HomeMy WebLinkAboutApplicationGarfield County
Commu nity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www.qa rfield -cou ntv.com
BUILDING PERMIT
APPLICATION
Com mercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Property Owner:
Mailing Address:
Email Address:
t-)',¿- l-
Phone:(k3 ) Øtç -7Q7-l
Na^t '17
cont,""to* -'Ë.äLa \l **¿ )bev¿tt;*røtí
tbtl
Phone:#Mailing Address:
EmailAddress:
l) r( ?Íz-r-¡.'.:lrr( phone:tllplötf¡""35ë¿7
A-C-ut l4s,?-t\Y (ù- /.,.9^l
"
Architect:
Mailing Address
EmailAddress:
6¡øz-
T7,¡tr € ir¿>(r È 2п-
t4
Ç'r"ù,o^Email Address:
Mlc Phone:ß7Ø'.<bG ?riy
Mailing Address:
Engineer:
€tE Cz' BttoÇu
owne/s Valuation of Work: S l.? ntrq aI Property Size (Sq. Ft. or Acres): . (l; I Aetl+;
Describe Work:úau
? .# 5525Cîé"
Sub. Aseøl 6'-,"^f
Height:
Phone:
êp
å/,ì
øt Fþ8 eøa<
Manufactured Home lnstaller:
Assessor's Parcel Number:
Job Address:
Sq. Ft. of Building:#of
Mailing Address:
Email Address:
s[â$úf-ul¡orf{r,, i LJNÊw ¡l lnemodelfAlteration l|_-lAddirio*
Garage Attached Detached
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 þe 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.
Ø; che.t /+. frL ot¿¡*f
¿^? â- r+ Z,/o z,/z a2g
Property Owner Print and Sign Date
a
a
xSeptic:Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:n Permit f:
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.
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 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.
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 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: (L)
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
end County Regulations rest with me ând my euthor¡zed agents, including without limitation my erch¡tect
desi f'ê eer 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.
lht.Lq¿l 4- i4ov,-fA? â /--é,lê L1
Property Owner Print and Sign
L
Date
sec athaaúc/v¿asSpecial Conditions:
Plan Check Fee:
.6e q5Permit Fee:
o
Total Fáes: --3 ,ç16.' r 4'i:ä:&7reFées Paid:
I ALIL)'
BP No:Mu-q4+S
Fee'tT KIF
Misc.
Setbacls:
D'T B.E tri[T)
BUITDING / PTANNING DIVISION :h/,'*LL
Signed Approval
I
2-6-23
Date
6è
Garfiotd County
Community Development Department
f08 8th Street, Suite 401
Glenwood Sprlngs, CO 81601
(9701 e4s-82L2
www.sarfield-cgunty.com
' L. r"''-"-,rli:. .,
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Applicant:
Project Address:
Subdivsion:
L],¿'{¡{i't}..t i} ¡ ¡.-,L-L,U¡_i(..:;\
t r(l l/¡MiJ trrlTy U¡ i,l, i Cìi,1,ìr j¡: i
Phone
Lot:Block
Finished Living Space (N/A for Manufactured Homes)f71r t s74.68zLq.'21'L
Unfinished Basement S4i..oo
Crawl Space 'Zi , 21rt Sre.oo
Garage (Conditioned) (i.e. insulation, sheetrock)'? \. Lr€¡->Ssz.oo
Garase ( Unconditioned)Sz+.oo
Covered Patio/Deck L1 ,< 1/,.s18.00
Uncovered Patio/Deck Srz.oo'L,6qtç4
Misc:So.oo
e Level
tsc:
Multi-Level (S600)So.oo
TotalValuetiûn $o.oo
Total Set-Up Fee $o.oo
New lnstallation (S123)So.oo
Alteration and/or Repair (S75)s0.oo
TotalSeptic Fee $o.oo
Plan Review Fee
Building Permit Fee
Manufactured Home Set-Up Fee
Septic Fee (OWTS)I
Other (Ex: Road lmpact Fee)
This Section Determined by Garfield County
Total Fees Due $o,oo
***All fees are estimates until finál plan review is completed+**
Garfield County
BUILOING DEPARTMENT
7oB E¡ghth Street, Suite 40l,ãlenwood Springs, CA 81601
Tel: (970) 5-8212
PLAN REVIEW CHECKLIST
Permit No: g¿Jçtr-A223-71 76
Building lssues
Qr-? 1 '
NA
èf
é/ê
f tlp
¿f
NA
Engineered Foundatíon
Driveway Permit
Surveyed Site Plan
Fíre Department Review
Valuation Determinatíon/ Fees
Red Line Plansl Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Applicatíon
ParceU Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Pla n ning/Zoning lssues
Sft. Str""rn Setbacks
e
^t4NA
Septic Permit and Setbacks
NA Grade/ropography3o%
Attach Residential Plan Review List
bdívision Plat Notes
frg Road lmpact Fees €, B'Þ'
Flood Plain
Building Height
Zoníng Sign-Off
Grade/ Topography 40%
Planning lssues
Subdívision Plat
m
1,rul
funeab.ëzr 7a3'aa
ns 6a7/x7/,1Øs
oraill tlØ6x /g 3
2292a+2,Æ
tÇA 2t-7-7î7
ruty 4 Øzt
cÇar 7Jlox ã2 -
"p/¿ z6zx /g =
"T/rl 224x/2 =
âlrAw,ø
2A.6Ø.Ø
rieaø,oo
2/ bta,ad
q
625?/
z4tt4lô,zga4ue/¿/
âí,;d,ir1 ua
. Loþ illî
' 5/s slryt P K*A
leplcûlí refrt
'nahzril7es
. e^øftr¿-
/.Øas?
e¿ "þos/-
6Øoþe/eu.
DO NOT-SCAN