HomeMy WebLinkAboutApplicationGarfrcld County
Community Development Department
108 8th Streeg Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.garfi eld-countv.com
A-L
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Com mercial/Mu lti-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
¡NVOwED
Property Owner:
Mailing Address:
Email Address:
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Phon e: ll?g- -f_É-:ll-t 8
A BOVE Phone: ( )Contractor:
Mailing Address:
Email Address:
Phone: (_)N
Email Address:
Mailing Address:
Architect:
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phone: t I Sf, 'V 81 - çlyr
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Êt t|¿ o e ñ l.clNÉ EAt a¡ çEngineer:
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Mailing Address:
Email Address:
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t 1?ol +r"s- 85-fa-
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C lat l-oq [w,n,,n S phoneManufactured Home lnstaller:
Mailing Address:
Email Address:
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PROJECT DETA¡IS
Describe Work:
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ol L¡ r'l550
Height:
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r31 53 b".l oÞ r çJ
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'+
un$
Block
Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building ît go
Job Address:
Assessor's Parcel Number:
Owner's Valuation of Work:
fr of floors: I
Sub.
Y Add¡tionClass of Work:New Remodel/Alteration
Attached DetachedGarage: NIH
{. 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 applicatiqn
and/or plans for compliance, the application may be placed on hold untilthe required information is
provided. Work nray not proceed withr¡ut tJre issualrce r¡f a perrnil.
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.
1*Årn /ob:'u lur¿
Property Owner Print and Sign
fl¡ rlln {a,t "h Itr ¿ttP
I 3
Date
PROJECT DETAITS CONT¡NUED
Septic:Community
Type of Heat:I Gas Propane Electric Other
Driveway
Permit:XExemnt
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.
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.
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.
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 issuanceof the Building Permit, lagreethat land myagentswill
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 Bu¡lding 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.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
ired information which is correct and accurate to the best of my knowledge'provifled the requ
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Property Owner Print and Sign Date
OFFICIAT USE ONtY
^ee atta abel æ/uÞ / 77A/vSSpecial Conditions:
'tTËÍi",bqc Misc. Fees: .
nif esÞf z,agíÍoojr:iioxäô"üb Plan Check Fee:
36¿t.36 8gPerm¡t Fee:662,
Balance Due:ê112, zo
BP No:
R-l-rnp- 8lh2
OWTS No¡gffi-8tGLt'"'il8l2.Ð tTciå oo
const.rvef? O Zonine:
ç\'"'Wðnll>oCC Group: RC
6-27¿3BUILDING / PLANNING DIVISION :,T%
DateSigned Approval
Gørfield County
BU,LDING DEPARTMENT
708 E¡ghth street, Suite 407, Glenwood Spríngs, Co 81601
Tel: {97A) 945-8212
P LAN REVIEW CHECKLIST
Permit No:þLrnt- ob-22-8/67
Building lssues
Engineered Foundation
Gradel Topography 30%
Attach Residential Plan Review Líst
Red Line Plans/ Stamps/ Sticker
ttach
Subdivision Plat Notes
PlarWle b G-/o%
Fire Depart¡nent Review _ç/b¿ pn/,Wtsþlecflæ 4ø,1øl^ I
Valuation Determination/ FVes repe
NA
Planning/Zoning lssues
rty Line Setbacks
N4 35 ft. Stream Setbacks
Flood Plain
Yæ
Building Heíght
Zoning Sign-Off
*."0 ;;.t Fees KIF E, E,>,
226tú
Gradel Topography 40Yo
Planning lssues
Subdivísíon Plat
^/A
Description & Summarv:
6olos/
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Application ed
'' Parcel/schedule No.
l/ 40f snowload Letter - Manu. Homes
Soils Report
Plan Reviewerto Sign Application Cr¿n)/ /8 y ?265 lrqîØ.*
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