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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 t/,4 ,/ A/'l y',Á Ð. { N,ß. ,,( eL=- /'l'# fl ,l 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: -oN Z*J