HomeMy WebLinkAboutApplicationNOW
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
TYPE OF CONSTRUCTION
;3L1(- 713- 2&
BUILDING PERMIT
APPLICATION
ID Commercial/Multi-Family
.F. Residential (SF, Duplex, orTownhome)
O Demolition
O Reroof
® Manufactured Home (SF or Duplex)
❑ Grading (locate all utilities prior to grading)
INVOLVED PARTIES
Property Owner: '. \ O\ 6:
Mailing Address: ) a.fj e..
i C igi,/ ' hone: ( 110 (S dZGJ •3(a& 62
;a( ; ik' , Co eb1(o
Contractor:
Phone:( )
Mailing Address:
Architect:
Mailing Address:
Engineer:
Mailing Address:
trick Au; \d; Ntia Phone: ( 90)!go - 16500
111) wwd i) t urn n %() IU L S ({ PN 00,okria. tiV
VWkAkt,e ibu.,Ia 13
Phone: (
Manufactured Home Installer:
IA -
Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work:
fe Dude 'e\ 1&, tri -6
Job Address: 1 ??5 5 Q.T * '(J oj-afs ,L, --.Ye % (0 ''61.( q
Assessor's Parcel Number: 1 d /0 a 7(X}15' 6 Sub. Dl1 e(ff.'411 17 Lot Block
Owner's Valuation of Work: $ SoO0.00 Property Size (Sq.Ft or Acres): 16 f cte5
Sq.Ft of Building: a , 6 40 Height: al # of Floors: 1
Class of Work:
New
0 Alteration
0 Addition 0 Repair
Garage:
Septic:
0 Attached
0 Move/Relocation
Fif Detached
Type of Heat:
Driveway Permit:
❑ ISDS (k-
0
❑ Natural Gas
❑ Community
0 Propane
O Exempt
Grading
0 Electric
Square Feet of Earthwork
0 Permit #:
Other
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
1 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. 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 wh' h ' correct and accurate to the best of my knowledge.
Property Owner Print and Sign
Date
+13
OFFICIAL USE ONLY
Special Conditions: isi Q Cp1,44010„„C.14.14(./44 . A[._ 04FtR,S.50,1>e reT4i olficir
S. 9144y, Nu..*4 Zsent. RR &wag, rcrit X`T A /s+.SJ
Adjusted Valuation:
4,
Plan Check Fee:
398.4
Permit Fee:
613.
Manu home Fee:
Misc Fees:
Total Fees:
Iio12, 19
Fees Paid:
w-10. -
Balance Due:
.5 (13. 75
BP No:
ISDS No:
— 831
/411
Setbacks:
OCC Group:
Const Type:
Zoning:
BUILDING / PLANNING
w
7- 8r 2Q)3
DIVISION : �:a ‘ Ar
Si: ned Ap . oval Date
'P\z.i`.I "41 • l
4:78198, Y.4118r --
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
ch cklist.
Property Ower Print and Sig Date
Building Plan Review
Description of Work: new pre -made steel building
Bin #: PIF
Location Address: 1225 CR 226
RIFLE, CO
General Information
Contacts
Case Manager: Andy Schwallcr
Plan Case Number: BLDG -7-13-7609
Parcel: 212703400135
Application Date: 07/01/2013
J
Owner: Timothy Smith
Applicant: Timothy Smith
Applicant Phone: (970)625-3666 Email:
Building
L
A( 11
(I 1L
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Minimum Application Questionnare
Subdivision Plat Notes
drift Fire Department Review
,Valuation DeterminationlFees
Red Line PlanslStamps!Sticker
Attach Conditions
Application Signed
`�' Plan Reviewer To Sign Application
ParcellSchedule No.
Al( A 40# Snowload Letter - Manu. Homes
Soils Report
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Or IL Building height
7oning Sign -off
Road Impact Fees
f - HOAIDRC Approval
Grade/Topography 40%
1 (Am Planning Issues
Subdivision Plat
General Comments:
24000 cif': .. l 8 "7 -.e1 t uo
Monday, July 8, 2013