HomeMy WebLinkAboutApplicationGørfield County
BUILDING PERMIT
APPLICATION
Community Development Department
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CommerciaUMulti-Familv Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEEÍ
INVOTVGD PAßTIES
ProperW Owner:Mathew Jurmu Phone:f970 14562676
Mailing Address:901 County Rd 231 Silt, CO 81652
EmallAddress:matt.jurmu@bouldercs.com
contractor: Boulder Construction Services, LLC phone:{970 }4562676
Mailing Address:901 County Road 231 Silt, CO 81652
EmailAddress:matt.jurmu@bouldercs.com
Architect:Modfin Design + Build Phone:970 2741344
Mailing Address:233 Elk Valley Lane, New Castle, CO, 81647
Email Address:hannawit@outlook.com
Engineer:Ernest Kollar Engineers phone:(970 | 963-3223
Mailing Address:320 Main St #203, Carbondale, CO 81623
EmallAddress:erniekollar@gmail.com
Manufactured Home lnstaller:Phone: { I
Mailing Address:
EmailAddress:
PROJECÍ DETAIUS
Describe Work:New single family 4 bedroom home with attached garage
Job Address:539 Dry Park Rd Glenwood Springs, CO 81601 (SRR Lot 3)
Assessor's Parcel Number:23951 0309003
sub. spRtNcRtDcE RESERVE eUO "x'\o, S Block
Owne¡'s Valuation of Work: 5 ACg , lZo !ù Property Slze (Sq. Ft. or Acres):5
Sq. Ft. of Building:2830 Height:1g'3"# of Floors: 2
Class of Work:{New Remodel/Alteration Addition
Garage:,Attached Detached
PROJECT DETAITS CONTINUED
Sept¡c:CWTS I Community
Type of Heat:T Natural Gas Propane Electric Other
Driveway
Permit:
mpt Permit S:
NOTICE
Authoritv. 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, a separate letter of authority, signed by
the Owner, must be provided with this Application.
lesal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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.
CERTIFICAT¡ON
I hereby certify that I have read this Applicatíon and that the informatíon 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 Buildlng Permit, I agree that I and my agents will
comply with provisions of any federal, state or local law regulating the work and the Garfíeld 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{Íes), 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. 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
provided the required information which is correct and accurate to the best of my knowledge.
MalhNJurhu 6.23.2022
Property Owner Print and Sign Date
oFFrcrAL usE oNty PAtD. ¡ t, a3l..l¡ C.C. øb123/z¡zZ=f*>
*e,o atbaohed UND lTl 0N3Special Conditions:
Ad¡usted Valuation:2LÐ.tz}.w Plan Check Fee:
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Permit Fee: --t,945.þ Manu. Home Fee:
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Misc. Fees:
riltrø>=l.32lo;
Total Feãs:z ln.?t Fées Paid:
$lrz3 t.9t
Balance Due¡ -l,ßq5,5Ð
BP No:
BrR,rE .1LtS OWTS No: '
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t"''"'åbND OCC Group:t.R.c.Const. Type:
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Zoning:
P. V. Þ.
BUTIDTNG / P|-ANN|NG DTV|STON :U,ttrl4q
Slgned Approval
î-30fl-
Date
Framing plans for each floor level and roof. All beams, columns, joists, rafrers and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: lf any required information is missing, delays in issuing the permit are to be expected, lf
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
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Property Owner Print and Sign Date
Garfteld County
BUILDING DEPARTMENT
708 E¡ghth Street, Suite 407, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVI EW CHE CKLIST
Permit No: øLRE-O6-2-76 1.5
Building lssues Planning/Zoning lssues 7ü Þ
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Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes t
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Fire Deoartment Revlew1ç. re+tà, Þlot noÞ
Va I uation Oetr?rn i natio n/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
$ianeol on
Apprication signed 'rJ4¿ i
Plan Reviewer to Sign Application
Parcel/schedule No.
Soils Report
a !f,r-Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
NA
V Road tmpact Fees Ph, Z
-7
Planning lssues
ubdivision Plat
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Description & Summarv
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Grade/ Topography 40%
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