HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
wvkrw.garfield-county.com
TYPE OF CONSTRUCTION
BUILDING PERMIT
APPLICATION
[] Commercial/Multi-Family
Manufactured Home (Single or Multi -Level)
sidential (SF, Duplex or Townhome)
I =Demolition
I I1 Reroof
ccessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner: "n d re us - .ir e H e 1. 114 r5
Mailing Address: / 2 5 G T L$ P'4.--4-7--5 le10
Email Address: / / tars 7.0.F9e i0 • Com
Contractor:
Phone:(/?D ) Z7/ -1796
f oAIPACE, Co S/•Z3
;4II1fr_-41%-?--[ C 51 o`'hhone: (�
Mailing Address:
Email Address:
Architect: Phone: (- )
Mailing Address:
Email Address:
Engineer: kyle 5. Ine EJwiortfh
Phone: ( )
Mailing Address:
Email Address:
Manufactured Home Installer: /11. Phone: ( )
l Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work:
Le -h -khd 2 c+ - 6041246C / Mer41/._Ni .m
Job Address: /2.S- e.AC7"1IS ir4,413 AD (a -V$At64- . Co .V4 Z5
Assessor's Parcel Number: 23 3
Sub. LJ P CA -ME
Owner's Valuation of Work: $ 5/0 6156-5V
Sq. Ft. of Building: 1 ibb
Class of Work:
Garage:
Block
._
Property Size (Sq. Ft. or Acres): .2 .t5
# of Floors: 11-
> e-5-rrI.LY
Lal -
Height: /
QRemodel/Alteration
Addition
Detached
PROJECT DETAILS CONTINUED
Septic:
Type of H
k
JWTS
Natural Gas
Driveway Exempt
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 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 suspended or abandoned for a period of 180 days after commencement.
❑ Propane
❑ Community
Electric Other
❑ Permit #:
CERTIFICATION
I hereby certify that 1 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 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.
1 hereby grant permission to the Building Division 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: (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, 1 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,
provided the required information which is correct and accurate to the best of my knowledge.
/14k012 -GAJ ZZ,y(
Property Owner Print and Sign
1/7/2
Date
have
1
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
2g SCO
Plan Check Fee:
213as.7
Pe it Fee:
/.125
Manu. Home Fee:
Misc. Fees:
IS—
.
N
tip
wr
Total Fees:
7/2. 22
Fees Paid:
$ 352• i
Balance Due:
35' 9.4 3
BP No:
OWTS No:
t31.gE- 0411
N/tr
Setbacks:
OCC Group:+' „
Co
st 'y
Zoning: » tAg pite
BUILDING / PLANNING
DIVISION : '�
► - /b -2--2-02U
,__g
signed Ap ,111.11 Date
NOTE: if any required information is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road Impact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
AN D 'tet
/668--
Property Owner Print and ign
T/f2/2
Date
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: L �! 9 )
Building Issues
Engineered Foundation
Driveway Permit
.. Surveyed Site Plan
Ai tit._ Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Ili, Subdivision Plat Notes
/V. 4 . 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
Planning/Zoning Issues
. Property Line Setbacks
1t il 30 ft. Stream Setbacks
/J I0 Flood Plain
o• Building Height
`-zoning Sign -Off
Road I . pact Fees
o
Grade/ Topography 40/
MA Planning Issues
•4- Subdivision Plat
Description & Summary:
/ZcOs,r- 1, 24) 2B, goo