HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ols4s-82t2
www.garfield:counW.com
TYPE OF CONSTRUCflON
Iti-Family lition
Manufactured Home (Si nsle or Multi-Level
Residential (SF Duplex or
Accesso Dwell Unit . MAXIMUM SIZE OF I,OOO SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Phone: tþO t |Zq- 899I
3'70 cÒ,
Emall Address:D u n,u ê Ç ¡'ç u*+,ff-ô yt E ^ &jt t, ûz nf . C, a t4
^- È^
contractor: )IÊ.¡li*nt\ Ou $òvy1 ß,;,Cb,n-r Phone:7ô -lltt
Mailing Address:Ça
Email Addres., Ðunt ¿ @ Sf'Zra.¡ rQ rrzìl-c u sTı vn b oí¿ d¿¡s - &rn
Manufactured Home lnstaller:Phone:
Mailing Address:
EmailAddress:
PROJECT DETAITS
Desøibe Work:lw
Sub.
Job Address:
Assesso/s Parcel Number: 43 q € ü 3 O 9 oO A
ø¡ Z Block-
6¿l
Owne/s Valuation of Work: $/Gã oet +Property size (Sq. Ft. or Acres): .'l î Acø.S
Sq. Ft. of Building:lçJro Height:?tt !
-l
ffi ném1¿et/¡lterat¡onClass of Work:New
I
l
Reroof
EmailAddress:
Phone: ú?è | þtP' t6? Ö
¡403CbLtÀ)
Phone: (_)
Architect:8o ¿û*'t An..il,Tc ¿Tut¿'z-
Englneer:
Mailing Address
" aotv\
Mailing Address:
EmailAddress:
r Ôø. 8t Go
Garage:Attached X
fof
Detached
CONNNUED
Community
Type of Heat:ral Gas Propane Electric Other
, Driveway Permit #:
Permit:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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 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 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 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 construct the 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 facilityties), 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
consguction 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, omíssions 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
d eer and/ or builder.
I hereby
provided
at I have read and understand the Notice and Certification above, as well as, have
is correct and accurate to the best of my knowledge.
Property Owner Print and Sign Date
OFFICIAT USE ONLY Pd.t tt'1.Ît c.ç. ê'¿/o?'/ÙoLz ,Jæ
Special Condltions:
Manu. Home Fee:
N/A
Misc. Fees:N/APlan Check Fee
11, ôl Permit Fee:
I ß1.26Ad¡usted Valuation
å fo, w.oo
BP No:
t rßE'7328
OWTS No:
C oâ't¡Ytu^J I Îy
Fees$ll Paid:
1 ,71
Balance Due:
tqt.z5ïotalFees:
zqq.o9
Const. Type:
t. R. C.
Zoning;
P. U. p.OCC Grouo:' t. t¿. c.Setbacks:
2-zl-äzBUttDtNG / PIANNtNG DtVtStON
Signed Approval Date
:r+/,u
Gørfield County
SUILDING DEPAR|MENT
708 Eighth Street, Suite 401, Glenwood Springs, CO 81607
Tel: (970) 945-8272
PLAN REVIE WC HECK LIST
Permit No: E¿gg=O=- Zl:-7 37e,
Building lssues Planning/Zoning lssues D
¡rfn Septic Permit and Setbacks
Grade/ TopograPhY 30/o
"/
Attach Residential Plan Review List
,,/
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road tmpact Fees NA
Grade/ Topography 40%
Planning lssues
Subdiviqion Plat
M
N4
IL
,/-7
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Subdivision Plat Notes
,/
"/-7
(/
,t/--7
t/
,n"ol{^fA3ß,"","*
NA
r/-
,/
/
NA
N\4
6rop.. Qeo+Allerah*
ovey Falrb (&" weo&,'úr
pabr'o
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
Feceph'ca î88n
Description & Summarv
S,t}¿'nílled uú,Lahut^
ef ptwY
U.ncon