HomeMy WebLinkAboutApplicationGurfield County c-5
Com munity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
19701945-8212
www.ga rfield-cou ntv.com
INVOTVED PARTIES
Manufactured Home lnstaller: h Phone: (
Mailing Address:
EmailAddress:
PROJECT DETA¡tS
Descríbe Work:nv
JobAddress: l)7b
Assessor's Parcel Number
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Lot Block
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Owner's Valuation of Work:
Sq. Ft. of Building:
Class of Work:EW
Property Size (Sq. Ft. or Acres)
f of FloorsHeight:gt
ition
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCÎION
Commercia l/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
--4..Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
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Phone: ( )
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Phone:1t2
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EmailAddress:
Property Owner:
Contractor:
Mailing Address:
Email Address:
Phone: ('l'lArchitect:
Mailing Address:
EmailAddress:
q Phone:Engineer:
Mailin¡; Address
Email Address:
Garage:ched
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Remodel/Alteration
Detached
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XSeptic:f,WTS Community
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. 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.
CERTIFICATION
Permit #:
OtherType of Heat:Natural Gas
NOTICE
Propane Electric
Driveway
Permit:prxemnt
PROJECT DETAITS CONTINUED
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 land 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 cqmpliance 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 íssuance; 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
e and/ or builder
that I have read and understand the Not¡ce and Certification above, as well as, have
n which is correct and accurate to the best of my knowledge.
q t3 2022
Property Owner and Date
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OFFICIAT USE ONtY
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e€e a*tuúey'ØruÞ/77dA/sSpecial Conditions
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BUTTDTNG / PLANNTN6 DTVTSTON :
Signed Approval Date
G,ørfuId CoantY
BUILDING DEPARTMENT
708 Eighth Street, Sulte 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN RE VIE CH ECKLI T
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Bu[f,edte"lg Ess:i¡es
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./ property Line setbåcks 4rtg
A/A 36'ft. stream setbacks 1-lZ-Z
/ (+ Flood Plain
Engineered Foundation
Surveyed Site Plan
ptic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List N A Road rmpact Fees ththlh4s
Subdivision Plat Notes
Fire DePartment Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No'
40# Snowload Letter - Manu' Homes
Grade/ TopograPhY 40%
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Building Height
Zoning Sign-Off
Planning lssues
Subdivision Plat
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fup'.'êønvufhry ó'o/4
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Framing pl ans for each floo All beams , columns, joists, rafters and trusses
structures requ re the engineers stamp, signature and date
Framing /connection 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.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
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er sig Date
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Gørfield County
BUILDING DEPARTMENT
108 Eighth Stt'eet, Suite 401, Glenwood Spings, CO 81601
' ; Tel: þ70) 945-8212
Property Ownerts Certificate,of Compliance
Accessory Dwelling Un¡t (ADU)
Effective Dote: october 19,2020
The undersigned property owner certÍfíes thqt the qttached BuÍldÍng Permit ApplÍcotÍon
lor Accessory Dwelling UnÍt (ADU) is in complÍonce wìth the followìng list of stondords,
regulations and requirements for ADUs per Gorfield County's Land Use & Development
Code qs qmended on October 79,2020.
L Floor Area - Maximum floor area of ADU shall not exceed 1,000 square feet (excluding garage).
2. Ownership Restriction - ADU is restricted to leasehold interest (cannot be sold or subdivided).
3. One ADU per Lot - A maximum number of one ADU is allowed per lot.
4. Legal Access - Property Owner confirms legal access to proposed ADU as illustrated on site plan.
5. Water - Property Owner represents that they have notified either: (a) their water supplier to
address additional tap fees (if applicable) or (b) State of Colorado's Division of Water Resources
to secure any necessary water rights to supply legal water to the ADU.
6. Sewer - Property Owner represents that they have notified either: (a) the¡r sewer & wastewater
provider to address additional tap fees (if applicable) or (b) alternately, if an on-site wastewater
treatment system (OWTS) is employed, limitations on the number of occupants using the ADU .
shall not exceed maximum recommendations of existing/proposed septic system per State of
Colorado's OWTS standards.
*PLEASE NOT.!: This form will be digitally scanned into the Community Development Department's office records
and will be available for pubtic view and reference in any future title searches for the subject protperty.
I hereby ackno,¡rvledge having read the preceding checklist and agree to abide by these
requirements.
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Property Ow Signature
OFFICE USE ONLY:
Assessor's Parcel Number lD Number:
Building Permit Number Reference:
Date
Ga¡field County Land Use & Development Code Accessory Dwelling Units - 2020 Update