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Home My WebLink AboutApplicationGarfield County Community Development Department MAR 8 7.416 108 8'h Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION ❑ Commercial/Multi-Family O Manufactured Home (SF or Duplex) O Residential (SF, Duplex, or Townhome Demolition O Reroof INVOLVED PARTIES Property Owner: Mark Gould do Mental Floss LLC Phone: ( 970 ) 379-1009 Mailing Address: PO Box 130, Glenwood Springs, CO 81602 Phone: Contractor: Gould Construction, Inc ( 970 ) 945-7291 Mailing Address: PO Box 130, Glenwood Springs, CO 81602 Architect: N/A Phone: ( ) Mailing Address: Phone: ( Engineer: N/A ) Mailing Address: Installer: NIA Phone: ( ) Manufactured Home Mailing Address: PROJECT NAME AND LOCATION Describe Work: Demo home on site Jab Address: 1097 CR 116, Glenwood Springs, CO 81601 Assessor's Parcel Number: Owner's Valuation Sq.Ft of Building: 2,557 2185 27100008 Sub. Lot Block of Work: $ Property Size (Sq.Ft or Acres): # of Floors: 1 Height: Class of Work: ❑ New • Alteration 0 Addition ❑ Repair • Move/Relocation 7eirO Garage: 0 Attached 0 Detached Septic: 0 ISDS 0 Community Type of Heat: 0 Natural Gas 0 Propane • Electric • Other Driveway Permit: • Exempt • Permit #: NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lithe 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. 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, 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 u derstand the Notice and Certification above as well as have provided the required information w c is correct and accurate to the best of my knowledge. l7�r F} ' �los.S C_ j J7 /tr & c JC, Marrs, rte__ Property Owner Print and Sign 2/)2 Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: lc., OD Manu home Fee: Misc Fees: Total Fees: Fees Paid: Balance Due: BP No: ISDS No: Setbacks: OCC Group: Const Type: Zoning: BUILDING / PLANNING DIVISION : Signed Approval Date pit. a ex. op, orb wz-, aup Colorado Department of Public Health and Environment Demolition Contractor DEMOLITION NOTIFICATION APPLICATION FORM APPLICATION FEE MUST ACCOMPANY THIS FORM INCOMPLETE APPLICATIONS WILL BE RETURNED (Notice will be mailed to the demolition contractor unless specified otherwise) Foe: $60 + $5 per 1000 it2 of area to be demolished $ e' (See instruction 01 on reverse side) Company Name: L m �� • C/ )1c, (3 f?)c>Kt3a Street: Cay: .s Telephone if r: _ `iLi S -/t14(? I Mat o:/,0 Zi code: Fa6,11 ( 'U) f `(S B.3"-/ L Project M nage l CeII Phone 11 infry- -- clt:.l dc4 , ►c (ria." _:2i- 2' ; ' L 1 certify That the Certified Asbestos Building Inspector has informed me about any remainln asbestos -containing materials in the facility to be demolished..' �Sigil lure: La dial Rccdiiyvig uilding Debris: } (`)1.1.141 ( Ar et -ti ft(1 "t Submit form lo' Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-B1 4300 Cherry Creek Drive South Denver, CO 80246.1530 Phone: 303.802-3100 Fax 303.782.0278 Asbestosestate.00.us Demolition Site Building Name: 14 CA (St: e ' sl lrt lc 1,1 ilkf Square footage of footprint of facility or° on of facility to be demolished Street: 1097 County Road 116 City: Glenwood Springs Propose Start Date 20 to Garfield 81011 Proposel Corn pli n Date Method/Means of Demolition: ,�/Vrecking ❑ Burning' 0 Implosion D Moving 0 Other, specify: +Burning requires additional authorization - Please call (303) 602-3100 end ask 10 s • eak to the 0. =n Burntn . Permit Coordinator General Abatement Contractor (GAC) Ecos Environmental & and Disaster Restoration Inc. COPHE Asbestos Permit 1! 14480 Total Quantity of Asbestos Removed 4690 0 S. 0 c o0 111 Dale Removal Completed Telephone u _212/2016 970) 945-4407 Type(s) of Asbestos•Contalning Material Removed: CM cin material/ 9x9 tiles yin 1 floorin WithAmy signature below, 1 certify that I possess current AHERA accreditation and state of Colorado certification as an Asbestos Building Inspector. I also certify that 1 have thoroughly inspected the facility to be demolished, as listed in the Demolition Site block above, sampled all suspect materials, had ail samples analyzed for the presence of asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the facility." I also certify that 1 have informed the owner/operator of the facility or the demolition contractor that any asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) of ACM remaining, below (check appropriate box(es)): ❑ Vinyl asbestos floor tile (VAT 0 VAT mastic 0 Tar/asphalt impregnated roofing 0 Asphaltic pipe coatings ❑ S•ra -a,� .lied tar coatint s [ Caulkin• ❑ Glazint 0 Other, specify: i17F[1!}TL�ftY Tfi. Printed Narltioe Building Owner Ovmer's Name: Mark Gould Street 0-1-60 00-20 Oak Lane Cay: Glenwood S rins Contact's Name: Mark Gould Slate: CO Zip Code: 91601 Telephone Ir 970) 379-1009 Explrati. n Date lye* that WI refrigerants from air conditioning/refrigeration appliances have been properly recovered In accordance with AQCC Regulation No. 15 disposed fof Intion on CFC accordancewith 6 CCR 1007-1 subpart 3.6.4 3 (for infI further o) ationthat all on luminousinous exit exitt sign requirementsradioactive call 303 692-3320). have been CHECK THE APPROPR1ATE BOX: )4"°!r!(��r:, Telephone # / J rr ! `� ( %/l')) Ceti Phone Building Own Signa e. Contractor -11:1 Other wn - a+.w+.....aw�1.1.1.1.4• • Postmark or Hand Delivery Date: Print Name; fi?fir+ G nate:, ie (/ /& yccc.!(/ lY !ace/cote. THIS Box l8 FOR CDPHE USE ONLY: Approved By: Code: 0 initial -310 ❑ transfer -380 Form of Payment & #: ' Regulated asbestos•contalning materials means (a) friable asbestos -containing material, (b) Category I nonfriable ACM that has become fdable, (c) Category I nonfriable ACM that will be or has been subjected to sanding, grinding, cutting. or abrading or (d) Category Il nonfriable ACM that has a high probability ioy of or sono alion operaor has tions regulatedme lby thislverized, or regulation, roduced to Note; Asbestos-Cder ontaining t ing sheet vinyl and lthe forces expected to inoleumt on emust belprroperly the urea of abated/removed prior to demolition. Permit #: Record # IDate Issued: Rev 01r30.1)3