HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.Rarfield-countv.com
TYPE OF CONSTRUCTION
ECommercial/Multl-Family _ __ nDemolition w._._
Manufactured Home (Single or Multi -Level)
10 Residential (SF, Duplex or Townhome) 10 Reroof
I= Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
BUILDING PERMIT
APPLICATION
INVOLVED PARTIES
t ,
Property0wner: tom? Phone:() Lt 3 Z-�
Mailing Address: \ OP j . CtsJ\D %A. ' a4
Email Address: i1 A% AOLSACIA-t ��a � ��+ l • [� 4] yitJt
Contractor: Phone: (
Mailing Address:
Email Address:
Architect:
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Phone: (
Mailing Address.
Email Address:
Engineer: IA Phone: ( )
Mailing Address:
'. Email Address: II
Manufactured Fj ma-lnatat1gr: Q114 lit..ti '3 % Phone; (1 q l ) 21 Z," 1 y 3
Mailing Address: (5 S --st p az7� xrr iv — L_`{7 g �t ED
Email Address: CeAosc- L 15'su�
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PROJECT DETAILS I I
1 X 24
Describe Work; Cc O _
Job Address:
Assessor's Parcel Number:
Sub. O' t t 1� 4-
Lot 5 ( Block
Owner's Valuation of Work: $ Li 'TOO Property Size (Sq. Ft. or Acres): 7
Sq. Ft. of Building: -- "� Height: 111- # of Floors:. 9
n Remodel/Alteration k\ddition
Garage: ttached
Detached
Class of Work: New
PROJECT DETAILS CONTINUED
Septic: inCWTS Community
1 Type of Heat: Ir]Natural Gas [ J ) Propane ❑ Electric i ❑ Other
Driveway I❑EExempt Permit ri:
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 Perrnit, (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 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
j 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.
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.
1 hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provll equlred information which is correct and accurate to the best of my knowledge.
.11\ -20 :57--.4r)
Proper
e
Owner Print and Sign
Date
OFFICIA,USE ONLY
Special Conditions:
Adjusted Valuation:
Fee:
Plaann,Ch�'
PerrFee C
nit
2
Manu. Home Fee:
Misc. Fees:
Total Fees:
Fees Paid:
Bala ce Due:
BP No:
OWTS No:
2zq, `7Ce
$183.56
41(p, z0
BLRE-04-20-6220
Set ks;...,
0 . iLKlj.0
OCC Grou
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Zoning:
RURAL
BUILDING / PLANNING DIVISION :
r
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SignAppr al Date
PD. $183.56, CC, 4/15/2020
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEWHECKLIST
---e,712044
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Permit No:
Building Issues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
P.11 Septic Permit and Setbacks
C'IL Grade/Topography 30%
Attach Residential Plan Review List
b,,e Subdivision Plat Notes
/v • 1• Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
`Attach Conditions
Application Signed
man Reviewer to Sign Application
Parcel/ Schedule No.
/ 421.0# Snowload Letter — Manu. Homes
NI Soils Report
Planning/Zoning Issues
1L. Property Line Setbacks
30 ft. Stream Setbacks
food Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
ubdivision Plat
Description & Summary:
/2,2_
42268 24'6.q>z