HomeMy WebLinkAboutApplication.pdfJun 11 14 07:39p Dave Sharp
Garfield County
Community Development Department
108 8'' Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
TYPE OF CONSTRUCTION
0 Commercial/Multi-Family
': 0 Manufactured Home (SF or Duplex)
Q Residential (SF, Duplex, or Tawnhome)
INVOLVED PA-R-TIES
Property Owner:
Mailing Address:
4072733209
p.1
BUILDING PERMIT
APPLI CATION
Demolition
D Reroof
phone:
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Contractor: 1 V" 1. )
Mailing Address:
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Architect: Phone: ( )
Mailing Address:
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Engineer: Phone: ( ) ; U UP
Mailing Address: �
Manufactured Home Installer: Phone: ( I
Mailing Address: 7 �-
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PROJECT NAME AND LOCATION _
Describe Work: ��� �V t CA( 1 CA k C. ' fir �_ f.\\n �.: __
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Job Address:'' `` = 1W-av)
Assessor's Parcel Number:7"{(31\ O I "j V Sub. lot Block
Owner's Valuation of Work: $ 6 /
)ree
� Odd Property Size (Sq.Ft or Acres): �
Sq.Ft of Building: 2 o1 6 Height: /6 / # of Floors: 1
Class of Work: aitaew 0 Alteration 0 Addition 0 Repair v 0 Move/Relocation
Garage; ICAttached ❑ Detached
Septic: D ISDS 0 Community
Type of Heat: i 0 Natural Gas 0 Propane 0 Electric ; 0 Other
Driveway Permit: • 0 Exempt 0 Permit #:
Jun 11 14 07:39p Dave Sharp 4072733209 p.2
NOTICE
Authority. This application far a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. if the stgnature 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: (I) 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
hereby certify that 1 have read this Application and that the information contained above is true and correct. 1
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
Buitding Division. In consideration of the issuance of the Building Permit, I agree that land my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, ISDS
regurations 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 structures)
and facility(ies), described above, are not in compliance with County Regulationls) 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 structures) 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.
Y
Property Owner Print and Sign
Date
OFFIGAL USE ONLY
Special Conditions:
Adjusted Valuation:
6,2g8 ;
Plan Check Fee:
353, DI
Permit Fee:
5/2. ¢5
Manu home Fee:
00\
Misc Fees:
O n\('.
Total Fees:
8 45", 54
Fees Paid:
'I c1
Balance Due:
3 7 7. as
BP No:
JSDS No:
pa.- . ZLP s
0
setbacks: r
Fz$Evi�, Sio'
OCC Group:
BOG
Const Type:
r -12_C,
Zonln
iz
BUILDING / PLANNING DIVISION :
Signed Approval
Date
-6133_22,
Jun 11 14 07:39p Dave Sharp
4072733209 p.3
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Septic or Road Impact 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. (Flnal/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge 1 have read, understand, and will abide by the requirements of this
checklist.
Property Owner rintjnd Sign
Building Plan Review
Description of Work: 36x56x12 garage for personal storage
Bin #:
Location Address: Secl 1, T07, R93
RIFLE, CO 81650
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -6-14-7970
Parcel: 240311100076
Application Date: 06/13/2014
Owner: David Sharp
Applicant: David Sharp
Applicant Phone: (407)832-2284 Email:
Building
eft
l
Planninq/Zoning
Engineered Foundation Property Line Setbacks
Driveway Permit / 30ft Stream Setbacks
Surveyed Site Plan / Flood Plain
Septic Permit and Setbacks / Building height
Grade/Topography 30% / toning Sign -off
Attach Residential Pian Review List /\-)/4 Road Impact Fees
Minimum Application Questionnare NL HOA/DRC Approval
Subdivision Plat Notes / Grade/Topography 40%
I
Fire Department Review Planning Issues
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions Ok
Application Signed
/ 4'
Plan Reviewer To Sign Application 2J X /8. 00
7
N/
/)/4
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
36, 288
Thursday, June 26, 2014