HomeMy WebLinkAboutApplication.pdf4
vrAr
Community Development Department
OCT r i108 8th Street, Suite 401
2014Glenwood Springs, CO 81601
GARS -:/q0 (;OU,N•I Y (970) 945-8212
'MMUNJTy DEVj (.Op; E ww.garfield-county.com
Garfield County
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
O Commercial/Multi-Family
0 Demolition
O Manufactured Home (SF or Duplex)
"(Residentia
4011
uplex, or Townhome
0 Reroof
INVOLVED PARTIES
Property Owner:
!u\7-7-14zvl.)
Mailing Address: 7 4/3 OR // r/ G'eci t,,cod
Contractor: ()LJ u 1
Mailing Address:
Phone:ho) 922.- 90/6
'ye1, s ' 63163
Phone: (`) ? L) cV 6, 6)OY u
Architect: /' _ Phone: (`—�)--'—
Mailing Address:
Engineer: ,/•-,(hcier,S0 y fruclVrc-e Phone: Mv) 1 eel' 03 Z O
(.3 /)(4-w .4uc 3u,'1 c 1.70 'I/GJaji )//',,47
Mailing Address:
Manufactured Home Installer: !v/ Phone: ( )
Mailing Address: id /
PROJECT NAME AND LOCATION
Rescribe Work: 00r het,)• oil Cc-10pt - CpAec7 SJ01T S LLVS to/
J( h; s 76 coAte/z !jttj loo 41 over-- C 4. i..)
Job Address: gill C2 /1'7
Assessor's Parcel Number:a5Z 4 pa('yp Sub. Lot Block
``
Owner's Valuation of Work: $ Property Size (Sq.Ft or Acres):
Sq.Ft of Building: -/,4 Height: /2 '" # of Floors: 1
Class of Work:
Garage: ') 0 Attached
N �'
Type of Heat: i 1
Driveway Permit: tirExempt
0 New ,-Alteration 0 Addition
Septic:
0 OWTS
O Repair 0 Move/Relocation
O Detached
❑ Community
0 Natural Gas 0 Propane
T0 Electric ❑ Other
O 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.
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 information which is correct and accurate to the best of my knowledge.
Property Owner Print and Sign
/0 /Z///c/
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
S 6 /6. '
Plan Check Fee:
or. 4-I
Permit Fee:
12 s. 2, -
Manu home Fee:
�--
Mist Fees:
----
Total Fees:
206.66
Fees Paid:
8.41
Balance Due:
115. Z5t-3ugs
BP No:
OWTS No:
1 /P
Setbacks:
FZ$,, Z5 $/0
OCC Group:
..%- lz C.
Const Type:
aQ �
Zoning:
R
BUILDING / PLANNING
/
DIVISION : / ,...•••• 9/ 1
Signed Approval Date
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.
/0 /
//
Property Owner Print and Sign Date
Building Plan Review
Description of Work: pour new foundation - replace short log posts w/ full height posts to c
Bin #:
Location Address: 7843 CR 117
GLENWOOD SPRINGS, CO
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -I0-14-8120
Parcel: 239522400106
Application Date: 10/21/2014
Building
Engineered Foundation
10/ADriveway Permit
Surveyed Site Plan
»7A Septic Permit and Setbacks
/ Grade/Topography 30%
Attach Residential Plan Review List
Minimum Application Questionnare
41/4 Subdivision Plat Notes
/U/4 Fire Department Review
Contacts
Owner: Dawn & Larry Thrun
Applicant: Dawn & Larry Thrun
Applicant Phone: 970-928-9040 Email:
Planning/Zoning
Property Line Setbacks
/ 30ft Stream Setbacks
Flood Plain
Building height
Zoning Sign -off
»/ Road Impact Fees
% HOAIDRC Approval
/ GradelTopography 40%
Planning Issues
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions
_Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
4)74 40# Snowload Letter - Manu. Homes
Soils Report
Monday, October 27, 2014
1/44/tXax
468°xizyaa=1,5,6/6. �°