HomeMy WebLinkAboutApplicationGørfield County
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RE Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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ìOfúIMUNITYDEVM
BUILDING PERMIT
APPLICATION
Commercial/Multi-Demolition
Manufactured Home (Single or Multi-Level)
T Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET
Address: 52089 Hwy 6, Apt 8311 Glenwood Springs, CO 81601
Email Addresr. tawl 31 3@gmail.com
Mailing
Property Owner:Todd & Paulette Wilson Phone: (704 Ê194596
Address: 2550 Hwy 82, Unit 1084, GWS, CO 81601
987-2353contractor: Domoplex, LLC
Emait Addresr. slawek@domoplex.com
970Phone:
Mailing
Address: 2550 Hwy 82, Unit 1084, GWS, CO 81601
Arch¡tect: Domoplex, LLC 987-2353
Emait Addresr. slawek@domoplex.com
970Phone
Mailing
Address: 320 Main St. #203 Carbondale, CO 81623
963-3223970Phone:Engineer:Ernest Kollar Engineers
Mailing
Email Address:jerniekollar@gmail.com
Manufactured Home lnstaller:
Describe 1¡or¡. Single Family New Residence
. 3.48 Acres
.20' 10"Sq. Ft. of Building:2408 Height
Job Address:2812Elk Springs Dr GWS, CO 81601
Owner's Valuation of Work: $û 2bS,5Cs5
# of Floo 1
Phone: ( )
Assessor,s parcel Number: 2185361 13031
sub. Elk Springs
Property Size (Sq. Ft. or Acres)
r-ot 31 r'o.n Filling 9
Mailing Address:
Email Address:
,/Class of Work:New RernodeUAlteration Addition
{Garage Attached Detached
itvIlwTsSeptic:
OtherElectricPropaneNatural GasType of Heat:
Driveway
Perm¡t:
Author¡w. This application for a Building Permit must be signed by the
or an authorized agent. lf the signature below is not that of the Owner,
I hereby certify that I have read this Application and that the information
understand that the Building Division accepts the Application, along with
Permit f:
Owner ofthe property, described above,
a separate letter of authority, signed by
contained above is true and correct. I
the plans and specifications and other
pt
the Owner, must be provided with this Application.
Lesal 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 pelm!!s. 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.
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 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 w¡th me and my authorized agents, including without limitation my architect
neer a or builderr,
I hereby
provided the
Property er and Sign
that I have read and understand the Notice and Certification above, as well as, have
information and accurate to the best of my knowledge.
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Date
/Tsee ettaohed ØND 0Special Conditions:
Home Fee:Man Fees:PffiFf,, Iørlå'Adiu sted Va
Total ôS Paid:/a
Const.OCC Group:
BUTLDTNc/pLANNrNGDrvrsroN, tl'l¡ytW P|-ZV
Signed Approval Date
Gørfield County
BUILD'NG DEPARTMENl
708 E¡ghth Street, Suite 401, Glenwood springs, CO 87æ7
Tel: (970) 5-8212
PLAN REVIEW CHECKLIST
Permit No: ø¿Æ* / 72:ry¿/?
Building lssues Planning/Zoninglssues {'AP
e&uþ
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Engíneered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Gradel Topography 30%
Attach Residential Plan Review Líst
Subdivision Plat Notes
Val uation Determinationl Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Applícatíon Signed
Plan Revíewer to Sign Applicatíon
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Rtr#o,oo stud , req ttl)t/
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Description & Summarv:
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Property Line Setbacks
36ft. stream Setbacks
Flood Plaín
Building Height
Zoning Sþn-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivísion Plat
ffiFire Deparrment Revíew (*,tdfrr)
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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 untilthe 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.)
lhereby acknowled I have read,and will abide by the requirements of this
checklist.
ffiïe l¿-/6 -22
Property Owner Print Sign Date
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