HomeMy WebLinkAboutApplicationGarfield Countyf{[--rj
MAY Development Department
ftAtilj tl;-"t r.,r i:risgBpll'street, suite 401
co1,s,,;L;i t'lv rIi,'f-lenrarood Springs, CO 81601
l970le4s-82L2
www.garfi eld-cou ntv.com
BUITDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
tr Commercial/Multi-Family n Demolition
tr Manufactured Home or Tiny Home (Single or Multi-Level)
tr Residential (SF, Duplex or Townhome)tr Reroof
Dwell Unit U - MAX]MUM SIZE OF SQUARE FEET
INVOLVED PARTIES
Phone: l1oz I rtt - u t,, ,'l L E'^L 'Tnwd++ lLt
Email Address:
Property Owner:
Mailing Address:
phonez('17/ | frtl' i757
0
't
Contractor:
Mailing Address
Email Address:
Phone:Architect:
Mailing Address
Email Address:
\(Ta1 HioL,^,ou h hhu^,odJ 4tr;.o,, , Lo Tlbl
Phone: t 111 t tn t- qq t*
I
^rlrnta /1ou,) 1t,Engineer:
Mailing Address:
Email Address:
Phone:Manufactured/ Tiny Home Installer:
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:
Height:
d To
to
5
,^l L*
'@
-)
tx */) Ac{tof Work:
xt'
bt /VA ebct<
Property Size (Sq. Ft.
fof
Job Address:
Owner's Valuation
Sq. Ft. of Building:
Assessor's Parcel Number:
Sub. hlfr
E Remodel/Alteration E Addition E Repair tr Move/RelocationClass of Work:( ruew
Garage:E Attached E Detached
PROJECT DETAI tS CONTINUED
Septic:Iowrs E Community
Type of Heat:E Natural Gas KeroRane E Electric E other
Driveway
Permit:
AExempt E 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
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. lunderstand
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)).
All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and
Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if
the location, construction or use ofthe 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 ofthe 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 read and understand the Notice and Certification above, as well as, have
the required which is accurate to the best of my knowledge.
s/1t24i(t
Owner Print and
(Date
Manu home Fee:Misc Fees: 4q/FEFS
OWTS No:
-
cf-SqOFFICIAL USE ONIY
-fue?atraa4puD /772/6Special Conditions:
it t5;Adiusted Valuation:
i+8 .14t,57
Plan Check Fee:624.tu
BalanceTotal Fdes: ,,2
2,0?2,w
Fees Paid:4l.u*zonIOCC Group /R2 constrvef.Rc
6-?34f-BUITDING / PLANNING DIVISION :
Signed Approval Date
Garfuld CoawtY
BIJILDING DEPARTMENT
708 Eighth Streq Saite t107, Glenwood Springs, CO 81607
rel: (970) 945-8272
PI.^AN REVIE CHE CKLIST
SLRE-o,f-dr-gbb/Permit No:
Building lssues Pl a n n ing / Toning lssues puR4L
Engrneered Fou*dation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
SuMivlsion Plat Notes trlon-eprinklercd
Fire Departfnent Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
App lication
Y@RoadrmpactFees €PD
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Buitding Height
Zoning Sign-Off
Grade/ TopograPhY 40%
,Abu
rnA
Descri ion & Summa
Energy Compliance Pfih/Plan Received
rnM)un&\)
Plan Reviewer to Sign APPlication
Parcell Schedule No.
40# Snowload Letter - Manuf. Homes
f trLs 74,b€ x B6f =
cqarlrt<32 x TbL[37sbrg,
a a+ Ka3/0 5b, lb0,
b4roa3,52-
oo
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aNb Soils Report
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BUILDING DEPARTMENT
IoB Eighth Street, Saite 401, Glenwood Springs, CO 81607
Tel: (970) 945-8272
Gurfield Cownty
PL^AN REVIEW CHE CKLIST
Permit No: AIRE-Oj-2/- 9d6/
Building lssues
E*gineered Fou*datio*
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
S*Mivision F[at Notes
Fire Department Review
Valuation Determ ination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Pla n n i ng I Zoning lssues
-a'"/
-/
Froperty Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Descriptio n & Summarv:
Soils Report