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Home My WebLink AboutApplication.pdf~·lECE Community Development Department OCT O 2 2014 108 81 h Street, Suite 401 · Glenwood Springs, CO 81601 GARfll:LD CO UNTY (970) 945-8212 )~.1MUNliY OFVfLOP MENlNww.gar fr e ld county.com TYPE OF CONSTRUCTION D Comm e rcia l/Multi -Fa mily D Ma nufa ct ure d Ho me (SF or Duplex) Jilt. Res id e ntia l (SF, Dupl ex, o r Town home) INVOLVED PARTIES D De mo lition 0 Re ro of Property Owner: 5-repkortJ ~ bwA-'-0 4 m.~ Phone: ( "t70) ~?J<---{, cf71 Mailing Address: ~ 0 4P'°t2 fro J.e&o ~ ¢;;,,, (;.( t: N w~~P9 s. 42 . 4'" I 6~ I Contractor: £: c...e.>~TroA ltt: Dd., R 1 fJ,~r. ¢c , Phone: ( q 70) ~f3"µ2=d- ' Mailing Address: l ~ l C k"p ~Th a \Ii!.-~ 'J6-7 k . i'°t 5"0 f Architect:------------------Phone:( ________ _ Mailing Address: ___________________________ _ Engineer: __________________ Phone:( ________ _ Mailing Address:---------------------------- Manufactured Home Installer: ___________ Phone:( __ ------- Mailing Address: ---------------------------- PROJ ECT NAM E AND LOCATION Describe Work: 5ra.lo .. l,k i:.....Jo:r, ~N SE low e-£- Job Address: bO (0 f9"'-J~"-~ Assessor's Parcel Number: _______ Sub. ________ Lot __ Block Owner's Valuation of Work:$ 55 c./t/-. Ct:> Property Size (Sq.Ft or Acres):----- Sq.Ft of Building :-------Height:------#of Floors: __ d-___ _ Class of Work: D Ne w D Alt e rati o n D Additi o n JI( Repa ir D Mov e/Re lo ca tion Garage: 0 Att ac he d D Detache d Septic: OISDS ~Community Type of Heat: ~N atura l Gas D Propa ne D Electric D Oth e r Driveway Pe rmit: 0 Exem pt D Permit #: -------- NOTICE Authoritv. 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 inspe ctions by the Bui l ding Division . Other Permits. Multiple separate permits may be required: (1) State Electrica l 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 Sta te Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized is not com menced 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 r ead this Application and that the information contained above is true and correct. understand that the Building Division accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittal s), based upon my certification as to accuracy. Assuming completeness of the submitta ls and approval of this Application, a Bui lding Permit will be issued granting permission to me, as Owner, to const ru ct the stru cture(s) and faci l ities detailed on the subm ittals reviewed by the Bui lding Divi si on. In conside ration of the issuance of the Bui lding Permit, I agree that I and my agents will comply with provisions of an y federal, state or local law regulating the work and the Garfie ld Co unty Building Code, ISDS regulations and applicable l and use reg ulations (County Regulation(s)). I acknowledge that th e Building Pe r mit may be suspended or revoked, upon notice from the County, if th e location, construction o r use of the structur e(s) and facility(ies), described above, ar e not in compliance with County Regulation(s) or any other appl icab le law. I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I further acknowl edge that the iss uan ce of the Building Permit does not prevent the Building Officia l from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; o r (2) stopping construction or use of the structu re(s) or ta cility(ies) it such is in violation ot County Regulation(s) or an y other applicab le law. Review of this Application, including submittals, and inspections of the work by the Bui lding Division do not constitute an acceptance of responsib ilit y or liability by the County of errors, omissions or disc repancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and loca l laws and Co unty Regu lations rest with m e and my authorized agents, including without limitation my architect designer, engineer andi or builder. I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required info rmation which is correct and accurate to the best of my knowledge. ~ J~/ej;t Property Owner~ Date OFFICIAL US E ONLY Special Conditions: Adjusted Valuation: Plan Check Fee : Permit Fee : Manu home Fee: Misc Fees: 554 4 . --B'!. 41 /ZS: z5 Total Fees: Fees Pa id: Balance Due : ~: ~: :Z,06,,6 b Z Ob.bh 1>d. oo t\2-iQl=-~4\\ ~)A Setbacks: OCCGroup: I ConstType : Zoning : I I I .r12-C... F'Z;i'1 f?lb, SJ{) r.tzc 'R\J BUILDING/ PLANNING DIVISION : 4 /¥6~f. I Signed Approv:il Date ~ .. ·~: \'-\ Building Plan Review Description of Work: stabilize foundation of SE corner Bin #: Location Address: 80 PON DEROSA CIR GLENWOOD SPRINGS, CO Case Manager: David Bartholomew Plan Case Number: BLDG-10-14-8097 Parcel : 211934302006 Application Date: I 0/02/20 14 Building ___ / ___ Engineered Foundation --~~/_:A __ Driveway Permit ______ Surveyed Site Plan _____ Septic Permit and Setbacks _____ Grade/Topography 30% _____ Attach Residential Plan Review List ~ Minimum Application Questionnare / Subdivision Plat Notes tJ)/I Fire Department Review / Valuation Determination/Fees 7 Red Line Plans/Stamps/Sticker 7 c Attach Conditions 7 Application Signed / Plan Reviewer To Sign Application / Parcel/Schedule No. ;v//I 40# Snowload Letter -Manu. Homes ;J/11 Soils Report Thursday, October 16, 2014 Contact s Owner: Steph en Damm Applicant: Stephen Damm Applicant Phone : (970)945-7121 Email: Planning/Zoning __ N-+/ ..... f-r __ Property Line Setbacks 3 Oft Stream Setbacks F food Plain B uilding height 7 oning Sign-off R oad Impact Fees H OA/DRC Approval G rade/Topography 40% p fanning Issues \I Subdivision Plat General Comments: 0~,;f frOP,1 ~ ;I'S 500 ¢-. ~ 5tU#'m1/ecl ,I