HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
RECEIVED 108 8th Street, Suite 401
Glenwood Springs, CO 81601
AUG 0 5 2019 (970) 945-8212
GARFIELD CDUNw•garfieid-County.com
COMMU
BUILDING PERMIT
APPLICATION
ITY UV'-" -
TYPE OF CONSTRUCTION
CI Commercial/Multi-Family
• Demolition
• Manufactured Home (Single or Multi -Level)
■ Residential (SF, Duplex or Townhome)
n Reroof
INVOLVED PARTIES
Property Owner: Edna Montanez Phone: (970 274-3059
Mailing Address: 170 Mel Ray Rd, Glenwood Springs, CO 81601
Email Address: montanezedna330@gmail.com
Contractor: Phone: ( )
Mailing Address:
Email Address:
Architect:
Mailing Address:
Email Address:
Phone:(
Engineer: Kurtz & Associates Phone: (970 ) 945-6305
Mailing Address: 5012 CR #154, Glenwood Springs, CO 81601
Email Address: kurtzengineer@yahoo.com
Manufactured Home Installer: _ Phone: (
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: New Construction of a 2 -Unit, 2 -Bedroom Dwelling
Job Address: 170 Mel Ray Rd
Assessor's Parcel Number: 2185-061-02-002
Sub. Mel Ray Subdivision " Lot 2 Block 2
Owner's Valuation of Work: $ 1 W tr 2L{ . (3D Property Size (Sq. Ft. or Acres): 0.325 Acres
'
Sq. Ft. of Building: 1 V Oa Height: L� # of Floors:
Class of Work: 0 New
[Garage: El Attached
Alteration ❑ Addition
❑ Repair
Detached
CI
Move/Relocation
PROJECT DETAILS CONTINUED
Septic:
11OWTS
Q Community
Type of Heat:
IBJ Natural Gas
• Propane
❑ Electric
Other
Permit Fee:
`� 11270t. 35
Driveway Permit: ❑ Exempt
u Permit #:
Due:
*`1)221.11
BP No:
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
or a State Wastewater
for use on the property identified above, e.g. State or County Highway/ Road Access
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 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.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required inform ation which is correct and accurate to the best of my knowledge.
atm Iv
()Y1(Arlt
Property Owner Print an
1 3a ly
Date
OFFICIAL USE ONLY
Special Conditions:
,c Afkc1141 ii "A of Goliltn1i�.
Manu hom Fee:
���,
Resew( Imp', a ?zC .-
(VA9f a5tvi69
Misc Fees:' q. M
) 'off �(J
dusted Valuation:
• (0t �2
Plan Check Fee:
fir.
Permit Fee:
`� 11270t. 35
Total Fees:
42111 b.�t3
Fees Paid:alance
q. `� 2
Due:
*`1)221.11
BP No:
OWTS No:
Setbacks:
OCC Group: IR
f Const Type: (�G
Zoning: c L.
BUILDING / PLANNING
DIVISION : P ii, eiC2-2/201 q
c:..�,,.J nom........ -.I nn+e
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 of this
checklist.
Npn
Property Owner Print and Sign
Date
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: H1 -1-C9'(1-5663
Building Issues Planning/Zoning Issues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
NVA 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
OM i C249;datcc
Drawl 9 `Gc
Property Line Setbacks
__WA_ 30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
kVA Subdivision Plat
Description & Summary:
(Ai4 I icc
it efoo
64300 '.
Post 4m + PLC- A 1)e16$. 00
((9' vct-4F)
.100 x 974.64 $ 67)-212.
100 x 974.66 a 6n) -
'TCO x 4 16. OO = `' i lei 1129 -
T70ta1 = ; I4 (24.00