HomeMy WebLinkAboutApplicationGarfield County
REC Eñ¡EI¡n unity Development Department
108 8th Street, Suite 401
"lUL 1 { !$lplenwood springs, co 81501
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BUILDING PERMIT
APPLICATION
DemolitionCommercial/Multi-Family
Manufactured Home (Single or Multi-Level)
T ReroofResidential (SF, Duplex orTownhome)
Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
1,., i r' . i:, i a,t,r i-; ; r r j(( .l( jii:
Address: 6642 County Road 312 New Castle, CO 81647
Kevin Jackson Phone: ( 970
)
31 9-0863Property Owner:
Mailing
Email Address:kkjacksonB 1 @gmail.com
contractor: BY Owner Phone: ( )
Mailing Address:
Email Address:
plrone: {970 )456-1027
PO Box 28 New Castle, CO 81647
Arch¡tect:Olaf Jean Architecture & Design
Emait Address. cassondra@olafjean.com
Mailing Address
31 9-5934Phone:970Engineer:DB Structural Design
Emait Addresr. Dustin@dbsd.com
Mailing Address
Describe Work: 566 SF single story addition to existing home. Additional (2) bedrooms, (1) bathroom
6642 County Road 312 New Castle, CO 81647
and Laundry room
218330402002Assessor's Parcel Number:
516. Orr-Smith Exemption
11.4
16'-7"Height
Job Address:
1
Phone: ( )
tot 2 Block
Manufactured Home lnstaller:
4z. z68.EgOwner's Valuation of Work: $
Sq. Ft. of Building:566
Property Size (Sq. Ft. or Acres):
f of Flo
Mailing Address
Email Address:
,/New Remodel/Alteration AdditionClass of Work:
Garage:Attached Detached
Septic:OWTS Community
Type of Heat:Natural Gas Propane E I ectri c Other
Driveway
Perm¡t:
Permit #:
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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 separate permits may be required: (1) State Electrical Permit, (2) County OWIS 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 L80 days
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 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, lagree that land myagentswill
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: (1)
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. AstheOwner, lacknowledgethatresponsibilityforcompliancewithfederal,stateandlocal laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
desi er en ineer and/ or builder
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I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided information which is correct and accurate to the best of my knowledge.
8- t> - ¿oJÀ
rty Owner Print and S¡gn Date
Special Conditions:
,Hë],Og Manu, Home Fee:N/r ii'È'Ë'eprqg¿^2i2:i¿w:'s8 Plan Check Fee
372. 16
Balance Dl7a,'äg gLeE-1¿11BP No:OWTS No:--Ñ7r,'r^râ.å6,U Fees Paid:
+ 317-.'t8
OCC Group:
f. fl.ê'
Const. Type:
l. F..c.
Zoning:RUnALsetaacxs,R
g'/5-22
BUILDING / PLANNING DIVISION :
Signed Approval Date
Gørfteld CounSt
BUILDING DEPARTMENT
708 E¡ghth Street, Su¡te 407, Glenwood Spr¡ngs, CO 87607
Tel: (970) 945-8272
PLAN R EVIEW CHE CKLIST
Permit No: ÞLRë-ó7-.2- 7¿77
Bullding lssues
Engineered Foundation
t/ Driveway Permit
PlanninglZoning lssues
627gt5
Property Line Setbacks
30 ft. Stream Setbacks
.a Flood Plain
Building Height
Zoning Sign-Off
-/ Road tmpact Fees fg9
¿/
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision P s
e)
Red Line Plans/ Stamps/ Sticker
,- Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
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