ Fe6
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
4.
Soils Report
..3r 62þ
trLs ?8Òl
x 32-= lq/910,ø
x 7¿|,8=2917248
23O r t8-- 4,l(0,oo
4n ,)e'leÅ but v^l 3 2 3lq,+6
OP'k"h{ -H ü LË $t i L* ËEË'YS''-;T
îs rîr'üulH[:ü /\r F{}f¡Trhü¡
1 îtspËc+l Ðw 7Pø" -- F'Íìir
¡lPKvmor 2l-V761
d*J"d-øt. t?-þzl
?ne ¡ led ôtqtûo/kz/ q, qúr¿¿,L
4e tæe¡rc ? saa hrb-friÞ Rtr E.B->. :-S 2)707.Ø
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
provided. Work may not proceed without the issuance of a permit.
The Building Division wilt 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.)
t hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
Ò
Owner Print and Sign Date
a
a