The URL can be used to link to this page

Home My WebLink AboutApplication1 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 MAY 0 1 2017 (970) 945-8212 www.garfield-coUnty.com TYPE OF CONSTRUCTION 1Ft Commercial/Mufti-Family BUILDING PERMIT APPLICATION 0 Manufactured Home (Single or Multi -Level) ❑ Residential (SF, Duplex or Townhome) 7111117Demolition 0 Reroof INVOLVED PARTIES Property Owner: C01,0RAD 0 koc.V-H Mill SC.II00 k Phone: ('fl ) 1b3 2X240 Mailing Address: V lui3 1040 g"'ti' CARTONT:AVX Co 4IA623 Email Address: v44 tTE @ CKcMs . O�tr Contractor: tfa1\ (ftNENtic1. (-tom kg-IbIIS Phone: (11, )14 S— 0 l o 7. Mailing Address: Gil %Vol 'c 7 -Ob , crw S t Go Slum Email Address: $, C.k SV 4 Q $W-- "N CON ` LA./V.-- Architect: As.)r kg -c-4 Phone: 1Z0 ) 11o3 — (01`O Mailing Address: N 1I cMt- N bPt� $1�2� Email Address: �►► LC 1"tAE L C. �ky�R.i. ton./ Engineer: L Pc Phone: (11 0 ) C't 0 — 5'1 0I Mailing Address: 215 N WI*S'1', v w t'r fc C -A 4 40Pit1 to % IL 2-7 Email Address: Manufactured Home Installer: Mailing Address: _ Email Address: Phone: ( PROJECT DETAILS Describe Work: V * /wD a r+w 1,1 t " P� V—voSL% leOQ,W & $v w10 Vklas N 0- 'g- coNv Mak %w e- c'eNA v--- Job Address: --'S &krJS I Hq3 C'42 10U, (' Assessor's Parcel Number:►0 12 Sub. Lot Block Owner's Valuation of Work: $ 2.-1D60 Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: 2X0 0 Height: # of Floors: Class of Work: 0 New yi Alteration 0 Addition 0 Repair Garage: 0 Attached 0 Detached I Move/Relocation • • ' • ., • ' • e :?..; •„, " 1 t•E 'r • ..#.• .14' v. . PROJECT DETAILS CONTINUED Septic: Type of Heat: ❑ OWTS 0 Natural Gas Driveway Permit: 0 Exempt NOTI 0 Propane O Community O Electric O Permit #:. 0 Other 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. 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, 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 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 which is correct and accurate to the best of my knowledge. Aar/ Property Owner Print and Si 7' Date i -FL 11 . CRr►t OFFICIAL USE ONLY Special Conditions: Ad'ustgd Valuatison: :v/DoO�� PCheck5ee: l Permit . 1/105f76 M � onFee: Mi;FeT�b �%j� Air) Total Fee :Fes TOVI.i9 Paid: �lB.'�`� Balance Due: 1,105.5 BP No: OWTS No: -t-i ni� Setbacks: OCC Gr p: A Cos Type: Zoning: R. BUILDING / PLANNING DIVISION : f ■ Si= ed Ai: - al Date tdtri 3 -1 14- 7.18.E NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official that additional information is necessary to review the application 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 Road Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by a person having written authority from the owner to act as their representative. I hereby acknowledge I have read, understand, and will abide with the requirements of this checklist. Property Owr er Pr .19 51V / 7 t . nd Sign Date • v f5'1 rafrN ("14 1-). 141 Z ) �S Pc› -K) x(71 el'Or� Int (- l l ev-' _r� (\ (� cyerveleirma—lwit31 Pcx)2P1-vikT d? -1. -nrA4r7 v04 17) zp, 347/ N 11 / z -s /7 -4$ c -y (z -Ai itz-* 1 - CU' I Z CU'tz Co/ c i.rto orsag 2WL o� c Rilr"rtfc.Wuq, ( f' os 1 14-12 Oly l (J g cyL7--Ob 34/1707J-_,/ gRMD 22,6 z -s;