HomeMy WebLinkAboutApplicationGarfreld County
Community Development Department
108 8th Stree! Suite 401
Glenwood Springs, CO 81601
(9701945-82L2
www,ga rfield-cou ntv.com
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BUILDING PERMIÏ
APPLICATION
TYPE OF CONSTRUCÍION
Commercia ulti-Fam Demolition
Manufactured Home or Multi-Level
Residential (SF, Duplex or Townhome)Reroof
E Accessory Dwelling Unit (ADU)- MAXTMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Phone:
Email Address:þ r<tla ,CA
Contractor3 fuorr¿*Phone:
Mailing Address:
Email Address:
Arch¡tect: Phone:I )
Mailing Address: .
Email Address:
Engineer:/]nl<rson r'd-l g?è fúr{2t)
Mailing Address:A,'LZ &rø*'r)¡4ve ØÌ¿ntØe , ry'S ç?î(,ô î
Email Address:
Manufactured Home lnstaller:Phone: I ì
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work:'- La t (ÍL
Jo b Address: 7 Zo7 cQ 7Vz S, l'f Cø 8t ø52
Assessor's Parcel Number:2-¿t55oz 2øô
Sub. Lot Block
Owner's Valuation
Sq. Ft. of Building:
of Work:Property Size (Sq. Ft. or Acres):
7t?o s rH eight:m'ltr #olFloorst 7
Class of Work:.l*New Remodel/Alteration Addition
Garage:Attached Detached
PROJECÍ DETAILS CONTINUED
Septic:Community
Type of Heat:Natural Gas F]eronane
Electric Other
Driveway
Permit:
Exempt Permit #:
NOTICE
Authoriw. 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, 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
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 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
designer, engineer and/ or builder.
t
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
the required which is correct and accurate to the best of my knowledge
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Property Owner Print and Sign Date
OFFICIAT USE ONLY eta;d
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a tta ¿lel Qilò / 7 A/1/ sSpecial Conditions:
Manu. Home FeeNA #FilË¡, EqsøeAdiusted Valuation:-
izß^7tq.bo
OWTS No:Æñ-îhto'"'j',V'or s6 Fees Paid:
Plan
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Fee t6
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BP No:
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ryìüe '"ül;n \p-Setbacks:
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Signed Approval
BUITDING / PLANNING DIVISION ^1*7¿-JãDate
Gørfield County
BUILD'NG DEPARTMENT
1^08 Eíghth Street, Suite 407, Glenwood Springs, CA 81601
Tel: (970) 5-8212
PLAN RE VIEW CHECKLIST
Permit No:Bt-RE-oa¿.?gaaq
Building lssues
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Engineered Foun-dation , I
wí¡!5ca*¡ ht ü,Ge fØntld
Driveway Permit
Surveyed Site Plan
-18P7':OA47-8A/A
Septic Permit and Setbacks
Pla nning/Zoning lssues
./Property Line Setbacks
NA 3Jft. Stream Setbacks
Flood Plain
Building Height
NA
/
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Grade/ Topography 30%
Attach Residential Plan Review Líst
Subdivision Plat Notes
Fire Department Review
Valuatíon Determination/ Fees
Red Line Plans/ Stampsl Sticker
Attach Conditions
Application Sígned
-
/ Zoning sign-off
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lJÆ ,[.ad tmpact rees $ , B .>
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Grade/ Topography 40%
Planning lssues
Subdivision PlatNA
4rr sz.b.=
Descriotion & Summa
Plan Reviewer to Sign Application FLS. ? 72 X ru, 69
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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, þraced 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 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
.checkllst.
Lqúlfor\ )
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Propefi Owner Print and Sig n Date
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