HomeMy WebLinkAboutApplication?\Ç
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ol e4s-8212
www.qa rf ield-cou ntv.com
Garfteld County
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
E Commercial/Mu lti-Family Demolition
[-] Manufactured Home (sinele or Multi-Level)
fl Residential (SF, DuplexorTownhome)Reroof
INVOTVED PARTIES
Property Owner:
Mailing Address:
Harvey Nesbit, LLC Phone:970 945-5952
3758 Highway 82, Glenwood Springs, CO 81601 970-379-5858
Email Address:
Contractor:Tally Ho Construction, lnc.Phone:r 970 ) 625-0208
Mailing Address: 0145 County Road 225, Rifle, CO 81650
Email Address:tallyhoconst@sopris. net
Architect:Phone: { )
Mailing Address:
Email Address:
Engineer:Phone: ( I
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone: I )
Mailing Address
Email Address:
PROJECT DETAILS
Describe *o.¡. Replace timber retaining wall with concrete blocks retaining wall
Job Address:3758 Highway 82, Glenwood Springs, CO 81650
Assessor's Parcel Number:
Sub.Iot Block
Owne/s Valuation of Work:15,000.00 Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building: Height:f of Floors:
Class of Work:[ ruew llAlteration Ll Rdd¡tion I nepair l_,,,1 Move/Relocation
Garage:lnttached l_l Detached
PROJECT DETAII.s CONTINU ED
OWTS Community
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which and to the best of my knowledge.
Property Owner Prlnt and Sign Date
iìt,t)
ì b33\
'w. ¡
Septic:
! Propane l_J rlectric !otirerType of Heat:| | Natural Gas
I lPermit #:Driveway Permit:Exempt
NOTICE
Authoriry. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf 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. ln 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
neer or builder
OFFICIAI USE ONLY
Specia tconditions: fA ¡)oAü ls Av-suJ,o //ç fu 'llo¿.
AdjgEled valuation:/1 . Or)ô
Plan Check Fee:'lbb.3t Perm¡t Fee:
241.L5
Manu home Fee:Misc Fees:
Ïotal Fees:4 t4.s6 'l"t'4i; i
Balance Due: .
25'1.21
BP No: /t
A-t(À¡ 5 33 U,
OWTS No:
Setbacks:OCC Group:Const Typel Zoning: (^ L-
)17Øtß
DateI
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