HomeMy WebLinkAboutApplicationGarfield County
Commu nity Development Department
Rh cc_,,19_8,9'n Street, Suite 401
Glêñvúood Springs, CO 81601
;,, , (970)945-82L2
wuiw.ga rfield-countv.comGARFIËLÞüOUNTY
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BUILDING PERMIT
APPLICATION
rYPE óT'¿ül{Sllütr¡o ¡l
DemolitionCommercial/Multi-Family
Manufactured Home (Single or Multi-Level)
T ReroofResidential (SF, Duplex or Townhome)single Family
Accessory Dwelling Unit (ADU) - MAX¡MUM SIZE OF 1,000 SQUARE FEETI
INVOTVED PARTIES
Property Owner:SCIB, LLC prrone: { 970 t920-3255
Mailing Address 01 15 Boomerang Road, Suite 52018, Aspen, CO 8161 1
Email Address:I u ke. gosda@su n riseco.com
contractor: Dockers Construction Phone:970 9873527
Mailing Address
Email Address . david@dockersconstruction.com
Architect: James Woelke Phone
Mailing Address: 1002 Old Dutch Mill Road, Colorado Springs, CO 80907
Emait Addresr. 1 023draftingl lc@g mail.com
Engineer:Sandlin Services p¡on".1806 )679.7303
Mailing Address:
Email Address:nick@sandlinservices.com
Manufactured Home lnstaller:Phone:
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work:Single Family Residential New Home Construction
Job Address:63 Blue Heron Drive, Glenwood Spri ngs, co 81601
Assessor's Parcel Number 239501330059
Sub.IRoNBR|DGE pUD, PHASE ilt, FtLtNG 1 tot 59 Btock
Owner's Valuation of Work: S , E Í, 68g.qz Property Size (Sq. Ft. or Acres):12,775 SF
Sq. Ft. of Building:1944 Height:23.97',# of Floors: 2
Class of Work:ew Addition
Garage:Attached
Remodel/Alteration
Detached
PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:Natural Gas Propane E lectric Other
Driveway
Permit:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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.
Leeal 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 L80 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 Fermit, lagree that land my agentswill
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 facility(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 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: (L)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construction 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, 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
Çe¡igne r, g_n,cj 1egr qnd1 or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Permit #:
/-rÁ- qtu&5t3t22
Property own# Printand Sign Date
OFFICIA[ USE ONtY D,,-lO ê.ß.o5/oç/zo ¿z
Special Conditions:seo 4+tac/4€d æ/vD / n c/Ys
Adíusted Valuation:ùga- 6ffi.q2
Plan Check Fee:f qfl.7a Permit Fee:
ó t4ø4.t5 Manu. Home Fee:ñ/r Misc. Fees: -
R-FrZ {7Ø.oo
Total Fees:
é2.48.s5
Fees Paid:
+qî1.7o
Ba[ance Due:
þl^4/,4.t5
BP No:
BLRE-?5o7
OWTS No:
CAMFIVT.¡ 37y
Setbacks:.'nLtI)OCC Group
tRO
Const. Type:
l.tr.c.
Zoning:
Þ.u,Þ.
5-zBUITDING / PLANNING DIVISION
Signecl Approval Date
Gørfietd Cowrtt¡r
BUILDING DEPARTMENT
708 E¡ghth Street, Su¡te 401, Glenwood Spr¡ngs, CO 87601
Tel: (970) 945-8272
PI-AN R EVilE WC HECKLIST
Permit No: þ¡fl/ -05-2? 7507
Building lssues Pl a n n i ng /Zaning lssues
O/A/DEngineered Foundation
DrÌveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Nlotes
Fire Department Review
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
2t4-b57
Soils Report K+Aq.2q,2l
Property Line Setbacks
3û ft. Stream Setbaeks
Flood Plain
Building Height
Zoning Sign-Off
Grade/ TopographY 40%
Planning lssues
Subdivision Plat
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