HomeMy WebLinkAboutApplication.pdfGarfield County
"� 1� 'I ' Community Development Department
`� `g 108 8th Street, Suite 401
Glenwood Springs, CO 81601
20I4 (970) 945-8212
GARFIELD COUNTY www.garfield-countv.com
'IMMUNITY DEVELOPMENT
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
❑ anufactured Home (SF or Duplex)
Residential (SF, Duplex, or Townhome
BUILDING PERMIT
APPLICATION
O Demolition
❑ Reroof
INVOLVED PARTIES
Property Owner: EGAc, LL
Phone: (303 ) 02/c 0393
Mailing Address: /5 '1 /S -S. Go -i ,i -'i c GaLDI y C a &°/c/
Contractor: P, C' C%K/m l S % //�L S7 0 vcI C/h $'S Phone: ( 9•,50') 2E---2 0330
Mailing Address: 35 3 G !//S i4 /D2 S// i
Architect:
Phone:(
}
Mailing Address:
Engineer: k v -P i4'' Phone: ( 9) 0 ) 9//5—
Mailing Address: G ccrS Go
Manufactured Home Installer:
Phone:(
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work:
yf u} 7At ,)
/ (//L6//�6
FaR (.,se 43 A SloP/ GAAA- (0r
Job Address:
8/8- Gly 2o
Assessor's Parcel Number: /9g3"--.32.? -00 " Sub. Lot Block
Owner's Valuation of Work: $ /O'0 col -0, . o, Property Size (Sq.Ft or Acres): A . 5 / 4C�y S
Sq.Ft of Building: a-5
Class of Work:
G- arage:
S- eptic:
Type of Heat:
Height: /4/
# of Floors: /
New
0 Alteration
0 Addition
0 Attached
0 OWTS
O Repair
0 Move/Relocation
E"Detached
O Community
O Natural Gas
Driveway Permit:
O Exempt
0 Propane
0 Electric ❑ Other
O Permit #:
LNOTICE
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
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 1 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.
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.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the required informationyvhich is correct and accurate to the best of my knowledge.
7 it
P operty 0 ner Print and Sign
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
bo, 729.75"
Plan Check Fee:
16 F3,111
Permit Fee:
7zo. 7,'
Manu home Fee:
NI
Misc Fees:
Total Fees:
/ i99 Z,4
Fees Paid:
1(04q 51
Balance Due:
559, 66
BP No:
OWTS No:
�LCZ5 -.S.31BI
�1
Setbacks:
rz.C,)24 510
OCC Group:
r 1ZC--._
Const Type:
12 C_
Zonin
BUILDING / PLANNING
DIVISION : 7. ! �v
Signed Approval ate
•/moi (q 6)99
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.
cr,„//eW z74
Prop
rty 0 ner Print and Sign Date
Contacts
Building Plan Review
Description of Work: new pre-engineered metal building for use as a shop/ garage
Bin #:
Location Address: 8183 CR 245 RD
NEW CASTLE, CO
General Information
rCase Manager: David Bartholomew
Plan Case Number: BLDG -9-14-8076
Parcel:
192533300022
Application Date: 09/17/2014
Owner: George Baskall
Applicant: George Baskall
Applicant Phone: (303)278-0345 Email:
Building
Planning/Zoning
Engineered Foundation / Property Line Setbacks
/vf /4 Driveway Permit 7 30ft Stream Setbacks
N/A Surveyed Site Plan / Flood Plain
/Y4 Septic Permit and Setbacks / Building height
/
Grade/Topography 30% 7 Zoning Sign -off
/ Attach Residential Plan Review List Mil Road Impact Fees
7
Minimum Application Questionnare �l4 HOA/DRC Approval
tj/ 4 Subdivision Plat Notes / Grade/Topography 40%
NM Fire Department Review / Planning Issues
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
/1//11 40# Snowload Letter - Manu. Homes
Soils Report
Subdivision Plat
General Comments:
0azs,4x z997 = 160, n y. 7,c
Friday, September 26, 2014