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 oO *-/ aNb Soils Report $tfili"{$ f":ilFffl"tT !$ rrfiQulFtHfl) Ar, r{:x}"trlNi} a!us /€/ baldng ra/aa*7-h i t l$ 331,57- iNsf"3 hefiiJll l5@ [:1";i' fr//) fln trtrD =,*Yzb 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