HomeMy WebLinkAboutApplication►� Garfeld County
RECEIVED
Development Department
�
, 108 8th Street, Suite 401
A111 1. 1 ?i �` Glenwood Springs, CO 81601
G� �U�EY o�COUNTY
O� DEVELOPMENT
(970) 945-8212
ww.earfie ld-cou nty.c om
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
=Commercial/Multi-Family
I =Demolition
n Manufactured Home (Single or Multi -Level)
7d
Residential (SF, Duplex or Townhome)
Reroof
n Accessory Dwelling Unit (ADU) MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Vitill (01,1)1'1 Phone: (3_7..)} 37 -T733j
/j5 C6lc cL rrrd C:i rcL2 , 6--u)5 )(.0c,j
Contractor: [ KLA h Vl Phone: (9 70) Ca / 6
Mailing Address: Lf(.i j3 14-7 -}-�-I,{>y. i �LJ ]
Email Address: )'Y1 la r1 V`e_A-5 W'.Qd,art�e rn I ! C Ov
E rne�r
As et: a 1` ICA- 'L
Mailing Address:
(ACO e V_CL LAD e r,5 i n e e r n Civ m
Email Address:
Phone: (970) Q 9--5
Engineer: Phone: (
Mailing Address:
Email Address:
}
Manufactured Home Installer: Phone: ( }
MailingAddress:
Email Address:
PROJECT DETAILS
Describe Work: Rfz24aC rxicr 7 l i 4),06 -LL
A.) A-1)
Job Address: %/5 Cho -pc. r►- &-I C[ r`c. LQ.- G-1.0 5
Assessor's Parcel Number:
Sub. tli i ekry\ 1m 5
Lot )- 2 Block 3
Owner's Valuation of Work: $ t b 000 Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building. Height: # of Floors:
Class of Work:
New
Remodel/Alteration l (Addition
Garage:
Attached
Detached
i\\C'v
PROJECT DETAILS CONTINUED
Septic: OWTS
Type of Heat❑Natural Gas
❑ Propane
Community
nElectric
❑ Other
Driveway Exempt Permit #:
Permit: I I
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
[hereby certify that I have read this Application and that the information contained above is true and correct.
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)). !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.
hereby grant permission to the Building Division to enter the property, described above, to inspect the work.
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 information which is correct and accurate to the best of my knowledge.
Property Owner P. , nt and Sign Ala, t- fJ Yo ta) h Date
OFFICIAL USE ONLY U
Special Conditions:
Adjusted Valuation:
lit)(C,op, pb
Plan Check Fee:
%140, to t
Permit Fee:
g 23.25
Manu.� yyo a Fee:
Nle
Misc. Fees:
Total Fees:
4-463. et'
Fees Paid:
4- 3. %(p
Balance Due:
0.00
BP No:
OWTS No:
13e,Re - 5110
r\ 1 Gd..
5 tbacks:
�%=2) 5�r?t�
OCC Group:
lRc
Const Type:
1RG
Zoning:
jz A..
BUILDING / PLANNING
DIVISION :
�r 1
���. �bl /%1
Signed App . .1 Date
- q63 oto, �c, gI -7/i
Garfield County
BUILDING DEPARTMENT
108 Eighth Street Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: ai,12-- 1,1- 512,0
Building Issues Planning/Zoning Issues
Engineered Foundation Property Line Setbacks
Ni/A, Driveway Permit ' ] 30 ft. Stream Setbacks
Surveyed Site Plan M/A Flood Plain
WA Septic Permit and Setbacks 7 Building Height
Grade/ Topography 30% Zoning Sign -Off
/ Attach Residential Pian Review List NA, Road Impact Fees
Subdivision Plat Notes / Grade/ Topography 40%
WA. Fire Department Review 7- Planning Issues
7 Valuation Determination/ Fees Subdivision Plat
7. Red Line Plans/ Stamps/ Sticker
Attach Conditions
f
Application Signed
Plan Reviewer to Sign Application
ii !l Parcel/ Schedule No.
F•/> 40# Snowload Letter — Manu. Homes
NVA` Soils Report
Description & Summary:
VAi Oln : 4 le) 000.6o
Cas 94014,44i