HomeMy WebLinkAboutApplicationAu631DIV
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
0 Manufactured Home (Single or Multi -Level)
LI-aResidential (SF, Duplex or Townhome)
BUILDING PERMIT
APPLICATION
INVOLVED PARTIES
Donald M. and
Property Owner: Barbaro L. Chao) in
0 Demolition
n Reroof
Phone: ( 9 70 ) 876-0270
Mailing Address: P.O. Box 11 , S i 1 t , CO 8165?
Email Address: ?Lt 70,311 JhPam . rom
Contractor: TRIS
Phone: (
Mailing Address:
Email Address:
Architect:
Mailing Address:
Email Address:
Engineer:
Matting Address: 01 Cnun t R. a. 15 G - Sn •
Email Address:
Jeff Johnson
Phone: (9 70 ) 625-0580
1 36 East Third Street, Ripe, CO R165n
JJarr'h(aurof_net
Kurtz & Associates.Inc.
Phone: ( 9453-6 305
Manufactured Home Installer: N/A
�••
Phone:(
)
• : .
01
Mailing Address:
k'p(4MMs,/*ToWnshiD: 6 Range: 92Lot 2(46.62A), Part of Lot 1
PROJECT DE TAI ' �) , SWAL .;:-29-4-6 7.4 )
Describe Work: Existing bunk house irnnrouemen t s far habitation.
Job Address: 4023 Count) Road 214, SW, , CO 81652
Assessor's Parcel Number: 21 79-011-00-002
*Sub. (Pearl Vol] PJ) Lot Block
Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building: Height: # of Floors:
Class of Work: New Alteration RAddition El Repair
Garage: El Attached
EI Detached
❑ Move/Relocation
PROJECT DETAILS CONTINUED
Se tic:
cr}
Type of Heat:
owTh
Natural Gas 0 Propane
Driveway Permit: Exempt
D Commt� ni _ Neactl •yj t Pry
X Electric i ❑ Other
' 1
1 ❑ 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 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 lithe 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 b der.
I hereby acknowledge tha have read and understand the Notice and Certification above, as well as, have
provided he r qu ed • ormation u ich 1 nd accurate to t e f my kn
wledge.
D. a C'��. Cs Bora 1
Property Owner Print and Sign
OFFICIAL USE ONLY
Special Conditions:
djlu__sted Valuation:
`� t'yf X02. Gb
Pan Check Fee:
�4'j(
Permit Fee:
223.'25
Manu home Fee:
---
Misc Fees:
_
Total Fees:
44
Fees Paid:
2X-1. line
Balance Due:
3!I
BP No:
f FuM- WI Dc/
OWTS No:
00111
qtb.ac.12(6isidic,10
IROCC Group: GConst
Type:tzG
Zoning:
BUILDING / PLANNING
a ►' la-- 42712017
DIVISION
ign d Approval MgDate
DA c n r7 Q1n ✓SFSZ fn 'i .
Garfield Caurnry
Bpildineonintrlan Review Checklist
Permit Number: $L(L6--O '-17- +/AS
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
NSA
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
N/A
N/A
WA
40# Snowload Letter — Manu. Homes
Soils Report
128(ii tet NSA
(Ad eli14o" < Soo S. F
Planning/ Zoning
Property Line Setbacks
N/A 30 ft. Stream Setbacks
N/A
Building Height
N/ Road Impact Fees
Flood Plain
Zoning Sign -Off
N/A
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
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