HomeMy WebLinkAboutApplicationGørfield County
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701s4s-82L2
www.garfield-cou ntv.com
TYPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome) Single Family Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF SQUARE FEET
INVOLVED PARTIES
Property owner: Grace & Philip Falkowski Phone: ( 970
)
920-3255
Mailing Address: 8 Pine Ridge, Basalt, CO 81621
Emait Addresr. luke.gosda@sunriseco.com
Contractor SCIB, LLC Phone:970 920-3255
Mailing Address:0115 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 plrone, (970 )945-8676
Mailing Address: 1517 Blake Avenue Glenwood Springs, CO 81601
Emait Addres.. ddennison@hceng.com
BUILDING PERMIT
APPLICATION
Manufactured Home lnstaller:Phone:
Mailing Address
Email Address:
PROJECT DETAILS
Describe Work:Single Family Residential New Home Construction
robAddress: 14 RIVER VISTA, GLENWOOD SPRINGS, CO 81601
Assessor's Parcel Number: 239501329266
Sub.tRoNBRTDcE pUD, PHASE il, FTLTNG 1 & 2 tot 266 Block
Owner's Valuation of Work: $t17 / p3 6,61 Property Size (Sq. Ft. or Acres)
Sq. Ft. of Building:Heíght ,24.91',f of Floors: 2
Class of Work:ition
. 0.11 Ac
Garage:
2153
ched
r!nemoo ellAlteration
Detached
PROJECT DETA¡LS CONTINUED
I Sept¡c:
Type of Heat:Natural Gas
Driveway
Permit:
Propane
Community
Electric Other
Permit #
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.
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.
CERT¡FICATION
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, 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
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. 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 andl 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.
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Property OKne, Print and Sign Date
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Special Conditions
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Adiusted Valuation: zizn,al'^of '4";U."W*Permit Fee:
l, uzl, Ø Manu. Home Fee:
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Misc. Fees:pffi g7Ø
Totil F/es: , ^2,3Ø.4t
Fees Paid:
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BP No:
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OWTS No
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Setbac(s:ûo^tÞ OCC Group:
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Const. Type:
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Zoning:
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BUILDING / PTANNING DIVISION :Cl,7Ø,Ç&-z¿
Sígned Approval Date
Gørfield Coanty
EUILDING DEPARTMENT
708 Eighth strcet, Su¡te 401, Glenwood Springs, CO 81æ1
Tel: P7a) s-8212
PLAN REVIEW CHECKLIST
Permit No:ßLKE-Ø-zz-7249
Building lssues Planning/Zoning lssues 7U Þ
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Seotic Permit and Setbacksærnnüní,U
Gradel Topography 30%
yF Road rmpact Fees RFfn
30 ft. Stream Setbacks
Flood Plaín
Building Height
Grade/ Topography 40%
Planning lssues
Subdivision Plat
t I f PropertyLinesetbacksEngíneered Foundation
Driveway Permit
Surveyed Site Plan
Attach Residential Plan Review Líst
¿/ subdivision Plat Notes
Fire Department Review
Valuation Determínation/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Condítions
Applícation Signed
Plan Reviewer to Sign Applícation
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
SdtOIl
Description & Summary:
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