HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
ls7ol94s-8212
www.garfield-cou ntv.com
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BUILDING PERMIT
APPLICATION
tr Demolitiontr Commercial/Multi-Family
Manufactured Home or Home or Multi-Level
tr Residential (Sf, Ouplex or Townhome)tr Reroof
tr Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
Property owner: Ft$t a$ru xlvroe alres(qcil^.
Mailing Address: QO SCW A{6 6r€t\yrhqCI ffir,Etrdo 8lC06e
EmailAddressz tidN$Ion@@tlt,rgt,ocvtl
Phone:(ffb t?f-nqtlR
Phone: (_)Contractor:
Mailing Address:
Email Address:
Phone: {Architect:
Mailing Address:
Email Address:
MailingAddress: d0it &F.rn AdE.r<Nt\e, S[ ffi(/,r1\UIY4c ffi$fta
EmaitAddress: OutxfrSfQ Al25A"arncr
Engineer:Phone: (c4ry\ ft|F.- W4,l
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Manufactured/TinyHomelnstallerz l(Ofl,lE( c4pf;t< @c:u;mt6Phone: t9'7A I Bqq -"tttl?
MailingAddress: r,ffi. 19??6 In. nnr fiornncsf rcs 8rel63
Desffibework: A ^.}s[] ,WEU{rtrACl{ {atro I/IO^IE YO Btr 5AT dA] A Eq drurut|rlteD
6FS@O,t€ntr rcunAtwN ruEr* .,{ irEdt (\,,rrq a€pLl4 ruzD *Np tur{Sup cIr.sFpc^/r
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Job Address:
Email Address:
T60 RAlrt nrr.rl;- gv,r..6
sub. PftrFEe ln0EfE6la\r EffbhPftanl tot E Block-
owner's Valuation of Work: S &'10 ,tr^ Property Size (Sq. Ft. or Acres):
nl # of Floors: J
Assessor's Parcel Number:-3a' *
Sq. Ft. of Building: lfl'ln Height:
Class of Work:El New El Remodel/Alteration E Rddition E Repair tr Move/Relocation
Garage:E Attached E Detached
PROJECT DETAITS CONTINUED
Septic:R owrs E Community
Type of Heat:E Natural Gas p Propane fl Electric E other
Driveway
Permit:
p Exempt 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 Buildin g 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 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
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Property Owner Print and Date
OFFICIAL USE ONLY
cee attailad A/VD /f/0/U SSpecial Conditions:
Misc Fees: ,nrNBD=ft518,FEA,YE Manu home Fee:L{r^n crO
Adiusted Valuation*o.g5z Plan Check Fee:
55q,+'(
Balance Due: I
l4p0,zT
BP No:
trr-rn v-gBq
OWTS No:sE-fi-Wt,qLy,
Total/Fees:2+Fees Paid:CO
Tnc,Const tonHSetbacks:fr o.. o'ou?R4
tY2l-Culir+hBUILDING / PLANNING DIVISION
Signed Approval Date
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 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.
Property Owner Print Sign Date
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Gwrfield CommtY
BUILDING DEPARTMENT
lOB Eiqhth Stref Sutte 407, Glenwood Springs' CO 87607
Te!: (970) 945-8212
Pl-^A N REVIE wc E K rs
Permit No: ELwtF-o?44 -ggry
Building lssues
'&PE4YLY'Wtr"Y
Drivevr/ay Pernnit
Surveved Site PlanJiFo/-z/-ssn
Septic Permit and Setbacks
Grade/ ToPograPhY 3O%
Attach Residential Plan Review List
Sub'divislo+ Plat ${otes
Fire DePartment Review
Planning/Zoning lssu ES
PropertY Line Sethacks
35 ft. Stream Setbacks
Flood Plain
Buitding Height
Zoning Sign-Off N,u,D,=#b6qg
Road lmpact rees Sr bq72
Grade/ TopograPhY 40% IVAN3'
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(excludt+
vr*in, b,gtterrf
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Planning lssues
Subdivision Plat
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
ttach Conditions
ed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APP)ication
Parcel/schedule No.
40* Snowload Letter - Manuf. Homes
Soils Report
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