HomeMy WebLinkAboutApplicationGarfield Coanty
r .,,r .CommunityDevelopment Department
108 8th Street, Suite 401
rdr/\i{ I 'l :n}'}l', Glenwood Springs, co 81601
(970194s-82t2
www.garfi eld-cou ntv.com
yln
BUITDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION tr Demolitiontr Commercial/Multi-Family
Manufactured Home or Home (Si e or Multi-
tr Rerooftr Residential (SF, Duplex or Townhome)
tr Accessorv Dwelling Unit (ADU)- MAXTMUM SIZE OF 1,200 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
1?Zo 1?2o'2to0
l{55 ck L3 Co 9Z^
a l,rnEmail Address:ct-t 6tn n e,A ez.
Contractor:A Phone:(g7ot Q2-o-Zloo
Mailing Address:
Email Addressl
Architect:Phone
Mailing Address
Email Address:
Engineer:t_Phone:112o 1 rf YS- 28O?
Mailing Address:z c/
Email Address
Manufactured/ Tiny Home lnstaller:Phone:1qZo1Wfg'?c;S7
Mailing Address:
Email Address:a
PROJECT DETAITS
Describe Work:IQ C\.t ..* 2
&aff lr
Job Address:5z-
Assessor's Parcel Number
Sub.
2t 2-Y 2-q3 arsct'72-
Lot _ Block
Owner's Valuation of Work:)-O, (?ao. <oo Property Size (Sq. Ft. or Acres): 4O!'e*(e<
Sq. Ft. of Building: interrcr lr0 ZO sl Height # of Floors: -/
Class of Work:E New E Remodel/Alteration E Addition E Repair tr Move/Relocation
Garage:E Attached E Detached
a7 tRL ,
roc I snc',|lm,l
6f TlPe(
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 conrpliance, the applicatiorr nray be placed on hold unLil the required inforrnation 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.
a
os /o r /*o/t/
P Owne r Print and Sign Date / /
PROJECT DETAITS CONTINUED
OWTS E Community
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.
a
Prope Owner Print and Sign Date
\il),'v^*lt 1-ll-25
Septic:
E otherIeropaneE ElectricType of Heat:E Natural Gas
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
NOTICE
E Permit #Driveway
Permit:
Exemot tJ- "E \ts Itw
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. lunderstand
thatthe Building Division accepts the Application, alongwith the plans and specifications and <-rther data subrnitted by nte 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
DevelopmentCode. lacknowledgethattheBuildingPermitmaybesuspendedorrevoked,uponnoticefromtheCounty,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. lfurther
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
bytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, lacknowledgethatresponsibilityforcompliancewith
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
-+1,rOFFICIAT USE ONIY
specia*ono"'on'st, a,fundey' a/VD /-T/ c /V S
Manu home Fee:
Acm Po Misc Fees:Adiusted Valuation:
a5^608
Plan Check Fee:Permit Fee:
.qt4c/OWTS NoffiBalance Due BP No:
furF.qt3gTotal fees:Fees Paid:
Qm.oo
Zoning:ROCC Group:IKL .onr,tr?"'?^-,Setbacks:
BUILDING / PLANNING DIVISION
Signed Approval Date
Garfield County
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 94s-8212
www.f,arfi eld-(ounW, coln
Applicant: Jcr,rvre.5 A . Ba--11,,c,3., Phone
ProjectAddress: llSg Cg ZSZ _ S,'l+ Lo gt6gL
Subdivsion; Lot:
J zo -gzo -zle@
Block:
Finished Livins Space (N/A for Manufactured Homes)s74.68
Unfinished Basement S+r.oo
Crawl Space Sr.8.oo
Garage (Conditioned) (i.e. insulation, sheetrock)s32.00
Garase (Unconditioned)s24.00
Covered Patlo/Deck s18.00
Uncovered Patio/Deck s12.00
Misc So.oo
Misc:So.oo
Single Level (5400)So.oo
Multi-Level (5600)So.oo
Total Set-Up Fee 5o.oo
New lnstallation (5600)
Septic - Maior Repair (New Svstem & STA) (5600)
Septic - Minor Repair (Tank Onlv) (5200)
Alteration (5200)
Vault & Haul (S75)$0.00
Plan Review Fee
Building Permit Fee
Manufactured Home Set-Up Fee
Septic Fee (OWTS)
Other (Ex: Road lmpact Fee)
This Scction Dctermincd by Garficld County
Total Fees Due
***All fees are estimates until final plan review is completed***
Gerfuld Coumty
BUILDING DEPARTMENT
708 Eiqhth Street, suite 401, Glenwood Springs, cO 81607
Tel: (970) 945-8212
PLAN REVI CHECKL
Permit No:6trnF-oJ -25-7/6?
rsT
Building lssues
Engineered Foundatto.n
Driveway Permit
Surveved Site Plan""|bhVlii:zs-?t/o
Septic Permlt and Setbacks
Planning/Zoning lssues
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
'Buiiding Height
/ zoning Sign-Off
lmpact Fees
Grade/ Topography 40%
Planning lssues
Description & Summarv:
evr<hht
-/)Co\
'- Grade/ Topography 3o%
Attach Residential PJan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Line Plans/ Stamps/ Sticker
ch Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign Application
Parcel/Schedule No.
/- 40# Snowload Letter - Manuf. Homes
Soils Report
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