HomeMy WebLinkAboutApplicationGørfielcl Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www. garfield-countv.com
1YPEOF
Commercial/Multi-Family
Residential D or Townhome)Reroof
Dwelli Unit - MAXIMUM SIZE OF FEËT
Property Owner:
Mailing Address:
Email Address:
e
L
Contractor:
Mailing Address
Email Address:
Architect:b otå,f J /tl¿rt,n æuon",tQ1o I Glb u4o
Mailing Address A, ß-ot I o It GLg-tutoob SfL'^tGs A. ê((æL
Ëmail Address: B r-ÀD Jo Ès,rJn g-cvf t1eq g Ç¡*4. bp-
Engineer:5ftu¿ !3bøg7e¡E, s.l),Phone:ilaGt 1 lo 116b
c?,ttJ L
--ttu * t-u"*(^!( N rcrb,-S Phone: (M | 68?- Z I t3
P5o é 45 C", I (t
Tlt/L (¡gbt1? ,' {tLq,n^t*r t..lîphone: úlotgG? 1(el3
¿,,
Mailing Address
Email Address:5rt* e-F Vc-vf. 4îLuaî, Lop.
Manufactured Home lnstaller:ñ Phone: I )
MailingAddress:
Email Address: -
Describe Work:N¿r^t { r il It t-t- F * nq ctl [-çç, oe L(
ition
Manufactured Home or Mu
Remodel/Alteration
Detached
Class of Work:
Garage:
JobAddress:þll L,\LI <l P*.r[- ÞÈrVË
Assessol's Parcel Number:z3?l33zo4o3o
Sub.Liøsr 7a
^t
Lt+rct 7e
"'ock
PHr(É L
property size (sq. Ft. or Acres): 7=, !".'!,1Owner's Valuation of Work:
sq. Ft. of Buitding: 4Z4q Height: ?L'- G" #of rbors:--..1--
Firefox about:blank
FROTECÎoE Al¡.s€OmfluED
Septic:
rype of tteatr
Þrfusway
Perrñ¡tr
NOTICE
flws
ffiNatural
cas
FlÊ*"*rt
fifcommunitv
rilet"tttt'Propane ûther
Permit S:
Aulhg¡ifi. This áppiicðtion for a Building Permit must be signed by the Õwner of the property, described absve,
or ¡n autho¡ired agent. lf the signàture below is nst thal of the Owner, ê sepãrate letter of authgrity, siÊned by
fhe Owner, must be provided with this Application.
lerat Âqces¡' A Building Permit cannot be issued withoui proof of legal å*d adcquate acçess to the propêrty for
I¡urposes of ¡nspecticns by the Building Division,
Êlhç:-lçf¡nLtl Multiple sepðrâte permits may be required: {1} Stâte Etectricài Permit, (Z} Counry ÐWTS permit,
i3) another permil required for use on thÊ property ídentified above, e.g. 5tate or Co{rntv Highwayl fiöåd Access ,
or i¡ State Wa5tewater Dischargr Permit.
y.S-ld,¡C!¡li! A 8uÌiding perûr¡t beromes null and void if the wcrk authori¿ed is not csmnrenced wìthin 18û days
ûf ihÊ date cf iSsuance and if work is suspended o¡ abandoned for ¿ Beriorl of 18û dåys after commencement,
CERNFICATIOT{
I hereby certifv thät I have read this Appl¡cation and that the information contð¡ned ¿bove is true ¿nd correct. I
understand that th€ Suilding Division accepts th€ ApÞl;cation. rlong with the plðns and specilications and other
dâta subm¡tted by me or on my behalf (submittals), based upon my certifi{aliçn as to âceuracy. Assuming
completencss of the submittal: and approval of this Applicatlon, a Building Permit wlll be issued Brãntirìg
perntission to rne, âs Owner, ts cÕnitruct the structure{s} and faeilities detai}ed on the submilÌãls reviewed by
the Building Division. ln consider¿tion of the issuance of the Euilrling Permit. I ägree that I and my agents wil,
comply with provisions of any federal, state or locai law regulating the work and the Garfield County Bu¡ld¡ng
Code, OWTS regulations and applicable land use regulations {County Regrlation{s)}. I acknowledge that the
Building Perrnit may be :u:;penrled or revoked, upon notice frsm the County, if the location, eûnstrr¡ction or use ,
ûf the structure{si and facllity{ies}, descríbed above, are nol in rÕmpliance with County Regulation{s} or any l
other applicable iaw.
i hereby grant permission to the Bu¡lding Division to ûnteÍ the property, described above. to inspect the w€rk. I
further acknowledge that the ¡ssuånce of the Buiiding Permit does not prêvent the Bu¡ld¡ng Õfficial from: {t)
requiring the rarrection of errçrs in the sutlm¡ttais, if any, d¡scovered åfter issuaûco; or {2i stopping
eonJtruction or use rf the strueture{s) or facility{íes} if such is in violation ûf Coilnqr ft€gulãt¡Ðn{s} c}r åny Õther
applicable l¿w. Revìew of this Application, including subm¡ttals, and ¡nsFect¡onr of the work by the Bu¡lding
Div¡s¡orì do not const¡tute an äcc€ptânce of responsibiiiry ûr liðb¡lity by thê Coun¡y of errors, ornislions or
discrepancies. As Ìhe Owner. I åcknoì¡rledge that respe¡ns¡b¡lity for compliancÊ with f€derã|, state añd locãl lâs¡s
and County Regulðt¡ons rest w¡th .ile and my authorized ðgents, ¡nclud¡ng without lim¡tation my architert
designer, engineer and/ or buildtr.
I hereby acknowledge that I have read
provlded the requirod lnformation whieh
CertÍfication above, as well as, have
of my knowledge.
Pr$perw owoer Frint and Sign flate
f5
fu&-
ò
otrFrcrÂrusËollly P{ SL?L't,o?- cC oE/o6/zo2r ÒgD
D¡ =rt*
$perial Conditions:
Adjusted Valuat¡on:gAL -7)<Plan Checkt'7)7 Fee:
o2
Permit tee:2b&- %î Manu. Home Fee:
N,/A
M¡rc'Ef':
1o-A.t-TotaI Fecs:
+3 8 3.77 Fees P¡id:
{ t,?z?.ÒL
ãalance llue:2b66,?;åPis:gÞBE-?ôzt LWTS No:
cot^¡*viltlt
Setba¿ks:
t\.
OCC 6roup:tac Côn5t- Typ€:
,r-b,¿.(,
lonlng:ßU3AL
2 ot'5
BUILD|STG / PIAñ¡HrNG DtVrSrON :8#tÞ4
716/21,8:46 AM
Gørfield County
B|.IILDING DEPARTMENT
108 E¡ghth Street, Suite 407, Glenwood Spríngs, CO 81601
Tel: (970) 945-8272
PLAN REVI EWC HECKLIST
hJL- 7æþPermit No:
Building lssues Pla n n ing / Zoning lssues
þr
/1/,k
Engineered Foundation
Driveway Permit
Surveyed Site Plan
l/, L Se Permit and Setbacks
G e/ TopographY 3O%
ch Residential Plan Review List
¡/,¡
il,q..
0,L
_/
Zo ing Sign-Off
Road lmpact Fees
rade/ Topography 40%
anning lssues
Subdivision Plat
Description &Surnmarv:
27ùS
lf4o
El2 V2.øo =
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Attach Conditions
Appli Signed
Plan r to Sign Application
Parcel/ Schedule No
Soils Report
'-'ãLne Plans/ stamPs/ sticker
/.\
snowroad Letter- Manu. Homes I Z+ 5 ¡ 7 + .68 =
Pa twr?, T'nñ
z'7 03 DD
Gn
CÞ
ßL
l,oo
4so
I ,í 6D
r
, )L å
3 tZ ot1
Z7,9ol
77,1'oo
7þ,9o4C.S/
tbA$ "
tB 31Q,72