HomeMy WebLinkAboutApplicationGørfield County
n gC g lVÉgfnmunity Development Department
108 8th Street, Suite 401
JUL 2 5 20lg Glenwood Springs, co 81601
GARF|ËLD COUN. le70le4s-82t2
coMMUNtTYO.Urrorr.t@
BUILD¡NG PERMIT
APPLICATION
E Commercial/Multi-Family Demolition
E Manufactured Home (Single or Multi-Level)
I Residential (SF, Duplex or Townhome)Reroof
Address: 28 Chelyn Rd Glenwood Springs, CO 81601
970
Email Addres$ tate@tatecivil'com
309-5227Phone:
Mailing
Property Owner:Tate Fairbanks
970
Email Addresr. tate@tatecivil.com
309-5227Phone:
Mailing Address:PO Box 2251 Glenwood Springs, CO 81602
contrector: Tate civil
Architect: Phone:
Mailing Address
EmailAddress:
Engineer: Phone:
Mailing Address:
EmailAddress:
ìI
Describe Work: Remove and replace basement window with egress compliant window and window well
Job Address: 28 Chelyn Rd Glenwood Springs, CO 81601
,uo. Chelyn Acres Lot
22fiHeight:
Phone
Owner's Valuation of Work: $2,000
:( )
Assessor's Parcel Number: 239503200001
Block
Manufactured Home lnstaller:
Sq. Ft. of Building:2,300
Propefi Size (Sq. Ft. or Acres):2.23
Mailing Address
EmailAddress:
# of Floors:2
-Class of Work:fJrrrew [lAlteration LlRdd¡tion flRepair fl Move/Relocation
Garage:IRttactred Detached
: PROJECT DETAITS CONTINUED I
-1
I
ì
I
-i
I
1
E ıor..nrñ¡tvSeptic:OWTS
Type of Heat Natural Gas Propane Electric Other
ì Driveway Permit:Exempt Permit #:
NOTICE
Authoritv. IhisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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 facilíties detailed on the submittals reviewed by
the Buildíng 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 permiss¡on 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
desi e eer 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.
7 t25t19
Property Owner Print and Sign Date
M,¡,YW 6lzoløn
I
s aOFFICIAL USE ONtY
Special Conditions:
Manu home Fee:L\ln Misc Feesrl/RAdiusted Valuation:
?2ttffi.(so
Plan Check Fee:q4h,0t P,ermit Fee:? 4t.25
Total Fees:4 I t4.z(o
Fees PaStlsid:ol Balance Due:qa.zb ßuzç-Eqal
BP No:owts No:
r) 1¿
ConstType:f Bd zoþs:Setbacks:
F/R= 2þ,9*10 occ Group:
f R¿
BUILDING / PLANNING DIVISION :
Signed npproval\-,y'Date
Gørfield County
BUILDING DEPARTMENT
708 Eighth Street, Suite 40L, Glenwood Spr¡ngs, CO 87607
Tel: (970) 945-8212
PLAN R EVIE W CHECK L rsT
Permit No: %KC' 01-H' ry6 I
Building lssues Pla n n i ng lZoning lssues
N/^Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
N/¡---î-.--
N'/A Fire Department Review
Va luation Determ¡nation/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
'/ Parcel/schedule No
40# Snowload Letter - Manu' Homes
N Soils Report
General ments:
NA
V¡lur¡ifiQn * qA00ô.00
(a" %bn'illd)
Wù, lnpø[ ?tr'o'Ñ/A