HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
RECEIVED 108 8th Street, Suite 401
i, Glenwood Springs, CO 81601
SLP '�a ^?01f` (970) 945-8212
GARFIELD COUNTY www.garfield-county.com
COMMUNITY DEVELOPMENT
BUILDING PERMIT
APPLICATION
[TYPE OF CONSTRUCTION
lJ Commercial/Multi-Family
0 Manufactured Home (Single or Multi -Level)
D Demolition
0 Residential (SF, Duplex or Townhome)
❑ Reroof
INVOLVED PARTIES
Property Owner: CCC -B LLLP Phone: (970 ) 927-4038 ex4
Mailing Address: 132 PARK AVE BASALT, CO 81621
Email Address: CHRIS@RUDDCONSTRUCTION.COM
Contractor: RUDD CONSTRUCTION Phone: (970 7 927-4038EX4
Mailing Address: 132 PARK AVE BASALT, CO 81621
Email Address: CHRIS@RUDDCONSTRUCTION.COM
Architect: JEFF JOHNSON ARCHITECTURAL PC Phone: (970 ) 625-0580
Mailing Address: 136 EASTH THIRD STREET RIFLE, CO 81650
Email Address: JJARCH@ROF.NET
Engineer: ENGINEERING & TECHNICAL SERVICES, INC. Phone: (605 ) 498-1290
Mailing Address: 27121 469TH AVE TEA, SDO 57064
Email Address:
Manufactured Home Installer: Phone: (
Mailing Address:
Email Address:
PROJECT DETAILS
Describe work: CONSTRUCTION OF A PRE-ENGINEERED BUILDING
Job Address: 0062 COUNTY RD 113
Assessor's Parcel Number: 2393-181-00-358
Sub. Lot Block
Owner's Valuation of Work: $ 476,910.33 Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building: 9,375 Height:18' # of Floors: 1
Class of Work: ❑■ New
❑ Alteration
❑ Addition
Garage: L Attached
❑ Repair
L] Detached
Move/Relocation
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:
OWTS
UNatural Gas
❑■ Propane
Driveway Permit: p Exempt
Community
UPermit #:
LI Electric
Other
NOT
Authority. This appl'cation 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.
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.
hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the ruireyl i
Property Owner Print and Sign
ation which is correct and,accyrate to the best of my knowledge.
Date
OFFICIAL USE ONLY (f (3f / pot:4ek w1/ c(NQ[r� 2./5 �21UI , 2.2 wlg
/ / TT
Special Conditions: �yla( IW1 p , ,
43,14 ar't h 119t Of Go4ilii 01'49. E.49!-/ Iwl ,t,i^I
Adjusted Valuation:
G03j 375.00
Plan Check Fee:
`,$2)123. e
P rmit Fee:
`3,727.75
Manu home Fee:
NIA
Misc Fee
` 287 r,-iD
Total Fees:
`$ (oj 15031
Fees Paid:Balance
$ 2, 011' . Z2
Due:
4 )15-2-7
BP No:
i57 81 5' o Z
OWTS No:
Setbacks:
f=- aDt RP-i•5S sI0
OCC Group:�_ (
Const Type: jjc^3
Zoning: G
BUILDING / PLANNING DIVISION :
),(ia20
7/3/tag
Signed Approval
Date
GrrrfreTd Courxty
Building/ gpithigElari Review Checklist
Permit N mber:
13L -GO- Q01 - 16 - 452
GG - g L L.L P Cw(,cytnc p,,.e
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
4:444.14Aw C;,4:x
Attach Rcsid.o =LPlan Review List
WA 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.
40# Snowload Letter— Manu. Homes
Soils Report
Planning/ Zoning
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
N/A
Subdivision Plat
General Comments:
‘ot4 1 ovi Type,: i e
SGL- G c y/(494 �—
$h,; l ele to ArGe- :
.75 x 1215
611375 x 41Ge4.3(vx 4 (9031315.Ob
RO I+ pa Fug
q•37 x a 4 5) 2S1.