HomeMy WebLinkAboutApplication, REGEIVED
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GAR':IEI.$ï'Y
Communiry DeveloPment Department
108 8th Street, Suite 401
Glenwood SPrings, CO 81601
(e70) 94s-8212
www.Earfield-cou nW'com
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County
BUILDING PERMIT
APPLICATION
TYPE OF Demol¡t¡on
mercial/Multi-FamiCom
or Multi-LevelManufactured Home Reroofor TownResidential
AccessorY Dwel Unit FEETSqUAREOFMMU1,000stzEMAXI
rNvowED PARTIES
phone: ú7ot 3?o -23¡f
Email Address:
PropertY Owner:
Mailing Address:
Phone:
ContraGtor:
Mailing Address:
Email Address:
Architect:
Phone:
Mailing Address:
Email Address:
I
Phone:I?
Engineer:S Grn -tt?
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone:
Email Address:
Mailing Address:
PROJECT DËTAItS
Describe Work:
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Job Address:I ?
t.lYt
tb'
CR 13¿
Lot
-
Block
-
PropertY Size (Sq. Ft. or Acres):
owner's Valuation of Work: |-:TJ, (O A
#of
sg. Ft. of Building: 2 ta o Height:
Assessor's Parcel Number:
Sub.
AdditionRemodel/AlterationClass of Work:
DetachedAttachedGarage:
PROJECT DETAIIS CONTINUED
sãpt¡c:Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
l_ermi!¡
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 authorit¡ 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 Perm¡ts. Mult¡ple 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 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 Build¡ng 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 BuÌlding
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) or any
other applicable law.
I hereby grant perm¡ssion 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
construct¡on or use of the structure(s) or fac¡lity(¡es) 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 const¡tute 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
provided the required information which is correct and accurate to the best of my knowledge.
7- t¿- z L
Property Date
pt Permit #:
?AlD $.{,5¡1.1T e.(. Oq /e/touOFFICIAT USE ONtY
3 ee a#a úed æ/v/> /77e/1ßSpecial Conditions:
Plan åT'
Manu, Home Fee:
l¡/A
Misc. Fees: -
^l/A
Adiusted Valuation:SV44.oa
'tiì:rbFees Paid:
+ clst.8{BP No:
BrR,e'???8
OWTS No:
¡,1 l*'Å"'li"i'iu/"¡'
Const. Type:
l. R.c
Zoning:
ålÊâL€.
SetbácksrÐ"rø.OCC Group: 't
l. R.C.
/0-6-ZLtil,'r'l-hBUITDtNG / PTANNtNG D|VTSION
Signed Approval Date
Garfield County
BUILD,NG DEPARTMENT
708 Eíqhth Strcet, Suite 407,6lenwood Springs, CO 87601
rel: (970) 94s-8212
PLAN REVIEW CHECK LIST
permit No: þR+O? *ZZ4 7%3
Building lssues Planning/Zoning lssues RnRA L
Driveway Permit eh}hhl
Engineered Foundation
Surveyed Site Plan
Septic Permit and Setbacks
Gradel Topography 30%
8oA zool - 0/
Property Line Setbacks
30 ft. Strea m Setbacks
C"ID
NA
-/
Colt/f Frood prain êlne/4/t
^/A
Buildíng Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdívision Plat
,þg luaø
€Þ/,,1
//1 2aZ/
/erØ/t
Altach Residential Plan Review Líst
/ subdivision Plat Notes
Fire Department Revíew
Valuation Determ inationf Fees
Red Line Plansl Stampsl Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Applícation
Parcellschedule No.
40# Snowload Letter - Manu. Homes
Description & Summarv:
uhþnd;:;í: ëzt x zlnôof
Soils Report lj
avoaáa/e try
a/;s/e/
bu4tha
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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 Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the 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.
9-tz-zz
Property Print Date
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