HomeMy WebLinkAboutApplicationGørftelã County
Community Deuelopment Department
RECEIVED lflBgú Streer, Suite401
' Glenwood Springs, CO 816OLii¡i : ¡t i:iÌ,:i {s7o} e4s-s212
GARF¡ELDCOUN@
COMMUNITY
Manufäctured Home {Single or Multi-LeveD
{sF,or Reroof
o._ç1!ile_sÍ¿E oF SqUARE FEET
DesÍbeWor*:newcoyered porches and 730 sf two bedroom addition to smallresidenæ-
BUILDING PERMIT
APPLICATION
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Property owne" Linda Hayes
Address: 1831 CR 't 14, Glenwood Springs, CO 816û1
Addæss: 38 Diamond A Ranch Road, Carbondale, CO 81623
Address: 7332 S. Alton Way #13H, Centennial, CO 80112
Phone:f ?7nl z-7q 4q7L
EmaílAddrcss;
Email Address:
309 4446
david @strykerbrown -com
jdolezal@ctlthompson.com
Phone:
I Email Address:
fngineer:Justin Dolezal, CTL Thompson Phone:
Mailing
saddleridgeranchl l @gmail.com
MaÍling
Architece David Brown, Stryker/Brown Architects
f-ontrartor:Troy Trulove
Mailing
fulan ufactured llonæ hstaller:NA
Email Address:lindahayes@skþeam.com
Phone:970 379-4100
Phone:970
r303 ¡825-07r7
MaifngAddress:2189 Clubhouse Dr Prescott. AZ 86301
MailingAddress:
Email Adóess:
rob¡ddrBss: 1831 CR'114, Glenu¡ood Springs, CO 81601
Äsesso/s Parcel {Iuarber:2393084 00010
s,r6- Westhoff-Baker Ranch bt3 Slock
û¡¡ne/s Val¡¡ation sf Work:Propertysze {sq. FL orAcres}: 730
one5q. ft. ofBuilding;
Class
He¡¡$t:I'
Garage:
Worlc
730
97,5ûO
ßernodefAlteration
*ol
Debched
ll Community
Electric OtherNatural Gas PropaneType of Heat:
Driveway
Permit:
mpt
PROJECT DETAILS CONTINUED
Septic:
Permit #
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
leeal 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 Perm¡ts. 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 180 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 constructthe 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 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, 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
en neer 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.
6 7
Property Owner Print and Sign Date
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Special Conditions
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Adiusted Valuation72 4bt Plan Check Fee:
62Õ.09
Perm¡t Fee:
AoA.7J
Manu. Home Fee
N/A ''*''5åJ" Õ
Totaf Fees: I
|Ðzt .91
Fees Paid:
.t szr , ?t
Balance Due:
ßa4 7{BP No:
ßuRË--l o27-
OWTS No:
sePr - 1 ozt
Setbacks:OCC Group:
IRc-
Zoning:tLuçlr-
BUITD¡NG / PLANNING DIVISION :
App Date
ALI UTILITIES MUST BE LOCATED PR]OR TO ANY GRADING
.Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. lf the s¡gnatur€ below ¡s not that of the Owner, a separate letter of authority, signed by the
Owner, must be provided with thisApplication.
leeal Aeess. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Ðivision,
Other Permits. Multiple separate permits may be required: {1} State Electrical Permit, {2} County OWTS Permit,
(3) another perm¡t required for usÊ on the property identified above, e.g. State or County Highway/ Road Aæess or
a Stâte Wãstewåter D¡scharge Permit.
Void Pernit 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 L8o days after commencement.
CERTIFICATIOTU
I hereby certifo that I have read this Application and that the information conta¡ned above is true and correcl. I
understand that the Euilding Division accepts the Application, along with the plans and specifications and other
data submitted by me or on my behalf {submittals), based upon my cert¡f¡cation as to accuracy, Assum¡ng
completeness of the submittals and approval of this Applícation, a Building Permit will be issued granting
permiss¡on 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 Perm¡t, I agree that I and my agents wíll comply
with provisions of any fedeml, state or local law regulating the work and the Garfield county Buílding Code, OWTS
regulations and applicable land use regulations {County Regulation{s}}. t acknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, ifthe locat¡on, construct¡on or use ofthe structure{s}
and facility{ies), described above, are not in compliance with County Regulation{s} or eny other applicable law.
I hereby grant permiss¡on to the Building DMs¡on to enter the property, described above, to inspect the work- I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official Fom: (1)
requiring the correct¡on of errors in the submittals, if any, discovered after issuance; or (2) stopping construction
or use of the structure{sl or facility{ies} if such is in violation of CounÇ Regulation{s} or any other applicable law-
Review of this Application, including suhmittals, 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 responsibilîty for compliance with federal, stãte and local laws and CounÇ Regulations
rest with me and my authorized agents, including without limitation my architect designer, engíneer and/ or
builder.
I hereby acknowledge that I have read ând snderstand the Notice and certification abcve as well as
have provided the required information which is correct and accurate to the best of my knowledge,
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PropertyownerPrintandsþn / "- Ú ,/o^tJ
oFFTCIALUSEONTY Pd $îZg,a, c,c oÊla'l2ozt
Special Conditions:
Permit Fee:Misckes:Totãl Fees:Fees Pakl:
Balance due:GradmgPermit:lssüe Dãte:Zoning:
BUllÐilrG / PTANNTilG DtVtStON :
Signed Approval Date
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REV IEWC HECKLIST
þcftr TazLPermit No:
Building lssues Planning/Zoning lssues
ñ,1
Engineered Foundation
Dri Permit
Site Plan
Se rmit and Setbacks
Grade/ TopograPhY 30%
ttach Residential Plan Review List
Valu Determination/ Fees
Line Plans/ StamPs/ Sticker
Attach Conditions
Appl n Signed
Plan iewer to Sign APPlicatíon
Parcel/ Sche dule No
Building Height
Zoning Sign-Off
lmpact Fees
rade/ Topography 4O%
x/, / Ptanni ng lssues
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ñ,n
*!.1.
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Property Line Setbacks
30 ft. Stream Setbacks
FI Plain
N, lsubdivision Plat Notes
^/.il Fire DePartment Review
Subdivision Plat
Descript ion & Summarv:
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