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Home My WebLink AboutApplication.pdfGa rfield County ty Development Department 108 8th Street, Suite 401 JUL 2 1 2014 Glenwood Springs, CO 81601 GARFIELD COUNTY (97o) 945-8212 JMMUNITY DEVELOPM!Yt'w.garfield -countv.com TYPE OF CONSTRUCTION D Commercial/Mult t_F amily D Manufa ctured Home (SF or Duple x) Demolition Ji!_ R ~s~~~~I (S ~:.J:>~plex , .~! T~w~home) --f!JReroof ··--------------·- i<-6nD'D8'L... ··--. -----·---_ _., f tNVO LVED PARTIES ----l I Prop:rtv Owner:-flmz.?tL Fun.> 1,;,fl>.) /i.i 711 \/()1ST€f$ Phone: !5/.? I I 4 00 '" 4 O"J "1 ~ Mailing Address: #oS 1-J . MI GL 4:--J-/-J A'SQC10 Cb 21\ iR l\ I -' ~ I Contractor: +1 a r'\ \:S;" '1 f. !±?So(_ Phone: ( -) I.' I Mailing Address: Lfta 'S 1J Mdl $-\-. 47~Vl ~~ ll ~I Architect : '4M ·fZlt'-{MV~l>~]GcrS Phone : ("tJD ) 'tLS .7:2,S-:;_ I Mailing Address: f;D1.. e-. c/X)P&l.,... ~1 A~e~ ) Lo '&1 1 e \ I f---·-· ------· -----·· --------__ )_ --------· ---• --·-------· ------- Enginee r : 'fu-,-rstu:··-~za:J.:;vt.zw-n.~~u(e LLC Phone: (c,'7o ) 'f:t7£1 -%310 Mailing Address :ft>l.11 \lA-p±at-, to;':> Wfr11 fts(?rW W 15-lla I ( I Manufactured Home Installer: __ -_-_-__ -_-__ 1 __ -__ Phone:( __ ) _______ ] Mailing Address: __________________________ _ PROJECT NAME AND LOCATION --~~~~~~~--~--- Describe Work: Cm.J'£61.?\ <?ff"'t f.<C ·w Ml?l>\ A 17..&\ , a.-r-~o OC---L Low cxz_,.,.. MA$])<°"YZ. "bA'Jll:!Z&QIV\.& Job Address : 4'1 5 C.tL l I z _ i {]1t.-1 .. f3Dt~·~L .G-{D 'f:.1 lfl 2 3 I Assessor's Parcel Number: ~z.:~q ? Z ~:f oD Sub . Lot __ Block __ Owner's Valuation of Work:$ (/; f 110 O Property Size (Sq .Ft or Acres): ~ (,.Uf t.t::. Sq .Ft of Building ;-t l Ss10 +-4 tj S 61l@ ~ight : ZD' ·!-/ _ #of Floors :.__.Z. ___ _ -Ciass-oTworl<:·--1,--oN"e~-TJS'.A.fte r a tio~-TI trt\ciciitio~-c'.f'Rep-ai ; l o M ~~e/Relo~~tion -- ~ I -------l Garage: if Attached ---D Detached I S~PiiC: I )XfoWrs · D Community "---1 ~Type of Heat: jCJNahi~;f G .;~ -·-. -D Propane -----rc.__T_o_Eiectrie---·r-DOther _11 Driveway Permit: D Exempt D Permit#:------- 1 NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or 1 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 lega l 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 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 comp leteness of the submittals and approval of this App lication, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals r eviewed by the 1 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 loca l law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regu lations (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 app li cab le 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 applicab le law. Review of this Application, including submitta ls, and inspections of the work by the Building Division do not constitute an accep t ance of responsibility or liability by the County of errors, omissions or discrepancies . As the Owner, I acknowledge that responsibility for compli ance with federal, state and lo cal laws and County Regulations rest with me and my authorized agents, including without limitation my arch itect designer, engineer and/ or J builder. --------~----·-·· -------- I hereby acknowledge that I have read and understand the Notice and Certification above as well as h.~ av :YJJ 'd ~~ the re,qui:ed inf:rmation w~:.is correct and accurate to the best-of my knowledge. c:gvt ~ GdJ vo&' /1£i"'-" r)!;Jt; .m1r.L Property Owner Print and Sign ~ate OFFICIAL USE ONLY Special Conditions: Adjusted Valuation : 1 .;7;~k;;; Permit Fee: Manu home Fee: Misc Fees: ~1"2oo~ .. 1Z7.15 - Total Fees: Fees Paid: Balance Due: BP No: OWTSNo: /Zeb. 7q 1-7,,-:t, 15" 4-7~.04 BU2f -~P l 3 Setbacks: OCC Group: Const Type: r et:_ Zoning: R I I I .J:f?..G /'2'.51 /?2~ 51() BUILDING/PLANNING DIVISION :d,~;/~ -,Pa/1 I Signed Approval Date Building Plan Review Description of Work: covert office to media room , remodel lower and master bathrooms Bin#: Location Address : 475 CR 11 2 CARB ONDALE, CO 81 623 Cas e Ma nage r : David Bartholomew Plan Case Numb er: BLDG-7-14-80 18 Pa rc el: 23932 3400 130 Application Date: 07121/2014 Building ----''-+-_/J. __ Engineered Foundation _____ Driveway Permit _____ Surveyed Site Plan ---+---Septic Perm it and Setbacks Grade/Topography 30% / Attach Residential Plan Review List / Minimum Application Questionnare ~/A Subdivi sion Plat Notes /v/!i Fire Department Review / Valuation Determination/Fees / Red Line Plans/Stamps/Sticker / Attach Conditions / Application Signed / Plan Reviewer To Sign Application / Parcel/Schedule No. /J//I 40# Snowload Letter -Manu. Homes /J/~ Soils Report Monday, July 28, 2014 Contacts Owner: Lisa VonTefs Applica nt : Lisa VonTefs Applicant Phone: (561)400-4077 Email: Planning/Zoning ___ / __ _.Property Line Setbacks ___ /'--__ 30ft Stream Setbacks __ / ___ Flood Plain __ / ____ Building height ___ / ___ z.oning Sign-off --'/U---1.1-'/J'----_,Road Impact Fees __ /IJ ...... l_A _ __.HOA/DRC Approval +Gradeffopography 40% ____ _.Planning Issues / -----.... Subdivision Plat General Comments : /faM/~ ffi <;'uf.w1~/ ,,#6~ Zoo,$- 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 . (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 and Sign