The URL can be used to link to this page

Home My WebLink AboutApplicationGørfield County Ð-5 RECElvfu¡¡rmunity Development Department 108 8th Street, Su¡te 401 Glenwood Springs, CO 81601 ;H5,jFi,î-,"'i:;ï'#ffi BUILÐING PERMIT APPLICATION 'E OF CONSTRUCTTOI Commercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex orTownhome)Reroof Accessory Dwellins Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVEÐ PARTIES Phone: 1SVt¡ 37A 43TZ I r)rÈ ) Email Address Property Owner: Mailing Address: Rrfç.e Kunøe,r C.'l.iof phone: (17ù ) f I 1'{t- 2*taContractor: Mailing Address Email Address: {{\*¡'wh,¿ç*eã€ 'tY-vLcA t@' phone: t'lTÙ t Address: PÕ BA* Gf19 å¡ror¿ iltuy:\ üillthc*t ïlbtf, Emait Address: Tn¿t c- ftat e- I C:- tnÅ,a-¡r,r l,c zle,,¿'¡Alc - L tee*',. b w Arch¡tect:771--Hl( Mailing Phone:e 3 L Engineer Mailing Address: Email Address: Phone: ( )Manufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAILS Describework: for¡ot$rurf Ne¿¡ 3F tZ- n^ô aJ4¡rql-rr{, Lðþ 2173oç I o"t o3Z Height:2L+#olFloors: L Property Size (Sq. Ft. or Acres),9 "Çz âc Sq. Ft. of Building:\tþft .Pg8â sub. Lo¡ Owner's Valuation of Work: $L ç ¡r.l ,t-uir,v Pa¡v:¡* Assessor's Parcel Number JobAddress: tt3 NWrfuc 14 "PnW r-ot G,8 etoct Class of Work:I New Remod el/Alteration Addition Garage Attached Detached PROJECT DETAITS CONTINUED Septic:OWTS Communi ty Type of Heat:atural Gas Propane El ectric Other Driveway Permit:ffxemnt Permit #: NOTICE Author¡tv. 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days 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, lagreethat land myagentswill 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) 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 (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. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is and accurate to the best of my knowledge. ln ltq/n¿:z* Property Owner Print and Sign ó^iJ t OFFICIAI USE ONLY 6æ arLadrted UNÞ/TCNESpecial Conditions: ?,f Due Lgl, Fee: Bal e Fee:u. -tgÌq OWTS No:a-6\(\r{Yrr lfl Fees ñl ,{t t Adiusted Valuation:- üZzQ-çqb,'¡L 'ëli]üø+n tyPaid: Plan Check Fee:- l/, q 9.4. tf lqß,q, tt-28-lþ Slgned Approval Coocc ^ry Date BUILDING /PLANNING DIVISION:fu1,'.ø Gødteld County BUILD,NG DEPARTMENT 1OB E¡ghth street, Suite 407, Glenwood Springs, CO 87Ø7 Tel: {970) g5-8212 PLAN REVIEW c HECKLIST Permit No:B/RE-/a-z-787a Building lssues Planning/Zoning lssues ouo ? Engineered Foundation Driveway Permit Surveyed Site Plan Septíc Permit and Setbacks Grade/ Topography 30% Attach Residential Pla Valuation Determination/ Fees Red Line Plansl Stamps/ Sticker Attach Condítions b¿ bg Property Line Setbacks 30 ft. Stream Setbacks Flood Plaín Buildíng Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% Planning lssues Subdivision Plat 5lr//A*"@ Rtr =#o,oo pplication Signed Description & Summary: / plan Revíewer to sign Apptication trÆ; 6 f/î X 7, æ = 264 130'qZ -/ Parcel/ schedule No. NA 4o# snowtoad Letter - Manu êraþ/ ryoo x /g 25/?fr,00 ?ra x ,12 blb96 0, o/)List Homes 5-zo4 3l Øx /L57o x tî tol 2b0,00-Øsoirs Report f/at Nol¿ rCI .,îry cryø. 4cf/a( cl¡ u0.Ø 4MpÈ3f+hols',n;T,irLd [Vo 7*/€/4 /4 fr//,,' a/'aeb/ bø,//,,r7 tto/ro.h*4 f tu?r6îb:2 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. ïhe 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.) a a I hereby acknowledge I have read, un_derstand and will abide by the requirements of thischecklist. þ4 Bv¿a4-Løu<.tt' ?,J-^7972 Property Owner Print and Sign Date