HomeMy WebLinkAboutApplicationCommunity Development Department
108 Slh Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfleld-county.com
f TYPE OF CONSTRUCTION
0 Commercia~Multi-Family I 0 Demolition
0 Manufactured Homej~ingle or Multi-level)
D Residential (SF, Duplex or Townhome) D Reroof
INVOLVED PARTIES
Property Owner:61eb6b;p /Le.6(!.0 (et< 2(~ Phone: ( 970 ) %3 -3b'53 I .
Mailing Address: 1802. cg l02 Co.ab:?odolee I Co a (023
Contractor: 6e.1£ Phone: ('\It) ) 9'2'3-3653
Mailing Address: ( 802 cg lQ.2 CarbQoc:bte t Co a ('22 B
I Architect: l1)1LI let>OOX Phone:(r0'7) L-f:A-'itH9
Malling Address: 72~ Colo€):Xb (}x=: *f-z Car-hr:odak: Co 8th23
I
Engineer: Helf'\ Bev-f-~eg,;-P.e.
Malling Address: 133 P.eo6prr':t??R Rd
Phone: ( C\70) &X)-fO?S
()¢~1 d?6Vr?\ (
Manufactured Home Installer:----------Phone:(~_,------
PROJECT NAME ANO LOCATION
Describe Work: CoDveoiioro( ?+zcY botl±G:f!~ +-ADO
JobAddress: reoz ~ Rcr:td (02. Cochatdole,Co8lb23
Assessor's Parcel Number:?S9129 to'2002.Sub. ?lc:cp &ernp-r-Lot 2 Block
Owner's Valuation of Work:$ \ 8 6, cx:x:> · Property Size (Sq. Ft. or Ac:res): 5. 22ffl ~
Sq. Ft. of Building: (78'i "?t> / Height: 215 1 -r '' # of Floors: ........... 2=----
Class of Work: }i( New D Alteration D Addition D Repair D Move/Relocation
Garage: D Attached ~Detached
Septic: 'j(owrs D Community
Type of Heat: Ji{ Natural Gas l 0 Propane D Electric l D Other
Driveway Permit: p(Exempt _J 0 Permit#:
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 Jetter 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 ls 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.
I CERTIFICATION I
I hereby certify that I have read this Application and that the information contained above is true and correct. I 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 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 Jaws 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 re derstand the Notice and Certification above, as well as,
have provided the required lnforma1iurvvvn1ch I co rect and accurate to the best of my knowledge.
CfiLff J 3LDOP 5-/()-;lf}tj,
Property Owner Print and Sign Date
OFFICIAL USE ONLY
Special Conditions:
Misc Fees:
Setbadcs: Zoning:
Date
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 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.
1 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 r derstand and will abide by the requirements of this
checklist
Property Owner Print and Sign Date
Gar.field County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945·8212
www.garfield·county.com
SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST
In order to understand the scope of work intended and to expedite the issuance of a permit, it is
important that complete information be provided. Please review this document to determine if you have
adequate information to design your project and to facilitate a plan eview.
A\PLICATION FORM: Please make sure the following info tion is provided on the application.
• Parcel number obtained from the County Assessor' ffice.
~. Job address (assigned physical address)
"-• Legal Description: lot, block, filing, subdivisio or tract, section, township and range.
"-• Owners name, mailing address, phone, f or cell.
'• Contactors name, mailing address, ne, fax, or cell.
""• ArchitecUEngineer's name, mail" address, phone, fax or cell.
'• Building size, height, numb of stories and lot size.
'· Use of building (Reside al).
"• Class of Work (Ne ddition, Alteration, Repair, Demo, Move/ Relocation).
'• Detailed desc~tion of work.
"-• Type of heating (natural gas, propane, electric, other). ~ Sewer system (Community or OWTS)., also see other items below.
• Ga91Qe (Attach.ed or Detached).
Valuation (labor and materials), see attached worksheet.
OTHER ITEMS:
• lf;tQY-aJ:iticipa•e obtaiRiRg a water ta!!' freFA-tl-le-Cily ef Riffe, please f3f'OO'ide a lelle1 i11dieeting.Jbat
-the Cif¥ will pi:oviele to'teter SelVice. Required te-sttbmil building peiiiiit 8SJplieatieR.
OVVTS requires a septic permit application to be submitted with the building permit application.
, A separate electrical permit must be obtained from the State of Colorado Electrical Board.
• At the time of building permit submittal. you are required to show proof of legal and adequate
access to the site. This may include proof of right to use a private easement, County Road &
Bridge permit, or Colorado Department of Highway permit, including a Notice to Proceed. The
County Road & Bridge Department can be reached at 970-625-8601.
• If you a"tieipale excaVath 19 or gl'96i"g prior to isst1a11ce of a building permit, you will be required
-tc obtaiR a eef3erete gmeliRg J'ermit.
• IF you belo11g tea Hor+1&9'i'tRere Asseeietio11 (I IOA), it is yettr responsibility &9 ebtai" Wf'itten
approuel, if re~l:!iree ... · '8 Provide copies of any Resolutions and/or Land Use Permits associated with this property.
' /. • Additional Dwelling Units may require Administrative Review.
,()'il•HtvJ • Minimum dwelling dimension is 20 ft wide x 20 feet long.
• ~v • ~gloi:adg.State biG&Ried E1eetrieiaA aREI Ph:1ml:Jar FR~ pe#tJ1QtillstallaliOfl..and..bcck up&,
wless the nomeowi'fe! is pe1 fOrming the Work. ~
{ .
1' ::
<[)..# 'i> 'a -€> ) -h -d) /{) Permit Number: p ..... n ,_ {If) 1 '-l'1
Bµilding
___ (/_ Engin~ere~ Foundation
,.;-~Driveway Permit
/ Surveyed Site Plan
--~ptic Permit and Setbacks
-7.Grade/Topography 30%
---~•ch R~sidential Plan Review List
____ Subdivision Plat Notes
/_,d. Fire Department Review
__ '_~ation Determination/ Fees
/lne Plans/ Stamps/ Sticker
~Conditions
----Ap~tion Signed
___0i'~eviewer to Sign Appfication
---0arcel/ Schedule No.
----. 40# Snowload letter-Manu. Homes
----Solis Report ~ ~
J(,o.!)P
Planning/ Zo_nins
r()..,.b. Property line Setbacks
,J (Ir 30 Ft. Stream Setbacks
~Flood Plain
~ (( · Building Height
--~ing Sign -Off
___ Ro~ Impact Fees~ fµ~~ ~. ~fflf~ ~de/ Topography 40%
____ Planning Issues
---~ivision Plat
General C<!mments:
/0<e1
/DG,<f
BUILDING PERMIT
1. Parcel Number
2 . Job Address
3. Legal Description
4. Owners Name
S. Contractor
6 . Engineer/ arch
7. Building Size
8. Useage
9. Class of work
10. Description
11. Heat
12.Sewer
13.Valuation
239129106002
1802 CR 102 Carbondale, Co 81623
Section : 29 Township: 7 Range: 87 Subdivision:
Sloop Subdivision Exemption Lot: 2
Glen Sloop & Gay Lewis 1802 CR 102, Carbondale, Co 81623
970-963-3653 or 970-963-4631
owner /builder
\!/ILL UIJV#
HE.IN &~\f S~£tzl
3f x 28' 25'7" to highest ridge line, 2 stories
lot size 5.228 acres
garage/guest house
New
&hrt. bL?tlt qafC:tet~ +-A'bU
conventional ~d, pitched roof building
Natural Gas
$185,000
/tt:f tJ Beuf5Af:. (?.f -P vP '
i1(./r'5Ab fl.I ~ tol /JfE.f!.J IJ6
t?3 ProsPf3crol' R.D
f_fl>Pt/J c~ ti I b 11
q70 .~ 17;;,vv (00 3
LU / ll LblVNfJX ft
7U C.O/uv!rfX' /tr,;f. 2
CAr?..tow iJ/J"tE-c v <;; 16? 3
?o7-lt 7&--91v?