HomeMy WebLinkAboutApplicationGaffield Courtty
Community Development Department
108 8th Street, Suite 401
Glenwood SPrings, Co 8L601
ls7ol e45-82L2
www.qarfield'countv.com
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Property Owner:Wayne Blotske
FEET
Reroof
970 379-5067Phone:
Maillng Address:34671 Highway 6, Silt, co 81652
Email Address wayne@blotske.net
contractor:
----
Phone :l
Mailing Address: ----
Emaíl Address:
-___
Mailing Address:
---Email Address:
-_-*
Engineer: Phone:
Mailing Address:
---*Email Addressi
---Manufactured Home lnstaller Phone tl
Mailing Address; -_----.----
Ëmail Addresst
----
Describe Work Addition of living space,and garage to existing house.
Demolition
Job Address:34671Highway 6, Silt, CO 81650
Asiessor's Parcel Number:21791 1 1 00553
Owner's Valuation of Work ( 121 ,649.80
sq. tt. of Building: 2021
-- Height:23.6
Class of Work:New
Property Size (Sq, Ft. or Acres):
# of Floors¡3---
Addition
2.42 Acres
Garage Attached
Remodel/Alteration
Detached
t T Other
Permit #:
Community
þlectlic
Septicr
Typo of Hcatr
Driveway
ural Gas Propane
Exempt
Authotity. This application for a Building Permit must b e 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, slgned by
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 seþarate 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 Wastewatêr Discharge Permit,
VgldFerjnit. ABulldingPermitbecomesnull andvoitliftlreworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement,
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the Building Divi sion accepts the Application, along wlth the plans and specìfications and other
data submittecl by me or ot1 nry behalf (submittals), based upon my certificatlon as to accuracy, Assumlng
completeness of the submittals and approval of thìs Application, a Bullding Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals revlewed by
the Building Division. ln consideration of the issuance of ttre Building Permlt, 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 reg¡rlations ancl applicable land use regulations (County Regulation(s))' I acl<nowledge that the
Building Permìt may be suspended or revoked, upon notice from the County, if the location, constructìon or use
of the structure(s) and facil¡ty(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 entËrthe property, describetl above, to inspecttlre worl<. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requlrlng the correction of errors in lhe submittals, if any, discovered after issuance; or (2) stopping
construction or use ofthe structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other
applicable law, Review of thls Application, including submittals, and inspectlons of the work by the Building
Division do not constitute an acceptance of responsibility or liabllity by the County of errors, omissions or
discreparlcies. 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
er eer a nd/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
which is correct and accurate to th e best of my knowledge.pro.vided thc
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Property owner Print and Sign
âwtaø6''
Date
I
t
Special Conditions:
Fee:ManuPlan Check Feeþeo4 39 Ëi5öi'.teAdiusted Valuatio¡¡-¡þizo.oiØÍo
'#^äzqs.7'
Setbacks¡ 0L
Paid;
OCC Group¡
77'þ
BA nce 7t
Const.
U&¿r,Ø,;Ft;Buil,DtNcr / PLANNING DlvlsloN I
Signed Approval
9:ZyAz
Date
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Garfield County
BUILDING DEPARTMENT
708 Eighth Street, Su¡te 407, Glenwood Springs, CO 81607
Tel: (970) 945-8212
PLAN R EVIEW C HECKLIST
Permit No: øtßE-Ob-Ø-632V
Building lssues Pl a n n i ng I Toning lssues
tl 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
Application Signed
Plan Reviewer to Sign APPlication
i
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
tf
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,a/Planning lssues
'/ subdivision Plat
Descript ion & Summarv:
Zoning sign-orr
Aà/rhrl >ØO4
Road lmpact Fees ?ry."Ø /u,B.D.
Grade/ Topography 40%
,/
lr/
,/
lr/
'/ Red Line Plans/ stamPs/ sticker
t/Attach Conditions
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