HomeMy WebLinkAboutApplicationGørfield County
BUILDING PERMIT
APPLICATION
Community Development Department
RE(; HIVËD 108 8th Street, Suite 401
Glenwood Springs, CO 81601
,i:i : ,,","r lgTolgls-gzLz
GARF I ELD CO U h¡T'ì,w.Farfield-countv.com
COMMUNITY DEVELOPMENT
r' ,l.:
i.-r
.,t Ì'
tt
ìEiþ'tl
{,,
il
WPE OF CONSTRUCTION
Commercial/Multi-Fam
Manufactured Home or Multi-Level)
Residential F, Dup lex or Townhome) single Family
Accesso Dwelling Unit (ADU)- MAXIMUM SIZE OF I,OOO SQUARE FEET
INVOTVED PARTIES
Demolition
Reroof
Property Owner:
Mailing Address:
t970 )920-3255
0155 B
Emait Addresr. luke.gosda@sunriseco.com
Contractor:SCIB, LLC Phone:970 920-3255
Mailing Ad dr"rr, 0155 Boomerang Road, Suite 52018, Aspen, CO 81611
Email Address: luke. gosda@sunriseco. com
Architect: James Woelke Phone: (
Mailing Address:1002 Old Dutch Mill Road, Colorado Springs, CO 80907
Email Address:
Engi n""r. High Country Engineering Phone:970 945-8676
Mailing Address:1517 Blake Avenue Glenwood Springs, CO 81601
Emait Addresr. ddennison@hceng.com
erang Road,52018, Aspen, CO 81611
Manufactured Home lnstaller:Phone: ( )
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work:Single Family Residential New Home Construction
Job Address:330 Blue Heron Vista, Glenwood Springs, CO 81601
Assessor's Parcet Number: 239501 329285
sub. tRoNBRTDcE pUD, PHASE il, FTLTNG 'r & 2 tot 285 Block
owner's valuation of Work: S \ I q, 8+?
1400 Height:14.34',
Property Size (Sq. Ft. or Acres)
# of Floors: 1
Addition
Sq. Ft. of Buildingr
Class of Work:CW
Garage:Attached
Remodel/Alteration
Detached
092 Ac
PROJECT DETAILS CONT¡NUED
Septic:
Type of Heat:Natural Gas Propa ne
Community
E lect ric Other
Driveway
r Permit:
' ñıriòe
mpt Permit #:
' Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
ioranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterof authority,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 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 thai the iniormation 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 approvalof th¡s 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 Bu¡lding 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
'BuildingPermitmaybesuspendedorrevoked,uponnoticefromtheCounty,ifthelocation,constructionoruse
rofthestructure(s) andfacility(ies),describedabove,arenotincompliancewithCountyRegulation(s) orany
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.
/tÁ- 4oA 7t29t22
Prop"*v &nu Print and Sign Date
flOFFICIAT USE ONLY
.I
,eo ûbtacl-\uÅ UNJÞ {TONSSpecial Conditions:
Permit Fee:Plan 7,9vrrÌ Manu. Home FeeNln Misc. Fees:lZ.noÈAmAdiusted Valuation:19.977,æ
OWTS No:
'l-/lfMfnl ln r
ürÏh
],Llq82
ance Du
occ
Tsvt0
up:
Fees Paidd
0 "'iln-t/n q'zl-zBUILDING / PTANNING DIVISION :
Signed Approval Date
Gørfield County
BUILÐING DEPARTMENT
708 Eíghth Street, Suite 401, 6lenwood Springs, CO 87607
tel: (970) 94s-8272
PLA N REVIEW CHECKLIST
PermitNo: ßt$g M z.7Zr
Building lssues Pla n ning/Zoning lssues
tLÞProperty Line setbacks
eye{
Engineered Foundation
Driveway Permit
-/ Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
re Department Review
Val uation Determination/
Red Line Plans/ Stampsl Sticker
lrlnt-
op!/nhoìe I
nort
5WP
\ E3 Road tmpact Fees RtrTA
f\ll,
30 ft. Stream Setbacks
Flood Plaín
Building Height
Zoning Sign-Off
Attach Condítions
Application Signed
Plan Revíewer to Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Re
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Description & Summarv:
RFTA -750 oo
FtS UØ{ 74,b8= lÔ+t65L
c a0{Jcild
45tt x 3L = lL() 5ZB
4L[x l8 = -712
a\^osleÅ b"itài^1
lulv,"ah o'',u $ tryatzi"