HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8 1
h Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-c:ountv.c:om
r TYPE OF CONSTRUCTION 1 D Commercial/Multi-Famiiy
D Manufactured Home (Single or Multi-level)
-~esidential (SF, DuJ!!ex o-rTownhome) -
INVOLVED PARTIES
J D Demolition
---.:f Reroof --
PropertyOwner:'EtJ/elvi £v4iJ~ -0 P{c 'u"' Phone:(~) 3/:JC:; -~h.20 .
Mailing Address: D.):/£ ~ll1-1dy ~a.J SS~ /(.)?<µ CJ?$ • ./il!., LtJ, 8/~r/C 1
f }
Contractor: _________________ Phone:(._ ________ _
Mailing Address:---------------------------
Architect: __________________ Phone:(._ _______ _
Mailing Address:---------------------------
Engineer: __________________ Phone:(.._ _ _, ______ _
Mailing Address:---------------------------
Manufactured Home Installer: ___________ Phone:(._ _____ _
Malling Address:-------------------------
PROJECT NAME AND LOCATION
Describe Work: f"Viufosi YT lf
J
s lrh-()()Y~ •
t
JobAddress:'Z02S {.l)vy, fy ·"iZ-D S.S'S: JJ.tu;J {.a_s.fk, CtL 8 1&.t/'1-
Assessor's Parc:el Number: 7--E Sub. Lot Bloc:k
I
Owne<'s Valuation of Work: $ oc Property Size (Sq. Ft."' Aaes): ~}
Sq. Ft. ofBuilding:_2d 00~Height: I e ..C-1-#offloors: :L(~
~SS of Work: I D-New I ~Iteration L D Additio1 D Repair ~ a Move/Relocation
Garage: D Attached ll' Detached
Septic: p(awrs --I a Community
Type of Heat: D Natural Gas 1 D Propane --r D Electric
. i ..; -....--....~~ ~ther
(NOTICE
Authority. This application for a Building Perm it 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.
Vold Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of I the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
1 CERTIFICATION
1 I hereby cert_i_fy_t_h-at_l_h_a-ve-re_a_d_t_h -is 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 submittais, if any, discovered after issuance; or (2) stopping construction
or use of the structure(s) or faciUty(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 w i th me and my authorized agents, i ncluding w ithout limitation my architect designer, eng ineer and/ or
builder .
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as,
ed information wh· h Is correct and accurate to the best of my knowledge.
OFFICIAL USE ONLY
Spedal Conditions:
Adjusted Valuation: Plan Chedc Fee: Permit Fee: Manu home Fee:
2 77t,. 00 54.l I <!13. z,5"
Total Fees: Fees Paid : Balance Due:
l '3 7. ~b i II 8 $ .. Z.f' ~
Setbacks: , OCCGroup: Const Type: , ' ~!ZL-~i!>; ,£Z5 $/tJ ~,2.c_
¥~~~-·-~ BUILDING/ PLANNING DIVISION:_/(...{','--'=:;;..:.....,.,..,,_=:;;....--~----'--------
Signed Approval
Misc Fees:
owrs~:
I~
Date
Building Plan Review
Description of Work: enclosing side porch
Bin#:
Location Address: 1025 CR 335
SILT, CO
C11se M11nager: David Bartholomew
Pinn Case Number: BLDG-3-15-8269
Parcel: 218107302003
Application Date: 0312612015
Building
__ N-ty_A __ Engineered Foundation
--;---Driveway Permit
__ ..._/;__Surveyed Site Plan
_____ Septic Permit and Setbacks
Grade/Topography 30%
/
Attach Residential Plan Review List
/
Minimum Application Questionnare
w/A Subdivision Plat Notes
tJ/A Fire Department Review
/ Valuation Determination/Fees
/ Red Line Plans/Stamps/Sticker
/ Attach Conditions
/ Application Signed
/ Plan Reviewer To Sign Application
/ Parcel/Schedule No.
fl.A 40# Snowload Letter -Manu. Homes
fl/fi Soils Report
Friday, April 17, 2015
Contacts
Owner: Robin Whitson-O'Flinn
Applicant: Robin Whitson·O'Flinn
Applicant Phone: (970)366-2620 Email:
Planning/Zoning
/
Property Line Setbacks
, I 30ft Stream Setbacks
/ Flood Plain
/ Building height
/ Zoning Sign-off
f1 A Road Impact Fees
JV/Ir HOA/ORC Approval
/ Grade/Topography 40%
~lannlng Issues
-----~Subdivision Plat
General Comments:
Lid /fL //t P1
Z 2 {3 lj K /2 .o O :-.# 2 1 776. (J.!2..
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division wilt collect a Plan Review fee at time of application submittal. The permit fee, as
well as, any Septic or Road Impact fees wilt 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
ch list.
Date