HomeMy WebLinkAboutApplicationGortteld County
Community Ðevelopment Department
108 gth Street, Suite 401
Glenwood Spríngs, CO 91601
197úts4s-82r2
www.ßa rf¡eld-counW. com
iwP[oF cof{sTnucÏon¡
uf!i-F9rni!y DemolitionManufactured Home {or Multi-Level)
[e91de gia-1, {!f , Q! plql
Accessory Dwelling Unit
or ïo_wlfrqmgJ
{ADU}. M4XIMUM
;r-lR eroof
stzÊ oF 1,000 SQUARE FEET
INVOTVED PARTIÊS
properry owne¡ Rapids Development Co rporation Phone: I 72t \ 480-8422
Mailing Address: 21 02 West Arapah oe Drive, Littleton, CO g0120-3 008
EmaitAddresr. GeneHilto n@q.com
BUILDING PERMIT
APPLICATION
I
contractor: Alpine Excavation and Land Clearing, LLC Phone. { 970 )618-8137
Mailing Address Road 31 New Castle, CO 81647
Er¡ait Addresu. info@AlpineExcavationAndLa ndCleari ng.com
¡¡ç¡¡1".¡, NIA
Phone
Mailing Address:
Email Address:
Engineer:NIA
Phone:
Mailing Address:
Email Address;
Manufactured Home lnrt"ll"r, N/A Phone: I
Mailing Address:
Email Address:
PnoJECT DgÍAtl.lt
oescribe *or¡. Demolftion small house ãnd shed , transport to approved dump
, Job Address. Lot 1 The Rapids on the Coforado SubdivÍsion
Assessor's parcel Numb er. 2191 a$ üa a1
,uo. The Rapids on the Cotorado Lôt 1 Btock -._-
Owne/s Valuation of Work: $N/A Demolition Property
5q. Ft. of Building:8tû more or less
, Class of Work:
Size {Sq. çt. or *creq: 3,|Sq¿ree
* of Floors:--.1-Height:ICç+
ition
6arage:
New RemodeUAlteration
Detached
FRO'ECÎÞETAII.S cof{TlNuEo:..'.'.'.:Septic:
ryfe of neat:atural 6as
Driveway
Permit:
NOTICE
I hereby acknowledge that I have iead
provided the required information which
Owner Print and Sign
and understand the ñotÍie and Certificat¡on above, as well as, have
Ís correct and accurate to the best of my knowledge,
t 4t .r.4 f ð L/) ¿t t-'
Oate
Propane
Community
.t lectric
Permit #:
0ther
Authoriu' This application for a Building Permit must be signed by the owner of the property, described above,or an authorized agent' lf the signature below is not that of the owner, â separate letter of authority, signed bythe Owner, must be provided with this Applicaîion.
Lesal Access' A Building Permit cannot be issued without proof of regar and adequate access to the property forpurposes of inspections by the Buílding Division.
other Permits' Multiple separate p"rÃit, may be required: {1} state Electrical permit, i2} county owrs permit,' {3} another permit required for use on the property ¡dÊntif¡ed above, e.g. state or county Highway/Road Accessor â State Wastewater Discharge permit.
voidPermit" ABuildíngPermitbeconresnull andvoídiftheworkauthorizedisnotcommencedwithinlg0days
of the cjâte of issuance and if work is suspended or abandoned for a period of 1gû days after commencement.
CERTIFICATION
I hereby certify thail ha,v3 reld this Applicatíon and that tlre informatíon contaíned above is true and correct. Iunderstand that the Building ûívision accepts the Application, utong ;tn the plans and specifications and otherdata submitted by me or on my behalf {submittals}, based upon micertification ãs to accuracy. Assumingcompleteness of the subnrittals and approval of this Application, a'Building permit w¡ll be issuåu granttngpermission to me, as owner, to construct the structure{s,} ancl facilities detailed on the submittals reviewed bytlre Building Division' ln consideration of the issuance of the Building permít, I agree that I and my agents willcomply wíth provisions of anv federal, state or local taw reguraring tîu rorr.'uni.-¡l;;;;riliounry auita;ngcode' owrs regulations and applicable land use regulations {county Regulation{s)). I acknowledge that theBuilding Permit may be suspended or revoked, upon notíce from the county, if the location, construction or use
:l;::$ffi:îil;:ilt racilitviies), described above, are nor in compriance with counry Resuration(s) or any
I hereby grant pernrission to the Building Divìsion to enter the property, described above, to ¡nspect the work. Ifurther acknowledge that the issuance of th" guilding Permit io"r not'ór"uent the Buílding ûfficiar from: (1)' requiring the correction of errors in the submittals, if any, dìscovered after ¡ssuance ;ar (2¡stoppingconstruction or use of the structure{s} or facilityiiesi if such is in víolation of county Regulation(s} or any otherapplicable law' Review cf this Application, including submittals, and ínspections of the work by the BuildingDivision do not constitute an âcceptance of responsibility or lÍability nyìr,e county of errors, omissions ordiscrepancies' As the owner, I acknowletlge that respons¡bil¡ty for compliance with federal, state and local lawsand county Êegulatíons rest with me ancl my autirorized agents, inctuding withe¡ut l¡mitåt¡Õn my archítectdesigner, e¡rg-ineer and/ ar builder.
ofi¡lY Pd, a21,ao c.e. oz/zl/¿ozc_oFFtctÂr usE
5peeial Condítíons
Adjusted Vafuation Plan Check Fee Fee:
GrE)
Manu. Home Fee:
A ñ A
Misc. Fees:
Total Fees:Fees Paid
2'.ôô e:Balance
+ÞEM o -7 {o
BP Nol OWTS No:
Setbacks OCC Group Const. Type:Zoning:t-
EUtLDING / PIANNtNG æ/zu/*rz
Date