HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
BUILDING PERMIT
APPLICATION .�
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
® Manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome)
❑ Demolition
❑ Reroof
INVOLVED PARTIES
Property Owner: Ed Kitselman Phone: (970 ) 456-5995
Mailing Address: 1460 E. Valley Rd. Suite 307 Basalt Co. 81621
Email Address: Edkitselman@comcast.net
Contractor: MM -Eight Construction Phone: (970 ) 230-9082
Mailing Address: 715 Grand Ave Glenwood Springs Co 81601
Email Address: Office@mm-eight.com
Architect: F+M Architects Phone: p70 ) 987-2707
Mailing Address: 15 Kearns Rd. Ste D. Snowmass Village Co. 81615
Email Address: info@fandmarchitects.com
Engineer: Silver Town Structures Phone: ( 970) 355-9169
Mailing Address: 133 Prospector Rd. unit 4102R Aspen Co. 81611
Email Address:
Manufactured Home Installer: Phone: ( }
Mailing Address: N/A
Email Address:
PROJECT DETAILS
Describe Work: New single family residence, 2 story construction with attached
garage. Garage has storage in attice space
Job Address: 301 Woodruff Rd. Glenwood Springs CO. 81601
Assessor's Parcel Number: 239305208043
Sub. Elk Srprings Lot 43 Block
Owner's Valuation of Work: $ 585,000.00
Property Size (Sq. Ft. or Acres): 2.8 Acres
Sq. Ft. of Building: 2398 Height: 24 Feet
Class of Work:
New f ❑ Alteration 0 Addition
Garage: Attached
# of Floors:2
❑ Repair ❑ Move/Relocation
❑ Detached 1
PROJECT DETAILS CONTINUED
Septic: n OWTS ❑■ Community
Type of Heat: �■ Natural Gas — 0 Propane 1 Electric —� fl Other
Driveway Permit: {Al Exempt fl 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 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,
provided the required information which is correct and accurate to the best of my knowledge.
Property Owner Print and Sign
Date
have
`3
I
n
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
G$ 110G Ob
Plan Check Fee:
f j 053 G2
Permit Fee:
I, X20 .1
Balance Due:
`8I) 0. es7
Const
Manu ho a Fee:
BP No:
Misc Fees:
N/A
OWTS No:
T tal Fees:
C,744. 57
Fees i
NO:
't i 9 33 V
IbL�- 5g5
Type:
��-�
COMYY1tOrCitij
Zoning:
PUD
'Setbacks:
�,.� „ ,�
OCC Group:
�Rc
BUILDING / PLANNING
DIVISION :
moi.
Signed Ann , va Date
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 person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
Fe/1_414i .gd4/,/°: Property Owner Print and Sign Date I
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: ptrze-o,_-sass
Building Issues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
WA
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
f Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
1
t\i/A
Planning/Zoning Issues
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter — Manu. Homes
Soils Report
4044kviowy
Property Line Setbacks
30 ft. Stream Setbacks
N/A Flood Plain
Building Height
Zoning Sign -Off
N/A
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
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