HomeMy WebLinkAboutApplicationGørfield County
RECËtvqjôm munity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
G A [t F" l f': {- t} {.] {: i.¡ , i i ' (9701 945-8212
C 0 M t'l U zu ITY ll F v E l-O p i¡i i, ; www.garfield-countv.com
b-b
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
tylanufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Sann¿¿ I V+ltz Phone:
U,ff1m
qÒ qLlg -9,?,ztp
8t 4¿¿€þ s [Dr
Email Address:nc¿-e
(oProperty Owner:
Mailing Address:
Ðñnp,r Phone: (Contractor:
Mailing Address
Email Address:
Phone: t4D fl94,st"zTSìlt c¿ I¿¿-v
rx¿-lYuan g
We,trtArchitect:
V!/\
or{sMailing Address
Email Address:
J*b
{L0r1y1 "
fYat+.|,L
a¿¿e-
t
n^lLl l;mdauer Dr*pr,\'6-*, ?Al -o4ooEngineer:
Mailing Address
Email Address:
TA' -(u\I Phone:Manufactured Home lnstaller:
Mailing Address
Email Address:
PROJECT DETAITS
ñ¿ru c.ûy\S+ril ,hov ol St,.alu {ir*rùU ¿t,¡¿ll,,r lv
Describe Work:
5Z
085 *ct,
ILI
l+ cDIÞ¡.atl 37t
| 03aot1rcel Number
Job Addressr
Assessor's Pa
"TþD C',A
AdditionClass of Work:ltfew Remodel/Alteration
ched DetachedGarage:
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 cletails, bracerl wall lines, shear wall schedule, location and hold downs
Property Owner Print and Sign Date
a
a
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Officialthat 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.
sarunt_t¿_,t ,?uiz u lv 0l-/L-e3
PROJECÍ DETAITS CONTINUED
CommunitySeptic:
OtherElectricneNatural GasType of Heat:
#:
i
Permit
ç1,a
Driveway
Permit:
data submitted by me or on rny 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 with me and my authorized agents, including without limitation my architect
or builderneer an
at the information contained above is true and correct. I
cation, along with the plans and specifications and otherI hereby certify that I have read this Application
understand that the Building Division accepts th
and th
e Appli
Exempt
NOTICE
AuthoriW.This application for a Building Permit must be sign ed by the Owner ofthe property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
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 requ¡red: (1) State Electrical Permit, (2) County owTS Permit,
(S) ,noth"t 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
I hereby acknowledge that I have rea d and understand the Not¡ce and Certification above, as well as, have
the best of my knowledge'
0 r- / u"Ð3
provided the required information
-.i/ìSayvttte\ Y<Ir.lz,
which is correct and accurate toSIK
Property Owner Print and Sign Date
+Ll 1OFFICIAT USE ONtY
Soecial Conditions:6æ caNÞtTloV 0F4æIlltT a #d?d
M Fee:35Perm¡tFee: -
.19
Pla Check
BP No:I..rS\
Fees Paid:va
Gro
o
l-t?'2.3BUILDING / PLANNING DIVIS|ON I
Signed Approval Date
Gørfietd CttwrttY.
BUILDING DEPARTMENT
708 Eighth Street, Suite 407,1lenwood Spr¡ngs, CO 81607
Tel: (970)945-8272
PLAN REVI EW CHE CKLI T
Permit No: êtRE-Ol- 23- 7?ê,hb3
Pl a n ning/Z oning lssuesBuilding lssues
¿at'-
GßE ?0ÐílD
/
r tD
./
,f/
N/A
-/ANÞ
./
-/
fru\
iTo^516L
ParPhf
'lúale kl
ztnløloîØ9.
Property Line Setbacks
3û ft. Stream Setbasks
Flood Plain
Building Height
Zoning Sign-Off
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
D iotion &Summa rV:
oa
a
)it ntl
Al/r
/?
./
r/
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Nlotes
Fire DePartment Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
YEC 1'E''Þ'
Road lmpact Fees v
â#rz7
Jæ-)_7sflrq
Q 8tîoâ
Krs.EÞ. = Ç I,
parcet/schedure No. FLS ZtTAX 7/, bA= /ô4 ¿lL êa
40#snowload Letter-Manu. Homes Cn)Ol 2f7OX l'8 = TrrOþ,4
SoirsReport t-î* 7bb X t2= 2¿/r6/2,Ad
-p/"1 6Lt x /î = {nE,*
üPHru-HüLË SÜ¡{-S RHPTffi .r
!.s f?å:ffi{JtftËti ,AT FO0Tt¡v*G
f ivsFËüTd tN e,$ø _ Fls r;
t, zî. ft - unaile¿ ønechìon I erneà geþbh. üypr+ {* r¿i ;ÊAt t
I 275¿o05,ø