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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.Rarfield-countv.com BUILDING PERMIT APPLICATION �T--Y�PE OF CONSTRUCTION T i 'l Commercial/Multi .Family Manufactured Home (Single or Multi -Level) Residential (SF, Duplex or Townhome) _ _ _ . n Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1.000 SQUARE FEET INVOLVED PARTIES Property Owner: atkr444.k❑( L(3tL • i. aCA Phone: MO ) (S1a1 S,s6 Mailing Address: 315 Cor% 3 5 �t�' 2Di.D B �4•`t Co %(145,0 Email Address: --6CDcrlale ye-C `a-- COL&A ` Obf}C'. l t \vacbr• Phone: (a'16) (Q(QS `sQ0g5 Demolition Reroof Contractor: Mailing Address: 2315 CA, IM�n'�- �& 351— lE1dw 1W tow) � $L b S' Email Address: U b-caC e. Sc.() r►s • CoC Architect: PGI.k SAWA -•�k-k i\ % 5 Phone: alb__) %%d lb te'7 MailingAddress: p. , -b�' 12 15 Qc 4 Oft # & A 3Cfp 0 ,. Email Address: ��gCLr0'�' Q. R201,l'.S'Ct.e .qii1ti11 el ti3q . COM Engineer: _ 1 f Phon : (ZW__ j -- .J.- ^70 .r h... R £, 3-`0110010, R 22 �'80 -- Mailing Address: q* Email Address: _ - _ _ _ Manufactured Home Installer: Mailing Address: Email Address: PROJECT DETAILS Describe Work: i -rt 4i Job Address: E 1 Ca GLrA1 Phone:( ) %LkO 1` \ % 00 l Assessor's Parcel Number: _ --- Sub. Lot Block Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres): Sq. Ft. of Building: Height: # of Floors: l Class of Work: Garage: New 17 Attached Remodel/Alteration [1 Addition Detached PROJECT DETAILS CONTINUED �_.--.OWES Community Type Septic: - - •-- - i� - — -- — TypeofHeat: ENatural Gas j0ProPane_____ Electric 1Other Exempt ❑ Permit It: Driveway Permit: NOTICE ed above, Authority. This application for a Building below is not that of the Owner, a'sed by thnearatehle ter ertuthority�signed by oran author' ed-agent. If the signature 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. Vold 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 hereby certify that 1 have read this Application and that the information contained above is true and correct. 1 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. i hereby grant permission to the Building Division to enter he ril dnesperty, descred above, to insect the not prevent the Building C)fficia from: (1)k l further acknowledge that the issuance of the Building 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. I hereby acknowledge that 1 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. Property Owner Print and Sign OFFICIAL USE ONLY /0 , -a&del Date Special Conditions: TV VT: Total Fees: 2 4 /6 Setbacks: BUILDING k 1 D to i 2 C.O Plan Check Fee: Permil, Fee: �� r � p Balance u)e: ees Paid: qSI� ]1x OCC Group: PLANNING DIVISION : Signed Manu. Home Fee: BP No• B Const. Ty y 1 MIs=. F_er , r 1 OWTS No:/ Zoning: P> Date PO Cx 732.2 NOTE: 1f 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 feed�' at time of application submittal. The Permit Fee, as well as any Road Impact fees will be collected u+]ftien the permit is issued. The permit application must be signed by the owner or by a person having written authority from the owner to act as their representative. I hereby acknowledge I have read, understand, and will abide with the requirements of this checklist. (1))64-til e_--17,0(11/C- Property Owner Print and Sign Date Garfield County BUILDING DEPARTMENT- 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: 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 ReviewJM1 YValuation Determination/ Fees Red Line Plans/ Stamps/ Sticker tach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. � A/ I I 40# Snowload Letter — Manu. Homes Soils Report ;3(437// L1►z Planning/Zoning Issues (Dr Property Line Setbacks /4r4 30 ft. Stream Setbacks Flood Plain TrR Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat Al gPT Description & Summary: 1721 S.r^ (p0,4.50 iLP8 s� 2g/44T 3790I /60 s,r-