HomeMy WebLinkAboutApplicationGorfiem CounQr
Commun¡ty Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www.ga rfield-cou ntv.com
BU¡].D]ÑJG PERMü]T
APPü-ICATION
Commercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
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Email Address:
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Phone: lqtO ¡ Q+0 -gtl7Property Owner:
Mailing Address:
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Contractor:4Lì^ì., tì't*- Selttkt LLL 4,oeTPhone:( 0":b | û
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Mailing Address:
Email Address:
Mailine Address:
S*e¡*¡ctr t:"[+ 5t/r't(¡>D.nf+'<n.n ç1..;..Phone: f I
Email Address
Phone: (170 I Z çO - trt ,
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Engineer
Mailing Address:
Email Address:
Phone: (_)Manufactured Home Installer:
Mailing Address:
Email Address:
PROJECT DETAIIS
Describe Work:
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Height:
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Nt * hO nt't r
Job Address:
Owner's Valuation of Work:
Sq. Ft. of Building:
Property Size (Sq. Ft. or Acres):
Assessor's Parcel Number:
Sub. (on'an tì, e'-øt 7? Btock -L-
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70 f'r #orF
x New Remodel/Alteration Add¡tionClass of Work:
X DetachedGarage:Attached
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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 Officialthat 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 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.
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Property Owner Sign Date
XL
IX Gas
lr{azurat
fugl:ict
1y?e ol lleal;
ffixamot
gfrtæny
?¿t¡¡t*;
or a State W astew zleî Dixhar ge ? er mit.
yaiâ ?ermlì, A gull}ing ?armil becoftles null and vaid iî the work a*lhctizeú
of the date oi issuance and i! wa¡k is suspended or abanùçned lor a period o1
CannzunitY
llaclric Ather
?armlt*t
Atñotlt . Thiz apglitatian lor a tullú1ng ?ennil r,\ast be slgned by the Owner o1 the propertl, dascríbed abçve'
gr an autharizaó agent' 11 the signature belaw it not thãî aî the lJv,tner, a se?aratl leiaer al auLhaúry , sig*ed by
the ùuner, must be grovided wlth thls hpVllætlon.
Læal MgE. A Suil*ln& Perrni? îannol ba irsued wtlhavt ptoot ol legal anú adaquele actess la the properly f ar
put poses ol lntpattians by lha Bullding Division'
lhar ?a¡ml¡ç. Multi?le ss?arata parmits may be required: \üSfaTe Ele&ti{al Permil,121 Cusnzy QWTS Permit"'
ßl ^.rth., Wimit required lar vse on the praperly identilisd ôbrr&, e'g'Siate $ Counly lliAhway/ Soad Actess
is nöt (örßmenceð within 180 daYs t
188 days a*er cammencamer'r.
'
I hereby certifu thal I have r*að this Açpliætian and that the inîa¡matian car\tainsd abave is true and carrecl'. I
undersland th¿t the Euilding tiv,túon acce?ts the Applirøzian, alongwith the pla*s a*d specilications anó alher
óatasuþmltled by me at an my behall lsubmittzlsl,based upon my celtifir,atien a5lë actuîaty. Aszuming
completeness of the submittslt and approval ol this Appliration, a EuiláingPermilwlll b¿ issuad øranling
germission lo rne, as Owner, to caûslt]uct the slructureisi and lacillties dela4ed on lhe tub{t1itla1s re'tiewed by
the Euilding tiuision,ln consideration cl lheissuance ç1 the Suildlng ? eî ftút, 1 agr ee lhat I and my agents will
camply wlth pravisíons o{ any leieral, slal¿ st lacal law regulating the work and the Gatfiøld Cevnly Suilding
Cade , OTNTS regulations anð appliæble land uæ rc&ulati¿r's lCounty ßegulatlaalsll. ) acknowleðgr thal the
guilðing Permil may be suspended ar reløked, upon natice lram lhe County, 11 the locatian, c'ngtruttion ot ufie
of the structu relsl and lacilitylie¡\, descñbeâ above, are notin cont?lianre wilh (*unty Eegulatio*lsl ar anY
ather applicablelaw.
lh*rg¡bygrantpermisrion tolheBuildingtrivisianto¿rterthe property,éastr'tbeðabove,toinspectthework' I
lurthe¡ acknawleùge that the issaanca ol t?te Suilding germit éoas not prevanl the gulldlng CIfîidal lrom: ltl
requiring the cçfietliorl al errorcin the ¡ubrnlttals,iî any, discavered alter issuance; or 12) sto?þing
co¿structirnoruse of the structurels) arîzciliiylies\ilsuchisinviolationatCounty Regulation{t) oranyolher
applicable law. *wiew al lhis ,,gpticatiçn, incluðlng submittals, and inspections ol lhe work by tha Suildtutg
þlvisír¡n do not constit ute ân attfry}lânte aî resyonslbillty or liabili*¡ by the Cou*ty aî errars, amissiona a¡
lntorøoúan whk:h b eon¿sl açd acrrysta tt *æ baøl ú my knætledge.
?rogÆ'rly
3128120^1
DatÊ
6 ee atta ê/?e d Ø/V Þ / VAI/SSpa¡l¿l Cotúlllons¿
3Mtanu.Homalaa:15?ar*ll
AWTSÅç|54 9ve:.
"521Total
2
ConrL C-,occ
'l-zb-u?,UILÐ[NG I Pråt$!lH6 DIV$ÐN
$lgnad Agyrwal Date
Gørfield County
BU'LDING DEPARTMENT
708 E¡ghth street, Su¡te 407, 6lenwood Springs, cO s1607
Tel: (970) 5-8212
PLAN REVIEW CHECKLIST
Permit noz g ¡Bg-01-23-Ø*f
Building lssues
wÈ
NA
NA
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fr/
,/
Engineered Foundatíon
Driveway Permit
Surveyed Síte Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Condítions
Application Signed
Plan Reviewer to Sign Application
Parcel/Schedule No.
ô6"hs/-
Planning/Zoning lssues
bt-27
CoNÞ
NA
NA
lr/
Ys5 Road'lmpact¡""r|(l F
¡-/ G rade/ Topography 40%
t/
/
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Planníng lssues
Subdivísion Plat
41q642
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Description & Summarv:
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