HomeMy WebLinkAboutApplicationGarfreld County
Community Development Department
REGEIVED
$r:,p ? ü ?ü'ig
GARFIELD COUNTY
Ci t tt',t UH tf Y DEVE LOPMENT
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-8212
www. ga rf i el d-co u ntv. co m
TYPE OF CONSTRUCTION
El Commercial/Multi-Family
El Manufactured Home (Single or Multi-Level)
fl Residential (SF, Duplex or Townhome)
INVOTVED PART¡ES
Property owner: Garfield County BOCC-Landfill
E Demolition
l_l Reroof
70 618-5864Phone
Maillng Address:
EmailAddress:dfi scu s @ g a rfi e I d -cou nty. com
BUILDING PERMIT
APPLICATION
contracror: Kuersten Construction, LLC ptrone, (970 618-9518
Mailing Address:PO Box 1530, Rifle, CO 81650
EmailAddress:joh n @kuerstenconstru ction
Architect:Phone: ( )
Mailing Address:
EmailAddress:
Engineer:Sanborn Head and Assoc ?n? 915-7058
Phone: fvvv l
Malling Address:3350 Peoria St, Ste 150, Aurora, CO 80010
EmailAddress:m kozlowski @san born head. com
Manufactured Home lnstaller:Phone: ( )
Mailing Address:
EmailAddress:
PROJECT DETAITS
Describe Work:New scales, scale house and administration building
JobAddress:0075 CR 2464, Rifle, CO 81650
Assessol's Parcel Number:
,uo. Sec 20
217520100187
6¡ 1,5,8,4 g¡o.¡
1.ZmmOwne¡/s Valuation of Work $
Sq. Ft. of Buildlng:
Class of Work:
Garage:
Height:
| ruew I Aheration flRdd¡tion
llAttached
Property Size (Sq. Ft. or Acres):259 ac
# of Floors:_
! nepair f] ruove/nelocation
f] oetached
PROJECT DETAII.S CONTINUED
Septic:
Type of Heat:
Driveway Permit:
!owrs
! ruatural Gas
ff*"tP'
! Community
! eropane p€t".tri.
nPermit#:
flottrer
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of author¡ty, signed by
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 Perm¡ts. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identífied above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes nulland 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 certifo 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 Divisíon. 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 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
constructíon 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 Not¡ce and Certification above, as well as, have
provided the required lnformation which is correct and accurate to the best of my knowledge.
Propefi Owner Print and Sign Date
/0"3"]on
OFFICIAT USE ONtY
Special Conditions:
Manu home Fee:
NVA
Misc Fees:t\ /AAdjusted Valuation:
lrr lÈ
Plan Check Fee:\slÈ Permit Fee:
L\IÊ+
BP No:'
W[a- 441,,[r
OWTS No:
çT.w q46qTotal Fees:4F-Fees Pàid:&gábnèe Due:sd. uo
Zoning: p Arr\/ASetbacks:Group:
BU¡tDING / PTANNING DIVISION :
(ionad nnrnrrll 1ìa?¡
Gørfteld County
BUILDING DEPARTMENT
108 Eighth Strcet, Su¡te 401., Glenwood Spríngs, CO 81607
Tel: (970) 945-8212
PLAN REVI EW CHECKL rsT
Permit No:
Building lssues Planning/Zoning lssues
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Bui Height
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Se Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subd on Plat Notes
Zoning Sign-Off
M ,4 lmpact Fees
Fire Department Review
N{.Valuation Determination/ Fees
d Line Plans/ Stamps/ Sticker
*--x(n Conditions
ion Signed
Plan Reviewer to Sign ApPlication
rcel/ Schedule No.
oad Letter- Manu. Homes
Soils Report
Description & Summarv:
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