HomeMy WebLinkAboutApplicationGurfield County
aLt
RECËIVED Community Development Department
Þco UNTY
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ol94s-8212
www.ga rf ield-cou ntv.com
DEVELOP TlENT
BUILDING PERMIT
APPLICATION
Demolitionult¡-FamCom
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SlzE OF 1,000 SQUARE FEET
Email Address:Rebeccaoquin@icloud.com
Property Owner:Rebecca O'guin Phone: (_)
1001 Grand Ave. Suite 107 Glenwood Sprinqs Co.81601
Josue@hig hcou ntrybd.com
Phone:(970 ) 319-5596
Mailing Address
Email Address:
contracror: High Country Building Group
Phone: ( ì*Ëe*tree
Mailing Address:
Email Address:
Engineer: Phone:
Mailing Address:
Email Address
Describe Work: Elevator install
Height:
Property
Phone: ( )
Lot _ Block _
l.\IR
Email Address:
Sub.
Manufactured Home lnstaller:
Mailing Address:
Sq. Ft. of Building:
owner'sValuatíon of Work: S 55. êÐ
I
Assessor's Parcel Number:
Job Address: Sæg
r'Class of Work:New RemodeUAlteration Addition
r'DetachedGarageAttached
ij(
PROJECT DETAITS CONTINUED
Septic:CWTS Community
Type of Heat:Natural Gas Propane Electric Other
Permit #Driveway
Permit:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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. Multi 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.
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, 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 regulationsand applicable land use regulations (County Regulation(s)). lacknowledgethatthe
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
provþled the required information which is correct and accurate to the best of my knowledge.'t¿þfuL.c-q O'G - ra,
(.-'(0812312022
Property Owner Print and Sign Date
q IOFFICIAL USE ONLY
Special Conditions:
Permit Fee:
I
Manu. Home Fee
F,\lÈ
Misa Fees:N//+Adiusted Valuation:
#55,oØoo,
"'^'f,'fìq.q+id p nceBala BP Nð:
ßr"oE-Tgtl I
OWTS No:
NIA
setb{cks6l"occ Grouo:îRc_ton'5ffic-Zonlng:
/1il,'/-r/Á.BUILDING / PLANNING DIVISION
Signed Approval
lbzvz
Date
G,ørfi,eld CountY
BUILDING DEPARTMENT
708 Eighth Street, Suite 401', Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN REVIE WCH ECKLI T
st46-¡7-22-7qiltrec"rmËi, i'jc
ÉurIe lng åsstles Fla':tr¡înÊ4,f Z ,o,r-t*"1.9 issi-teç
I fv,L
Engineered Foundation
DrivewaY Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuatio n Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu' Homes
Soils RePort
Property Line Setbacks
dft. stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmPact Fees
tvt
NA
M rtzntj"nUs
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
//"? tn êxl,*>y
n9
Des ÈÉ í,.)i ien 3'r 5umrr,'i¿¡iL
þø, Øo, oa ââ f*- ø,--
€ab,nt:t*/ ra/ua*>?'L
êêÖri
Hem,þr /ors/a//^h*^
/nrtrtt-¿- /<!-'na/e/4//a-a¿+'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 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.
Q.'¡*ô 6-t 08t23t2022
a
a
Property Owner Print and Sign.
1\¿-u(* t4* Cr t<Date