HomeMy WebLinkAboutApplicationGarJield County
Ê
t¡l
ul
C)lll
M
>2.l- t¡lz=,:Ê o_
sÉ
OHJ>-rllb
lJ- =s!=<=o3
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www. ga rfield-county.com
PIF
æ
BUILDING PERMIT
APPLICATION
WPE OI CONSTRUCTION
Commercial/Multi-Familv Demol¡tion
Manufactured Home (Single or Multi-Level)
I Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
¡NVOIVED PARTIES
Property Owner:
Mailing Address:
ERIC CONKLIN
18OO BLACK DIAMOND MINE ROAD
Phone: e31 |629-6252
Emait Address. coNKLlN_ERIC@HOTMAIL.COM
contractor: FOUNDATION REPATR OF WESTERN COLORADO phone:970 628-3738
Mailing Address 2575 HIGHWAY 6 & 50 STE A
Email Address:N rcoLE. KE N N EDY@REPAT RCRACKS.COM
Architect:Phone
Mailing Address
Email Address:
Engineer:PAUL BRYANT Phone: (719 |330-3885
Maíling Address 2141 TROY COURT
Emait Address. PAULRBRYANT. P. P@OUTLOOK. COM
Manufactured Home lnstaller Phone
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work:INSTALL 5 PUSH PIERS
Job Address:18OO BLACK DIAMOND MINE ROAD
Assessor's parcet Number. 239509300010
Sub.Lot Block
Owner's Valuation of Work: S 11,880 Property Size (Sq. Ft. or Acres):40 ACRES
Sq. Ft. of Building:Height:# of Floors:_
Class of Work:New r'Remodel/Alteration Addition
Garage Attached Detached
PROJE T DETAILS CONTINUED
CommunitySeptic:3WTS
Electric OtherType of Heat:Natural Gas Propane
Permit #:Driveway
Permit:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. IfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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 L80 days
of the date of issuance and if work is suspended or abandoned for a period of L80 days after commencement.
CERTIFICATION
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
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. ln 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. I
further acknowledge that the issuance of the Build¡ng 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
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 info n which is correct and accurate to the best of my knowledge.
NICOLE KENNEDY 3t10t2021
Property Owner Print and Sign Date
oFFrcrArusEoNry p¿ è ßL.S .c ot/n/z*tt
""äUfååffi'ol gruthtnni Repa, v^ 1nlv w Pr. Rrp* fftu
Adjusted Valuation:ôtt ß8ô. Ø Plan Check Fee:
F tg 0.2!
Fee:'Mariu. Home Fee:¡'l/t
TotalFees:qM,2b Fees Paid:i ¡g¡,,er
Balance Due:
f ?oq, LE
BP No:gLne' L{t6 OWTS Nd
N/^
Setbacks;ñ/A OCC Group tcc Const. Type:
tßc-
Zoning:
EU laAL
I
BUILDING / PLANNIN6 DIVISION :1Ì{/k^l-l¿l
Signed Approval Date
Gørfteld County
BUILDING DEPARTMENT
708 Eighth Strcet, Suite 407, Glenwood Springs, CO 8760L
Tel: (970) 945-8272
PLAN RE VIEW CHECKLIST
Permit No: fiQf -062/-674é
Building lssues Planning/Zoning lssues
rUA
ÑA
t/
,r/
L/
t/
t/Engineered Foundation
AJA 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
R'pir\nl1 suPe,
Flood Plain
NK
Descri ion &
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdívision Plat
Property Line Setbacks
30 ft. Stream Setbacks
ö
1..f,tpi, valt^r.hon
a6 svbmil+rÀ =t\sBo. oo