HomeMy WebLinkAboutApplicationGørfield County
Ð-(!
ri. ... ... .r-., Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
GARF tËLD CCJLJNTY PTOI 945-8212
CoMMuNtTypEyE¡6p@
TYPE OF COÍ.¡STRUCTION
INVOTVED PARTIES
Property Owner:Barbara & Nathan Dills Phone:503 709-1534
Mailing Address: 2078 County Road 102
Email Address:barbara.dills@ ma¡l.com
Contrastor:Barbara Dills phone:1503 ¡709-1534
Mailing Address: 2078 County Road 102, Carbondale, CO 81623
Emait Addresr. barbara.dills@gmail.com
Architect: Jess Pedersen Phone:{970 )948-2966
Mailing Address:208 Main Street, Carbondale CO 81623
Email Address. pedarch @gma¡l.com
Engineer:N/A Phone: { )
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone: ( )
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BUILDING PERMIT
APPLICATION
Demolition
Manufactured Home (Single or Multi-Level)
I Reroofex or
Unit SqUARE FEETU- MAXIMUM SIZE OF
Residential
Dwelli
PROJECT DETAIIS
Describe Work:A portico addition to the north side of the exi house,
to provide coverage for the main entrance.
rob Address: 2078 County Road 102, Carbondale, CO 81623
Assessor,s parcel Numbe | 2391 28200112
Sub.Iot Block
Owner's Valuat¡on of Work:$15,000 Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:# of Floors: 1
dition
5.74
Garage:Attached
Class of Work:
portico: 24O sl Height:
Detached
PROJECT DETAII-S CONTIN UED
Septic:Community
ì Type of Heat:Gas Propane Electric
Permit #:
Other
Driveway
Permit:
Exempt
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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 perm¡ts may be required: (L) 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 cert¡ry that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Applicat¡on, 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 fac¡lity(ies) if such is in violation of County Regulation(s) or any other
applicable law. Review of this Rpplication, including submittals, and inspections of the work by the Building
Division do not const¡tute 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.
Barbarap o,t" gv,,ùò-.n-t-7 "D'JL ØryNathan R. D¡lls 10t11t2022
Property Owner Print and Sign Date
6tOFFICIAI USE ONLY
Special Conditions:0
Permit Fee:z5 Manu. Home Fee:A/4-Misc. Fees:. ^N./+Adiusted Valuation:
ó4^ zzL).ao
al..)l
Fees Paid:
,s 'fÀìaF -7ffi11
BP No:OWTS No:
Nl-4-
Total Fães:ilgg. aa
'""'åJrå"ô þLSetbacksl
D
OCC Grouo::rBe
lt-tJ-æ
Date
/s¡),'M,BUILDING / PTANNING DIVISION :
Signed Approval
Garfteld County
BUILDING DEPARÍMENT
708 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 81607
Tel: (970) 945-8212
PLAN RE VIEW CHECKLIST
ÊLÊF_/h2?78¿/Permit No:
Building lssues PlanninglZoning lssr¡es lQueAl
ryJr t,l:
/ Grade/Topography3o%
Engineered Foundation IRO
Driveway Permit Clr'f - -
surveyed site Ptan qb,'føf
septic Permit "nas"tku!
fu/ç
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpactrees Q
Grade/ Topography 40%
Planning lssues
Subdivision Plat
tion Sumrna
,'
fØrf
_/
_/
-'t<
-/
Ðescni
ttrtht)nut 9Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
no net,/''A s'n
Soope:
Submtfflvaltùe itloaA
4/s! ¡ t8-fXzzo,oo
a/us/c/ b,aùúhg
ualualrbr1 )
æ-t
Framing plans for each floor level and roof. All beams, columns, joists, rafters 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
CQ 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.
o
a
Barbara Dills .&*&***'e')ÍL 101'11122
Property Owner Print and Sign
Nathan R. Dills
Date