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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"