HomeMy WebLinkAboutApplicationGørfteld County Þ-3
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Community Development Department
ñ¡-:,.Èr.r* . 108 8th Street, Suite 401
FiÈ'r:c'' i- Glenwood Springs, co 81601
(e7ol94s-82L2
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Commercia l/M u lti-Fa m
Manufactured Home (Single or Multi-Level)
Resid entia I Du ex or Townhome)
Accesso Dwelling Unit DU - MAXTMUM SIZE OF 1,000 SqUARE FEET
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Email Address
Contractor;
Mailing Address
Email Address:
Architect: Yr'Å.,- fl,'-.-
Phone: ûza )?:87-7?Õ+
Phone: t410 I îtZ- Zdtl
Phone: (q1A \ 812.- 7cl??
Phone; (i1o ) %t Z-Z j t Z
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Property Owner:
Mailing Address:
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Mailing Address:
Email Address:
Engin ""r', R o,rî L. ^.,^^. <
Mailing Address
Email Address:
Manufactured Home lnstaller:
Mailing Address
Email Address:
BUILDING PERMIî
APPLICATION
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IL.
Demolition
Reroof
Describe Work;
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Job Address;
Assessor's Parcel Numbel
su¡. R ì-r-bo^l
2lze34j?oat t
Owner's Valuatio
Sq. Ft. of Building
Class of Work:New
øt ll Block--
n of work: Sffi*A?9t&Ú Property size (sq. Ft. or Acres)
l2oo Height:I lo'6 "# of Floors: I
Addition
Garage:Atta ch ed
Remodel/Alteration
Detached
lí^4R Vf+
OtherPropaneE I ectricType of Heat:
Permit #
PROJECT DETA¡LS CONTINUED
Septic:WTS Community
Natural Gas
Dríveway
Permit:
pt
NOTICE
Authoritv. 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. 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.
CE ON
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 asto 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 Officialfrom: (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
des i,g,ngr, qn,qinçç¡ and/ o r 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.
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ffindsign Date
$OFFICIAL USE ON
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Special €onditions;,I
Permit Fee:L|31_ þ5 Manu. Home Fee
T\t IA
Misc. Fees:
NVN
Adiusted Valuation:
i'28.800.0o
Plan Check Fee
280.17
BP I|Io:
ßrRF-79.'n
Total Fées7t2.22 ffie 47/,.'övBalance OWÍS No:
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Setbacks: - -co¡ytr,occ G roftÇQ-Const. Typej
îtrQ(\-
ZoninglÞitf)
a0l- 0/-202BUILDING / PLANNING DIVISION :
Signed Approval Date
Gørfrcld County
BUILDING DEPARTMENT
108 Eighth Street, suíte 4O7, Glenwood springs. CO 87æ7
Tel: (970) 5-8212
PLAN REVIE W CHECK LIST
Permit No:êLÊF- /2-22-7Sa
Building lssues Pla n ning/Zoning I ssues
Engineered Foundation ( rul''
/a/ //
Property Line Setbacks
3ó'ft. str""rn Setbacks
^ryDriveway
Permit íA
Surveyed Síte Plan
fld r¿lumbùtq
Septlc Permit and Setbacks
/14 Flood Plain
-/
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determínatíon/ Fees
Red Line Plans/ Stampsl Sticker
Attach Conditions
Applícation Signed
Plan Revíewer to Sign ApPlication
Parcellschedule No.
40# Snowload Letter - Manu. Homes
Buildíng Height
Zoning Sign-Off
Road lmpact Fees W
Grade/ Iopography 4a%
Planning lssues
Subdívislon Plat
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Descrintion & Summarv:
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Framing plans for each floor level and roof, All þeams, 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.
Ot",,l G-,:
PropelS oùíner eriniáñã sign Date
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