The URL can be used to link to this page

Home My WebLink AboutApplicationGarfield County i, e-: Community Development Department 1088* Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-cour11 y -corn BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION r] Cnmmercia I/Multi-Family Mtlanufactured Horngpor Multi -Level) E] Residential (SF, Duplx or ownhome) n Accessary Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET nDemolition Reroof INVOLVED PART IES Property Owner: a- ,'/. els Phone: (jq 4'4'11 Mailing Address: 174, C—W •01-34.4.--11‘ V) 4 J(27 4 Email Addres s: 4 . `� Contractor: ,01,4.v -.e42- J/ IrcGr Phone: (a__ Mailing Address; !/ Email Address: Architect: •,lv//o- til fi/7Le.,.-5 Jhone: ( ti e Mailing Address: _ _• c.:,_->4� �S Email Address; J Engineer: Mailing Address: Email Address: Phone; F Manufactured Home Installer: Phone: (.Z7ai zy,- - f� �J�j�,_,��{zd] Mailing Address: _._ --_ 121-14410-0 Address: /Z/4 -4471r2: 4.15,6 L �. 1e X4(i4 C--j-- PROJECT DETAILS Describe Work: Job Address: S 434Th � r�Ll�-C� _ - "24r6 4' VA'S Assessor's Parcel Number: Sub. c .I/VO C-4. Lot _62_ _ Block -- Owner"s Valuation of Work; $ Sq. Ft. of Building: Loki Height: 1§-1 # of Floors: 1 Class of Work: New Remodel/Alteration FlAtIdllion Garage: Attached Detached Property Size (Sq. Ft. or Acres): �! PROJECT DETAILS CONTINUED Septic: aWTS ❑Community Type of Heat: nNaharal Gas Propane l I l Electric n Other Driveway empt Ij�jPermit r I I Permit: ` NOTICE albs/My. This application fora Building Permit must be signed by the Owner of the property, described above, or an authorized agent, 11 the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, roust 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 Pejmits, 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 si snendrid or abandoned for a period of 180 days after eommencernPrnt, CERTIFICATION 1 hereby certify that I have read this Application and that the Mica dation 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 structures) 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)). 1 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(ir s), described above., are not iii conipliancc with County Regulation() or any other applicable law. I hereby grant permission to the Building; Division to enter the property, described above, to inspect the work. l 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 Regulations) 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. ProperOwner Print and Sign OFFICIAL USE ONLY Special Conditions: Su et{}A4,44I Colieftholi9 of PA/mit. ee: 6P21) Valuation: O.00 ` .2V ��}ee: I.755 Total Fees: Fees Pald: stance ue: [, (7e. Sal 523 . olv �a�.$� 5 tbafk a OCC Group: IRO BUILDING / PLANNING DIVISION : Dat rk. 2.6 Man . Home Fee: Const Type: Signed Approval PD. 03.no) rit# 1o33, 611412402-0 9utint 4) Mise. Fees:$1 . 2 PWTs No; I$1IIJ4 4 -50r -s4 Zoning: R. Date Garfield County BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: et -Mr -05-20- 2e0,1 Building Issues Engineered Foundation Driveway Permit Surveyed Site Plan / Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes Soils Report t\i/A z Planning/Zoning Issues 'T^ NIA Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height ! Zoning Sign -Off Road Impact Fees z Grade/ Topography 40% Planning Issues Subdivision Plat Description & Summary: ClaW1 95.Cc AWL Vr. 7(,.7.1)(#(#O#O 9. Voilvittiovr. 1) teed) x 0 16. co_ 4 2e060.C1b Ir i f F,(,c, = 4'1 (ot}h ❑i9frit)