HomeMy WebLinkAboutApplicationCommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ol s4s-8212
www.garfield-cou ntv.com
WPE OF CONSTRUCTION
Commercial/Mu lti-Fami
Manufactured Home (5i lgle or Multi-Level)
Residential (SF, Duplex or Townhome)
Acce ssory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000
tr
Demolition
;E Reroof
SQUARE FEET
Garfield County
BUILDING PERMIT
APPLICATION
INVOLVED PARTIES
Mailing Address:
Email Address:
Property Owner:S e ter.n I\-rNE= LL(:'Phone:1r)ÐtLa 8
Phone
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Contractor:
Mailing Address:
Email Address
Architect:Phone
Maíling Address
Email Address:
Engineer:Phone:
Mailing Address
Email Address:
Manufactured Home lnstaller:Phone: (_)
Mailing Address:
Email Address:
PROJECT DETAIIS
Describe Work:
Job Address
Owner's Valuation of Workl ÈP
Sq. Ft. of Building:1,1 tÞ
Class of Work:New
Property Size (Sq. Ft. or Acres):
# of Floo
3
:
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e35't ù
Assessor's Parcel Numbe rt â4A-l l8 4oft;þ
sua.{ltcnq¡nîtf Cf'et l¿V¿i!-ct¡.o, Q etock l6
Addition
Garage Attached
Height
Alteration
Detached
E JAs
it:Perm
PROJECT DETAII.s CONTINUED
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
Driveway pt Permit #
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.
Leeal Access. ABuildingPermitcannotbeissuedwithoutproof of legal andadequateaccesstothepropertyfor
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinL80days
the date of issuance and if work is suspended or abandoned for a period of 180 days after commence
CERTIFICATION
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 Buildíng 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 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 ¡nspect 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 faclllty(ies) if such is ¡n violat¡on 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 bythe 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
provided the required information which is correct and accurate to the best of my knowledge.
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Print and Sign Date
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OFFICIAI USE ONTY 3
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Special Conditions:
WE'äMIu"Plan Check Fee
+â., å \
Permit Fee:lll,%Manu. Home Fee,u/+Fets:/NMisc.
ñt
Totãf Fees:
t g3.sb F ees Paid: -)a,Ò\Balance Due:Ill 2^5
BP No:Mv-nu OWTS No:-,MTA
Setbacks: ¡
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BUILDING / PLANNING DIVISION
Signed Approval
a-v23
Date
Gørfield County
BUILDING ÐEPARTMENT
708 Eighth Street, suke 4o7, Glenwood Springs, Co 81æ7
Tel: (97a) 5-8212
Building lssues
PLAN REVIEW C HECKLIST
Permit No: elÆ- 0/-2C- V7/
Planning/Zoning lssues
P"6F4 ¿/6el4
Engíneered Foundation Property Line Setbacks
ú'ft. Str""r Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
,
nOthþ€r*er,vay Permit
ilal surveyed Site ptan
Nrt Septic Permit and Setbacks
aùúS^ae/ ropog ra p hy 3o%
NA
CONÞ-
Aüach Residential Plan Review List
Subdivisíon Plat Notes
Fire Department Revíew
Valuation Determinatíonf Fees
Red Line Plans/ Stamps/ Sticker
Attach Condítions
Applícation Sígned
Plan Revíewer to Sign Application
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Descri on & Summa
,íulrut/c/
tza/aa*fu =,á1laoo
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Ferrh/h
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.
/-,1t;,)tâ 4
Property Print and Sign Date
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