HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 40X
Glenwood Springs, CO 81601
l970l94s-82t2
www.earf¡eld-cou nW.com
TYPE OFCONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home (Sinele or Multi-level)
><Residential (SF, Duplex or Townhome)I Reroof
I Dwell Unit ) - MAXTMUM S|ZE OF SqUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Emall Address:
phone: t1lo) "51'Ì - 65 L9
P.o. ROK rq rÕ I3fì s{l LT .(c ß I b"(
D rìl.) à CìRurñ lF n,LOT. CCfl
Contractor:S'FTL R5 CtUÑER Phone:t)
Mailing Addressi
EmailAddress:
Architect:Pnrßlc< ß Ç5 Phone: t bsit 3 4Z -7U1o
Mailing Address:22.8I LÊìKÉ ßLUD s-r, PFrUL fl u. a 5¡q -ib:¿ü
Email Address:fOnìùlùRc[T'1.q è HÉ,
Engineer:RÊ<cusrt /'rr r LLpeD Phone: g'|CIt nb3 -qb+3
Mailing Address: Z LL cc ßlb'L3
Email Address:J 5CPE(a
Manufactured Home lnstaller:r')/D Phone:t)
Mailins Address:
EmailAddress:
PROJECÍ DETAITS
Describe Work:coÌJ5TPü:r 16¡1 CÉ NÉtil s,[,R. ur,r I gnncHtP
6N RAGË
Job Address:íY]LDLÙ ßËFÊ ÜC
Assessor/s Parcel Number:?3q 3tq 2 09001
Sub.F\SPÊiü G LË lJ
I
lot Füi-[ sloct
owne/s vaf uation of wor x, $ 2881127 ,îÒ Property Size (5q. Ft.
sq.Ft.of Building: . l4? Heisht: ?1')1" #of Floors
or Acres):,?' l+ nc,
Class of Work:
Garage:
X New Remodel/Alteration flnoo¡t¡on
KAttached Detached
PROIECT DETAI IS CONTINUED
Septic:SWTS Community
ElectricType of Heat:ral Gas Propane
Driveway
Permit:EIE*ernpt
Permit #:
NONCE
Authorltv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
l-esal 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 perm¡ts 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.
CERTIFICATION
I hereby certify that I have read thís 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 Build¡ng 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 ¡nspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Offícial from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construct¡on or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or âny 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 archítect
designer, engineer and/ or builder
I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
provided the requ ired information which is to the best of my knowledge,
Dnù GRUÉI.5[4rslzt
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Special Conditions:
L3LtrLL8Z
Adiusted Valuation:
*LQt-g-tq,5L
Check Fee:Permit
I
Manu. Home Fee:
tt/A
Misc. Fees:Pltr= 2.V03
Total Feãs:
ó o,+la,vv
Fees Paid:Ba Due:BP No:
ÉLfaê. LIz{
OWTS No: '
Setbacks: ,und.OCC Group:tac Const, Type
t t-¿
Zoning:
?Ùo
/"t/r*/.ùfu l-t7-et
Date
BUttDtNG / PTANNING DIVISION :
Signed Approval
Property Owner Prlnt and Sign Date
8.6.0)
Garfield County
BUILDING DEPARTMENT
7A8 Eighth Street, Su¡te 407, Glenwood
'pr¡ngs,
CO 81607
Tel: (970) 945-8212
PLAN REVI EW CHEC KLIST
ßLRtr- o+-^\-bgz{Permit No:
Building lssues Planning /Zoning lssues P Uî>
t./
ÑA
NA
t'/
P/R
t/
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 K,tnaf f\b?l-7-206
c0 f)Property Line Setbacks
Flood Plain
UND Buitding Height
l/ Zoning sign-off
,/
t'/
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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