HomeMy WebLinkAboutApplicationGarfield Counly
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 8160X
(970194s-82L2
www.ga rfi eld-countv.com
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Commercial/Multi-Fam Demolition
Manufactured Home (eorM
or TownhomeResidentialF Reroof
Accessory Dwelli Unit FEETDU- MAXIMUM SIZE OF
INVOI.VED PARTIES
\ñEmail Address:
?<Mailing Address:bt.t +
Property Owner:+
?.-e^c\rr;to. O^
Luc-.Phone:
Phone:
u
Contractor:
Mailing Address:
EmailAddress:
L-tPhone:ftl r,Architect:
Mailing Address:
EmailAddress:
Phone: ( qro ) ,aq t b-t ðZ-Engineer:
Mailing Address:
EmailAddress:
\I
PhoneManufactured Home lnstaller:
Mailing Address:
EmaiiAddress:
PROJECTDETA$
Owne/s Valuation of Work S -15Q^- . property Size (Sq. Ft. or Acres):
Describe Work:
Sq. Ft. of Buifding: lãb1 Height:# of Floors: , \
â q cn ô-?d- I 21t-1.'..?'
1,++
AI,(o,'lnln, ,-'1,"a,¿t '{n *[
Job Address:
tot 3 Btock-
Assessor's Parcel Number:
Sub. É4..*.-, *
Class of Work:Remodel/Alteration ition
Garage Detached
r wfWTS
Type of Heat:Gas Propane Electric Other
Permit #:
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 nôt 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 Officialfrom: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopp¡ng
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 submíttals, 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
I hereby certify that I have read this Application and
ra or builder
PROJECT DETAITS CONTINUED
Septic:Community
Driveway
Permit:
NOTICE
Authoritv. This application for a Building Permit must be signed by the owner of the property, described above,
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 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.
ü-.,¡u-l?
Property Owner Print and Sign Date
OFFICIAI USE ONLY PAtÞ .13.+L cK.rt to 6Y oL zz
€ee
^,bb^doed
æND lTloAtSSpecial Conditions:
Adjusted Valuation;
167.23,sb
Plan CheckFee:
8q3.'{b
Permit Fee: )¿
t"374.55
Manu. Home Fee:
v/a
Misc. Fees:Rtr 5øD tt.za:
Total Fáes:
2,2b8?l
Fees Paid:
+ 81, .4b
Balance Due:
t-374,55
BP No:
9LÈe-1LZl
OWTS No: '
coMt,túÑ tTy
'"BffivÞ OCC Group:
I. R.. e.
Const. Type:
t.R.c Zoning:
7. ú.Þ.
(1,,il¡MBUITDING / PTANNING DIVISION :
Signed Approval
8n^ n-
,
Date
æ
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 until tire required information isprovided. 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 ownerto 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 ior vacating the þremises. (Final/CO
inspection requirements will be attached to your approved field set of plans.l
I hereby acknowledge I have read, understand and will abide by the requirements of thischecklist.
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Pro perty Owner Print Date
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6'ørfulé County'
BUILÐING DEPARÍMENT
108 E¡ghth Street, Su¡te 407, Glenwood Spr¡ngs, CO 87601
Tel: (9701 94s-8zJZ
PLAN RE VIEW CHECKLIST
Penmit No: 6LR€- o b-k7¿21
Building lssues Planning /Zaninglssues PUÞ
4rrivewayPermit
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Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
.r'
Flood Plain
Building Height
Zoning Sign-Off
Yß Road lmpact Fees 6, B.Þ,
r--'¿ Grade/ Topography 4O%
/ ptanni ng lssues
bdivision Plat
Descri ion Summa
Engineered Foundation 4Øè-Pro pe rty Line setbacks
ÑA 3o ft. stream setbacks
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Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
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