HomeMy WebLinkAboutApplicationGarfield County
RECEIVED Community Development Department
108 8th Street, Suite 401
MAR 1 3 2018 Glenwood Springs, CO 81601
(970) 945-8212
www. ga rf i e l d -co u nty. co m
GARFIELD COUNTY
mouton, DEVELOPMENT
TYPE OF CONSTRUCTION
.r Commercial/Multi-Family
BUILDING PERMIT
APPLICATION
❑ Manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome)
INVOLVED PARTIES
Property Owner: Wayne Rudd, Rudd LLC
❑ Demolition
Mailing Address: 132 Park Ave Basalt, CO 81621
Email Address: chris@ruddconstruction.com
�❑ Reroof
Phone: [ 970 ) 927-4038 ext. 4
Contractor: CFti ►1 1.,Me- g
Mailing Address: re'Z) ° %;.))( 1122` 4+I LU
Email Address: Awnr •N h, Y►t�� r !a i xa r'r'
Phone: ( ) "" (i'LlY — 3262 -
K �f
Architect: Phone: (__)
Mailing Address:
Email Address:
Engineer: Phone: (
Mailing Address:
Email Address:
Manufactured Home Installer: Phone: (
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: t2A L` `0 f Vit) >A4) C)r1/2.)1 cfe4 k9 -a a.c
4 cos
C`-,
Job Address: S3cd 11 M\ Ra,S 1,S4 011.3 -1- )
Assessor's Parcel Number: 9%i
4octc i
Sub. .ieft vn I-a-Lorre• 6-cli On\-er Lot Block
6'00
Owner's Valuation of Work: $
Sq. Ft. of Building:
Class of Work:
Garage:
15oo Height:
❑ New ,Alteration
Attached
v2:qs s%el
S 1LO
Property Size (Sq. Ft. or Acres):
0.101)i,` Si.
>Y of Floors: t
❑ Addition ❑ Repair ❑ Move/
Detached
PROJECT DETAILS CONTINUED
Septic: rOWTS
Type of Heat: atural Gas El Propane
Driveway Permit: 'Exempt
,Community
Electric j TOther
U 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 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 land 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. 1
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
.AJ11n1.1 ua.uvn uI ux vi uic au uuui clia/ lounmy vcnl n 3uui la III vwio uun wuiny iwguia uuutal other
applicable law. Review of this Application, including submittals, and inspections of the work by the Bui
Division do not constitute an acceptance of responsibility or liability by the County of errors, omission: 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 archit
designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as w, as, have
provided the required information which is correct and accurate to the best of my knowledge.
Way Rudd, Rudd LLC 03-07-18
Property Owner Print and Sign Date
00 OFFICIAL USE ONLY
Special Conditions:
,- . _ . IL. _L .1) t:nl of rnln.l.'tr'rhin [l
1
A lusted Valuation:
IS 1 e41Fee:
Permit Fee:
125.25
Manu home Fee:
Misc Fees:
175 T9taI Fees:
;ettbacks:
R 2/ 9 to
bct
"� BUILDING / PLANNING DIVISION :
Signed Approva
Fees Paid: lance Due: BP No: OWTS No:
SP -I 1 129.15 IbL6O-6Ii9 I_
OCC Group: S- I Const Type: P Zoning: c4 1.00.
4/642016
Da
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
checklist.
Grpieudd
Wayr4Ruudd, Rudd LLC 03-07-18
Property Owner Print and Sign Date
Garfield Cwrri2i•
Building/ Zoning Plan Review Checklist
Permit Number:
6-05-16-517
lzfriAd - rEefrittAt Nva9h
Building Planning/ Zoning
'= --- Engineered Foundation Property Line Setbacks
Driveway Permit 30 ft. Stream Setbacks
Surveyed Site Plan Flood Plain
Septic Permit and Setbacks Building Height
Grade/ Topogray�% a;14, Nom, Zoning Sign -Off
Attach -&es c .4. -Plan Review List Road Impact Fees
Subdivision Plat Notes Grade/ Topography 40%
f Fire Department Review Planning Issues
Valuation Determination/ Fees Subdivision Plat
Red Line Plans/ Stamps/ Sticker
Attach Conditions
/ Application Signed General Comments:
Plan Reviewer to Sign Application
Parcel/ Schedule No.
11\41/A. 40# Snowload Letter— Manu. Homes
Soils Report
T.(/ 4 + I i prc dw4
NJM 9.
1JA I -N oh g �I* OQO .
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