HomeMy WebLinkAboutApplicationGcx f- i�Zc, ' �'if7 Vi y J
108 8th Street, Suite 401, Glenwood Springs, CO 81601
Ph:970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306
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WILDING -PERMIT APPLiewriON-
SIG AT RE
Saaaa
E. ¢96a.Y,5
DATE
STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
'9500, 02
Plan Check Fee:
// 7 R-/
' Permit Fee:
/ e 1. zf
- ecli Dirt t 8 'town ,;(3 ; tr a,,,2 : c 3
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Tie of i_C.ti,_e( r., )VA ). EYv C -7.-
2
2
Job Address: (if an address has not been assigned. please provide CR, ifWYor Street Name 9k City) or and legal description
CC'S9 (06,,,,4-1 Rt, ,,t a& q-, r2.�.. e-, (eft /E -Sc)
3
Owner: (property owner)
,c7WC1 tiara "ict i,k)-\ 1—LLP
Mailing Address:
p.c) - a x pkap, (40 •
Ph:
97v-6Ds-1 -167
Alt Ph:
4
Contractor:�
ICIIIti )-SLI (OM4 -
Mailing Address:
0r9 -s ek.a•,9S RtOa,6t,-�Si6Sca
Ph:
cho-E2>r-agog'
Alt Ph:
5
Manufactured home installer:
n'I14
Mailing Address:
)v) J4-
Ph:
n-/4
Lic #:
6
Architect:
iv/ 4
Mailing Address:
//'/V1-
Ph:
/1.-f I4-
Alt Ph:
7
Engineer:
} P !ll-ltiA K
Mailing Address:
Lr'ReWill 4v1<, 12r'C)f, fdloWso
Ph:
9?v-6l1-07'7 (71
Alt Ph:
8
Sq. Ft. of Building:
Sq. Ft. or Acres of Lot:
Height:
No. of Floors:
9
Use of Building:
DResidential DCommercial DOther
Class of Work'
"lNew DAlteration DAddition ❑Repair ❑Demo ❑Move
10
Describe Work:
Ti C- (� a s 1 X s6 / �.6-e Qty C611 i2t1
11
Garage: iv` )1-
❑Attached DDetached
Septic: iv J«
DIS S ❑Community
Type of Heat: /1/J—
k
❑ at, Gas QPropane DElectric DOther
12
Driveway Permit:
Owners valuation of Work ---- o n
NOTICE
Authority. This application fora Building Permit mus[ 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
leiter of authority, signed by the Owner, must be provided with this Application.
Leval Access. A Building Perrnit cannot be issued without proof of legal and adequate access to the for of inspections by the Building Department.
property purposes
Other Permits, MNultiple separate permits may be required: (l) Stale Electrical Permit. (2) County ISpS Permit. (3) another for the identified Slate
pennit required use on property above, a -g. or
County Highway/ Road Access ora Slate Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 184 days the date issuance if is
of of and work suspended or abandoned for a period of 1811
days after commencement.
' CERTIFICATION
1 hereby certify that I have read this Application and that the information contained above is true and correct. I understand tlial the Iluileling Department accepts the Application. along with the plans
and specifications and other data submitted by me Or On my belie lf(submittals), based upon my certification as 10 accuracy. -
Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission to elle, as Owner, to construct the structures) and facilities detailed on
she submittals reviewed by the Building Department.
In consideration of the issuance of the Building Permit. l 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. ISDS regulations and applicable land use regulations (County Regulation(s)). 1 acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, IF the location.
construction or use of the structures) and faciiity(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to the Building Department to enter the property, described above, to inspect the work. 1 further acknowledge that the issuance of the Building Permit does not prevent the
Building Official from; (I) requiring the correction of emirs in the submittals, ire iv. discovered after issuance; or (2) stopping construction or use of the structure(s)or facitily(ies) if such is in violation
of County Regulalion(s) or any ollwr applicable law.
Review of this Application, including submittals, and inspections of the work by the Building Department do not constitute an acceptance of responsibility or Iiabiiily by the County of errors, omissions
or discrepancies. As the Owner. 1 acknowledge that rcaponsibilily for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without
limitation my architect designer, en&grneerand/ orbuilder.
1 HEREBY ACKNOWLE E TFIlIT f HAVE READ AND DERSTAND THE NOTICE & CERTIFICATION i3JL OVE:
r . tk_.0/ S/3 1
SIG AT RE
Saaaa
E. ¢96a.Y,5
DATE
STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
'9500, 02
Plan Check Fee:
// 7 R-/
' Permit Fee:
/ e 1. zf
Manu home Fee:
-�
Misc Fees:
Total Fees:
299.0 6
Fees Paid:
# Hi, 8j
Balance Due:
/R% Z -S'
BP No & Issue Date:
ISDS No & Issued Date:
a, -/-8--a
Setbacks:
,tC241 R7,S,r 570!
OCC Group:
Const Type:
37:6.
Zoning:
ax a.•t
/5iz—
APPROVALDATE
A • ' ROVAL DA' 'E
Building Plan Review
Description of Work: Install a 25'x56' 2 collumn canopy
Bin #:
Location Address: 69 CR 264
RIFLE, CO 81650
J
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -5-12-7248
Parcel: 217718100102
Application Date: 05/03/2012
Owner: Swallow Family LLLP
Applicant: Swallow Family LLLP
Applicant Phone: (970)625-1467
Email: Krisswallow@sopris.
Building
PlanninglZoning_
Engineered Foundation __Property Line Setbacks
Driveway Permit 30ft Stream Setbacks
Surveyed Site Plan Flood Plain
Septic Permit and Setbacks Building height
Grade/Topography 30% Zoning Sign -off
Attach Residential Plan Review List Road Impact Fees
Minimum Application Questionnare HOA/DRC Approval
Subdivision Plat Notes Grade/Topography 40%
Fire Department Review Planning Issues
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
N1, 40# Snowload Letter - Manu. Homes
Ard Soils Report
Friday, May 18, 2012
Subdivision Plat
General Comments:
V;fied-411 9 , ssho•'ed
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09906
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