HomeMy WebLinkAboutApplicationGarfield County R-t
Community
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Development Department
108 8th Street, Suite 401
..!nrr¡ ¡,Glq4wood Springs, CO 81601
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BUILDING PERMIT
APPLICAT¡ON
TVPE OF CONSTRUCTION
Commercial/M ulti-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
INVOI-VED PARTIES
Property Phone:)-\,
t-Mailing Address:
Email Address:'\oÅ¿f -\.,Cnc'3i (t¡.C_.I ¡roÕ ro-\rr,oJl.c.orn
Contractor:ôutr.Pf- Ru ' i-\',Phone:
Mailing Address:
Email Address:
Architect:Phone:
Mailing Address:
Email Address:
Engineer:Phone: (qXôtât., I -.S"€
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone:
Mailing Address
Email Address:
PROJECT DETA¡LS
Describe l\\
Job Address:
Assessor's Parcet Number: J\1ÊO L{ \C¡ \51
sub. lJ \ \\ i3 [ot 4 Btock
-
Owner's Valuation of Work:Property Size (Sq. Ft. or Acres)
Sq. Ft. of Building:qqg Height:ztb #of
ß.oeâ
Class of Work:'/.New Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAI tS CONTINUED
Sept¡c:[d lowrs Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
pt Permit #:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the 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, nrust 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,
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
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: (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 ìs 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
designer, enßineer and/ or builder.
I hereby acknowledge that I have reâd and understand the Notice and Certification above, as well as, have
the required information which is correct and accurate to the best of my knowledge.
-9
Property Owner Print and Sign Date
.1 oOFFICIAL USE ON
6ee atta dyêa( ØN"Þ /TAN 6Special Conditions:
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ä'i|'¡äenrqSb?Af¡tusfeo va¡uaf¡on: I'tor| t7q-2'f "uîl¿fê''Ì:D:#=Íê
OWTS No:
svrrr-+qA2Fees Paid: ^ t
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BP No: 'ffir-7q92Total Fles
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ZTîNS:*20Ð(se)OCC Grouo:ao0 *täö
7l.l-23BUILDING / PLANNING DIVISION
Signed Approval
I
Dãte
Gørfield County
BU'LDING DEPARTMENT
108 E¡ghth Street, Su¡te 407, 6lenwood Springs, CA 81601
Tel: (970) 945-8212
PLAN RE VIEW CHECKLIST
Permit No: ütQg -0V23-7qî2 Fr'atzq
Building lssues
NA
-/
-/
NA
îþ/Grade/ Topography 30%
Attach Residential Plan Review l-ist
Subdivisíon Plat Notes
Fire Department Review
Valuation Determinationf Fees
Red Line Plansl Stamps/ Sticker
Attach Conditions
Application Sígned
Plan Reviewer to Sign Applicatíon
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
fl: 74/îf,2/e tt77ô'oo- ,z ?û'00
E ineered
Se
rveyed Site Plan
ptíc Permít and Setbacks
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Pla n ning/Zoning lssu es
Prroperty Line Setbacks
tr$ft. str""* Setbacks
Flood Plain
Yæ
Building Height
Zoning Sign-Off
Road lmpact Fees
Gradel ropography 4o%âYb
Planning lssues
Subdivision Plat
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Description & Summarv:
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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 ior 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 wilibe 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 t have read, understand and will abide by the requirements of this
checklist.
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Owner Print and Sign Date
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