HomeMy WebLinkAboutApplicationCommunity Development Oepartment
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
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lYPE OF CONSTRUCTION
iii Commercial/Multi-Family
0 Manufactured Home (Single or Multi-Level)
D Residential (SF, Duple>< or Townhome)
INVOLVED PARTIES
D Demolition
D Reroof
Property owner: IRMW II LLC Phone:(~) 390-3 704
Mailing Address: P. 0 . Box 3075, Glenwood Springs, CO 81602
Contractor: Tally Ho Construction, Inc. Phone: ( 970 1625-0208
Mailing Address : 0145 County Road 225, Rifle, CO 81650
Architect: ___ N_o_t_a-'p-'p_l _ic_a_b_le __________ Phone:( __ ) _____ _
Mailing Address:---------------------------
Engineer: ___ N_o_t_a-'p_p_r_1c_a_b_le __________ Phone: ( __ ) _____ _
Malling Address :---------------------------
Manufactured Home Installer: Not applicable Phone :( __ ) _____ _
Malling Address ·---------------------------
PROJECT NAME AND LOCATION
Describe work: Finish offices with drywall, painting and flooring
Job Address: 1058 County Road 100, Carbondale, co 81623
Assessor's Parcel Number: 2393-363-00-063 Sub. Lot Block
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Owner's Valuation of Werle$ $55,500.00 Property Size (Sq . Ft . or Acres): 35.J 14 acres
Sq. Ft. of Building: 1,560 sq. ft . Height: _B_ft_. ____ II of Floors:~ ?" 00
Class of Work: 0 New ii Alteration D Addition D Repair D Move/Relocation
Garage: 0 Attached D Detached
N/A
Septic: oowrs 0 Community
N/A
Type of Heat: ii Natural Gas D Propane D Electric D Other
Driveway Permit: Iii Exempt D Pennit#:
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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 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
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
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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 structure(sl 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 Garfie ld 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 facilityjies), described above, are not in compliance with County Regulation(s) or any other applicable law .
I hereby grant permission to the Building Div ision 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 (2l stopping construction
or use of the structure(s) or facility(ies) if such is in vi olation 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 ackn'owledge that responsibility for compliance with federal , state and local laws and County Regulat i ons
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 th o ce and Certification above, as well as,
have provided the required information which is corre f my knowledge.
//1 <'ib
Date
OFFICIAL USE ONLY
Special Conditio n s :
Adjusted Valuation : Plan Check Fee:
-s5i.500 11 ~11
Total Fees: Fees Paid: Balance Due : 9PNo: QWTS No:
I I ~1.41 445-~ ~66175 BLCO--lf15'2-6 ·:c.
Setbachs: OCC Group: Zoning :
:B -
Date