HomeMy WebLinkAboutApplicationRIM
SEP 0 G ltj13Community Development Department
108 8`h Street, Suite 401
GARF1El-D C0U 1Y ienwood Springs, CO 81601
�MMI)NITI D V LO�MC i (970) 945-8212
www.garfield-county.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Property Owner: ,fib 44 ;--•, g Phone: ('7 10 lute
-• 33&3
.)
Mailing Address: iegieltrio Po f3 1 5'3 5-r' If C(7 ''16 5222_
•
Commercial/Multi-Family
Phone:
U.ti
•
Demolition
•
Manufactured Home (SF or Duplex)
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Architect:
Phone:
gl
Residential (SF, Duplex, or Townhome)
1
❑
Reroof
INVOLVED PARTIES
Property Owner: ,fib 44 ;--•, g Phone: ('7 10 lute
-• 33&3
.)
Mailing Address: iegieltrio Po f3 1 5'3 5-r' If C(7 ''16 5222_
/
Contractor: 0V ` , fr,I r Fe 775-c-4 \-t
Phone:
U.ti
(7lb) 9/.5
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A-/Piewo
Mailing Address: In (,, 3 3 \J‘i 1 -Lo , &i --al
% T41
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Architect:
Phone:
( )
Mailing Address:
Engineer: 7A/Po (1. Elnelivi urs.
Phone: (
6 ale,nd
)
Mailing Address: .?(D g N N'4 [G ixPr F2 1 f .
;
Manufactured Home Installer:
Mailing Address:
Phone:
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PROJECT NAME AND LOCATION
Describe//Work: 2--,.;"\0 Dar 9, e `:";-- .Dry (ice // /----7----t, ,
,
%/'r.,,+ ("QI/9e (7C"
Job Address: 11 ) 55- 6, C. k 1s c, a,62E/.5 Holo rac iP ez
Assessor's Parcel Number: 1311
Owner's Valuation of Work: $
Sq.Ft of Building: ice, �40—
/ VI/ d `}
Sub. Lot Block
e#) Property
Size (Sq.Ft
# of Floors:
or Acres):
a
n
Height: 'Q-
Class of Work:
• New
• Alteration
❑ Addition
. Repair
0 Move/Relocation
Garage:
IJP Attached
•
Detached
Septic:
Al. ISDS
•
Community
Type of Heat:
• Natural
Gas
• Propane
rai Electric
• Other
Driveway Permit:
• Exempt
•
Permit #:
n gS
8/Co //
i
Building Plan Review
Description of Work: repair fire damage, drywall, framing, new carpet
Bin #:
Location Address: I0556 CR 245
NEW CASTLE, CO
41:
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -9-13-7695
Parcel: 192530100031
Application Date: 09/06/2013
Contacts
Owner: Josh and Dori Rew
Applicant: Josh and Dori Rew
Applicant Phone: (970)629-3363 Email:
Building
irn
Engineered Foundation
NA
Planning/Zoning
roperty Line Setbacks
Driveway Permit 30ft Stream Setbacks
Surveyed Site Pian Flood Plain
Septic Permit and Setbacks Building height
Grade/Topography 30% oning Sign -off
f Attach Residential Plan Review List Road Impact Fees
Minimum Application Questionnare OAIDRC Approval
hj/A Subdivision Plat Notes Grade/Topography 40%°
9 Fire Department Review • lanning Issues
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Subdivision Plat
General Comments:
Vn ./t/f herN
606.46
it-3 5bikk244eci
Tuesday, September 10, 2013
I
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 ISDS 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.
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, ISDS
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.
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
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
14e use t9/W• °
Plan Check Fee:
V R !
� • Cs5
Permit Fee:
583 // c
Manu home Fee:
Misc Fees:
______,
Total Fees:
9'6x•2 c
Fees Paid:
?q Os
Balance Due:
5-g3.15
BP No:
ISDS No:
a4
1J 1
Setbacks:
F*2,5, 5, spa
OCC Group:
sg c
Const Type:
�r
Zoning:
R
BUILDING / PLANNING
DIVISION :/ 7;r/.1
/// Signed Approval / Date
4v-1-10 L5- q • Lei t`