HomeMy WebLinkAboutApplicationRECEIir Development Department
8th Street, Suite 401
JUL Z013 (970)
Springs, CO 81601
(970)945-8212
GARFIELD CQLINFIww.garfieid-countv.com
)MMUNITY DEVELOPMENT -
TYPE OF CONSTRUCTION
Q Commercial/Multi-Family
^"Residential (SF, Duplex, or Townhome)
❑ Manufactured Home (SF or Duplex)
BUILDING PERMIT
APPLICATION
O Demolition
O Reroof
O Grading (locate all utilities prior to grading)
INVOLVED PARTIES
Property Owner: ( 15)� " f Z ijt, i - Phone: (770 ) 5
Mailing Address: //I /; 4,°041 114,, ei6ei44, 05/ Co R/43.2
Contractor: /1 ' A/ri
Mailing Address:
/444`/4C/ 4 Phone: (f7 SD,2
Gmor n2-,
Architect:
Mailing Address:
Engineer: jri 77;1 7 44c, 1' /
Mailing Address:
Manufactured Home Installer:
Mailing Address: - -
Phone:
Phone: (770 ) .-
Phone:
PROJECT NAME AND LOCATION
Describe Work:
c!,///fe6e ✓c7, c_5-A40e/f;ly
Job Address: 7 £ /,,m 0/c -t/13 &NA/
Assessor's Parcel Number: Sub. ITge.tite,Pi 2)4 1;7 Lot
Owner's Valuation of Work: $ r' ,37er
Property Size (Sq.Ft or Acres):
Sq.Ft of Building: - Height: # of Floors:
Class of Work: f 0 New
0 Alteration
Block
0 Addition Repair 0 Move/Relocation
Garage: ❑ Attached
Septic:
O Detached
D ISDS
Type of Heat:
O Community
❑ Natural Gas 0 Propane
Driveway Permit:
0 Exempt
❑ Electric 0 Other
O Permit #:
Grading
Square Feet of Earthwork
Cubic Yards of Earthwork
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 structures) 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.
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 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 whi Ich''s arrett and accurate to the best of my knowledge.
Property Owner Print and Sign
Dates/�
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
6Z5iJ W • t
%
Plan Check Fee:
&? 3. Z./'
Permit Fee:
9.7 .�
T
Manu horse Fee:
��
Misc Fees:
Total Fees:
Fees Paid:
Balance Due:
BP No:
ISDS No:
Setbacks:
OCC Group:
Const Type:
_
C.-
Zonina
PV
BUILDING / PLANNING
DIVISION :
.7//z'/ '
5
Signed Approval
Date
VI0YIY }.�q.
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.)
hereby acknowledge 1 have read, understand, and will abide by the requirements of this
checklist.
Property Owner Print and Sign
Dat
Building Plan Review
Description of Work: repair- emergency shoring
Bin #:
Location Address: 67 RIVER BEND WAY
GLENWOOD SPRINGS, CO
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -7-13-7632
Parcel: 239512118166
Application Date: 07/1912013
Owner: Judy Alexander
Applicant: Judas Alexander
Applicant Phone: (970)945-4300 Email:
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
H____
Septic Permit and Setbacks
Grade/Topography 30%
\\ Attach Residential Plan Review List
Minimum Application Questionnare
Subdivision Plat Notes
IFire Department Review
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
7
Attach Conditions
Application Signed
! Plan Reviewer To Sign Application
/ Parcel/Schedule No.
40# Snowload Letter - Manu, Homes
Apt Soils Report
Tuesday, July 23, 2013
fu/t,
Planning/Zoninq
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Zoning Sign -off
Road Impact Fees
HOAJDRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat
General Comments:
thta t ei 05/0 0.°' 51,thwr /P/
YAMPAH BLIILDER.S, INC..
PO BOX 669 GLENWOOD SPRINGS, CO 81602 YAMPAH@ROFNEF 970-379-5222
AUTHORITY TO PROCEED
7A7i2O13
Judy Alexander
111 Pilgrim Drive
Edwards, CO 81632
RE: Shoring, water service disconnect
To whom it may concern
Judy Alexander as owner of 67 River Bend Way, Garfield County, CO does hereby
authorize Yampah Builders, Inc. to proceed with the repair work as outlined in plans dated
7/12/2013 from Pattiilo and Assoc, Engineers
Respectfully Submitted,
Virgil R. Howard, Pres.
Yampah Builders, Inc.
Authorized date: 76
Judy Alexander
Signed
4 WJprift name
CONDITIONS OF PERMIT
BLRE-7-13-2915
Judy Alexander
67 River Bend Way, Ironbridge
Foundation Shoring
Glenwood Springs, Colorado
1) ALL WORK MUST COMPLY WITH THE 2009 INTERNATIONAL RESIDENTIAL CODE (IRC)
AND MANUFACTURER'S INSTALLATION SPECIFICATIONS
2) THIS PERMIT 15 ISSUED FOR STRUCTURAL SHORING ONLY. REPAIRS TO REMAINING
STRUCTURE REQUIRE A SEPARATE PERMIT.
3) ENGINEER ON RECORD SHALL FIELD VERIFY SHORING INSTALLATION. ENGINEER
STAMPED APPROVAL REPORT IS REQUIRED FOR FINAL INSPECTION.
4) ADDITIONAL STRUCTURAL DEFECIENCIES ENCOUNTERED DURING REPAIR REQUIRES
ENGINEER STAMPED DETAIL/APPROVAL.
5) IF GAS METER IS DISCONNECTED, A GAS PIPE PRESSURE TEST AND INSPECTION MAY BE
REQUIRED FOR METER RECONNECT.
6) GARFIELD COUNTY FINAL INSPECTION REQUIRED.