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HomeMy WebLinkAboutApplication.pdfGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield- countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION ❑ Commercial /Multi - Family ❑ Demolition ❑ Residential (SF, Duplex, or Townhome) ❑ Manufactured Home (SF or Duplex) ❑ Reroof 8 Grading - /..ocA L,E77/Y INVOLVED PARTIES r--- Property Owner: Colorado Rocky Mountain school Phone: (970 ) 963 -2562 Mailing Address: 1493 CR 106, Carbondale Contractor: B &H General Contractors, Inc. Phone: ( 970 ) 945.0102 Mailing Address: 5317 CR 154. suite 206, Glenwood springs Architect: Civic Forum Associates, Inc (Joede Schoeberleln) Phone: ( 970 ) 927-0666 Mailing Address: PO BOX 697, Snowmass Creek, 81654 Engineer: Bighorn Consulting Engineers Phone: ( 970 ) 241-8709 Mailing Address: 569 South Westgate Or, suite 41, Grand Junction 81505 Manufactured Home Installer: Mailing Address: N/A Phone: ( ) PROJECT NAME AND LOCATION Describe Work: Excavation or second entry and window wells Job Address: 1493 CR 106, Carbondale Assessor's Parcel Number: Owner's Valuation Sq.Ft of Building: NIA 239333100012 Sub. Lot Block of Work: $ 0 Property Size ( Sq.Ft # of Floors: or Acres): Height: N/A Class of Work: • New • Alteration ■ Addition • Repair • Move /Relocation Garage: • Attached ❑ Detached Septic: ❑ ISDS • Community Type of Heat: • Natural Gas • Propane • Electric • Other I_ r Driveway Permit: • Exempt ❑ Permit it Grading Square Feet of Earthwork 9000.00 sr Cubic Yards of Earthwork 800 CY NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by 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 ISDS 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. In 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, ISDS 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. 1 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 inforn nation which is correct and accurate to the best of my knowledge. 3.20.13 Prope Owner Print and Sign Date t�A6`i =i/Av r i 1 G (;2-I OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Pe mit Fee: 4!O ©.2 Manu home Fee: Misc Fees: Total Fees: C�0 *C O • Fes Paid: �. NAP Bal nce Du : �. BP No: ISDS No: (.3-tQ ') — 2rirkci Setbacks: OCI Grou \ ConstType: Zoning: DIVISION : "` rii3 ; igned Approval 2;a0 PLANNING DIVISION: ,,�.�.. �,�...� Z i�� 7r4 i ned Approval Date * boo °S�