HomeMy WebLinkAboutApplicationGarfield County
Communlty Development Department
108 8th Streêt, Sulte 401
Glenwood Springs, CO 81601
197Ole4s-82r2
www.parfield-countv.com
BUILDING PERMIT
APPLICATION
CommerciaUMulti-Famlly I Demol¡tion
Manufactured Home (Single or Multi-level]
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SqUARE FEET
Property Owner:
Mailing Address:
Glenwood Partnership, LLLP Phone¡r 970 379-4182
214 Center Drive, Glenwood Springs, CO 81601
Emall Address:john@diemoz.net
Contractor:Diemoz Construction Co phone:1 970¡379-4182
Malllng Address:
Email Address:
214 Center Drive, Glenwood Springs, CO 81601
john@diemoz.net
Architect:N.A.Phone: f I
Malllng Address:
Email Address:
Engineer:Glenwood Slructuraland Civil, lnc.- Adolfo Gorra Phone¡970 928-0135
Mailing Address: 812 Pitkin Avenue, Glenwood Springs, CO 81601
Email Address:gsc@sopris.net
Manufactured Home lnstaller:N.A.Phone: f )
Mailing Address:
Email Address:
Remove non-bearing wall/drywall per plan, floor coverings, acoust¡c
Descrlbe Work:
tile ceiling, concrete slab for new plumbing connections and tie-in to ex¡sting.
Job Address:218,222,226 Center Drive, Glenwood Springs, CO 81601
Assessor's Parcel Number:
sub. N.A.
2185061 00042
!ot Block
owne/sValuation of Work: $ See bldg permit app PropertySize (Sq. Ft. or¡.r"r),-88à95
Sq. Ft. of Building:14.980 Height:# of Floors:_
Class of Work:New RemodeUAlteration fl¡¿¿it¡on
Garagc:Attached Detached
PROJECT DEÎ,ÀIIS GONTNù'Eô
Sept¡c¡OWTS Community
Type of Heat:Natural Gas Propane Electric Other
Drlveway
Permit:l.lExempt Permit #:
Author¡tv. This application for a Buildíng Permlt must be signed by the Owner of the property, descrf bed 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.
Le¡al Access. A Building Perm¡t cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Mult¡ple 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 Permlt. 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.
eErfltrcaflor{
I hereby certify that I have read thls Application and that the information contained above is true and correct. 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 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 Perm¡t, 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, ¡f the location, construction or use
of the structure(s) and facil¡ty(¡es), 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
construct¡on 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, íncludíng 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
designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provlded the information is correct and accurate to the best of my knowledge./-g/-"r#
z DateOwner Print and
oFFreßLUsEoNtY pl. + 2.9,c,c. 0t ztL
Special Conditions:
Plan Check Fee:
n/e
Perm¡t Fee:
S 25.oo
Manu. Home Fee!ÑA Misc. Fees:
HIA
Adjusted Valuatlon:
Total Fees:lzs,o Fees Pald:
f 2t.t'Balance Due:4l BP No:
DE¡IO .1ulb OWTS No:
N/A
Setbacks¡OCC Group:Const. Type:Zoning:c L.
BUITDING / PTANNING oy'z7 '¿
DâteSigngd