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Home My WebLink AboutApplication.pdfGarfield County Community Development Department f) V CE ITV 1~ 8th Street, Suite 401 {\_t 11 ' Jtood Springs, CO 81601 (970) 945-8212 JUL 2 3 Z014 www.garfield-county.com Commercial/Multi-Family >---- Manufactured Home (SF or Duplex) Residential (SF, Duplex, or Town home) INVOLVED PARTIES D Demolition D Reroof Property Owner: ~ P J;;°c.HLA..M. Phone: (jJQ_) ~"fC1. J.t71fo Mailing Address: 611 ~~ ~14(J t/<!>1 GWS, C.O %1 <co I Contractor: Sez r Phone:( __ ) ______ _ Mailing Address: ___________________________ _ Architect: ~,,..114L.1-/11.,,,..__ ______________ Phone: ( __ ) ______ _ Mailing Address: ___________________________ _ a '-'''-0\~G. • Cf.fAN 0GK. P, NAN C:.tA ~. t:.. Engineer: fQu.t.)OAtu.?N • StKSJa &rm. Co&P Mailing Address: ___________________________ _ Manufactured Home Installer: -Pi<-#M~---------Phone:( __ ) ______ _ Mailing Address:---------------------------- PROJECT NAME AND LOCATION Describe Work: a~Gl.l Slbfl.A(,,,,€. tl>U\t,...~ I~~ Job Address: ,€9'f &, .. ~" ~A-l't. LIO, 6WS. CO . *O,., s1 re PL'41>:l · · Assessor's Parcel Number: Sub. ________ Lot Block __ Owner's Valuation of Work: $$,Joi 000, 0 D Property Size (Sq.Ft or Acres): ~ · {g l_. A c btK" Sq.Ft of Building: Height: ;5', 5 #of Floors:_/ ___ _ Class of Work: I~ New J D Alteration JD Addition D Repair J D Move/Relocation Garage: D Attached D Detached Septic: OOWTS P. f;J D Community Type of Heat: D Natural Ga~Jt J D Propan e J D Electric I D Other Driveway Permit: D Exempt D Permit#: 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 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 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, OWTS 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. 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. edge that I have read and understand the Notice and Certification above as well as the req ·red · formation which is correct and accurate to the best of my knowledge. Date OFFICIAL USE ONLY - Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: Misc Fees: 77. IJrJo; ~~9.6b 5ZZ.S5 Total Fees: Fees Paid: Balance Due: BP No: OWTSNo: B6Z. Z.I ii1.1it 57.5,07 \3U2f -~ 3 f tf 125 Setbacks: OCC Group: Const Type: Zoning! I I F~1 ~$IO .:r.rzc__ J:"/ZG rz. BUILDING/ PLANNING DIVISION : d~~ 7/z01- Signe~ Approval Date 7 ,$ r. 14 / .tf=;-1o , / I 1+ 1 i3 11-f- I Building Plan Review Description of Work: Accessory steel storage building Bin#: Location Address: 594 110 COUNTY RD GLENWOOD SPRINGS, CO Case Manager: David Bartholomew Plan Case Number: BLDG-7-14-8019 Parcel: 239307400020 Application Date: 07/2312014 Building / Engineered Foundation N(A Driveway Permit I Surveyed Site Plan tJ( .A Septic Permit and Setbacks / Grade/Topography 30% I Attach Residential Plan Review List / Minimum Application Questionnare ~/A Subdivision Plat Notes /V/li Fire Department Review I Valuation Determination/Fees / Red Line Plans/Stamps/Sticker I I l Attach Conditions Application Signed I Plan Reviewer To Sign Application / Parcel/Schedule No. tJ/A 40# Snowload Letter -Manu. Homes /V/11 Soils Report Tuesday, July 29, 2014 Contacts Owner: Gary & Leslie Jochum Applicant: Gary & Leslie Jochum Applicant Phone: 970-928-9841 Email: Planning/Zoning I Property Line Setbacks I 30ft Stream Setbacks I Flood Plain I Building height / Zoning Sign-off fV(A Road Impact Fees /v/A HOA/ORC Approval I Grade/Topography 40% J Planning Issues / Subdivision Plat General Comments: 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 ackn checklist. I have read, understand, and will abide by the requirements of this JUL ~ ., iui4 GAR~ ltlf, t ... UuN 1 '( .)MMUNITY DEVELOPMENT