HomeMy WebLinkAboutApplicationGørfield County
". = Fgm-unlty Development Department
^ *FCEIUHTÇ" Street, Suite40l
Glenwood Springs, CO 81601
(e70) e4s-8212
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Dwell Unit - MAXIMUM SIZE OF SqUARE FEET 4-/1,
BUILDING PERMIT
APPLICATION
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DemolitionCommercial/Mult¡-Family
I ReroofResidentialDu
Manufactured Home or Multi-Level)
ex or Townhom
INVOTVED PARÍIES
Property Owner:
Mailing Address:
David Jensen phone: {970 1331-3527
901 Hidden Valley Dr Glenwood Springs, CO 81601
Ema¡ Addresr. david283235@gmail.com
Contractor:Boulder Construction Services, LLC Phone:{970 t456-2676
Mailing Address:901 County Rd 231 S¡lt CO 81652
EmailAddress:matt.jurmu@bouldercs.com
Architect: Modfin Design Phone:970 274-1344
Malling Address:233 Elk Valley Lane New Castle, CO 61647
Email Address:hannawit@outlook.com
Engineer:Ernest Kollar Engineers phone: t970 t963-3223
Mailing Address:320 Main St Suite 203 Garbondale, CO 81623
EmailAddress:erniekollar@gmail.com
Manufactured Home lnstaller:Phone: {I
Mailing Address:
EmailAddress:
PROJECT DETAIIS
Describe Work:Construction of a new SF one level home with an attached three car garage
Job Address:93 Hidden Valley Lane Glenwood Springs, CO 81601
Assessor's parcel Number; 23951 cÍ109022
gu6. Springridge Reserve PUD tot 22 Block-
Owney's Valuatlon of Work:ê Property Size (Sq, Ft. or Acres). 1.09
Sq. Ft. of Bullding:2,197 Helght:17'.3"# of Floors: Onê
Class of Work:{New Remodel/Alteration Addition
Garage:{Attached Detached
PROJECT DETAII.S CONTINUED
Septic:0wTs I Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
mpt Permit fi:
NOTICE
Authoriw. 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. A Building Permit cânnot be issued without proof of legal and adequate access to the property for
purposes of ¡nspect¡ons by the Buildíng Division.
Other Permits. Mult¡ple 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 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 (submíttals), 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 Build¡ng 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(ies), described above, are not in compliance wíth County Regulatíon(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 lssuance; 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 inspectíons of the work by the Building
Division do not constítute an acceptance of responsibility or liability by the CounÇ 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 and accurate to the best of my knowledge.
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Property owner Print and Sign oáe
idOFFICIAT USE ONLY ù
6ee qbhaModNÞtT70Al6Special Condltions:
olwolëT,'wt Manu. Home Fee:u/lI Misc. Fees: .Ë
atçs.ÃsÚ 1,721,;
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75
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'#Í'ß.ø.OCC Grouo:flL'o Const. Tvoe:+-L('"üiri'b
UuJ,ir*ItBUILDING / PTANNING DIVISION :215Æ
Signed Approval Date
Gørficld County
BU'LDING DEPARTMENT
708 E¡ghth Street, Suite 407, Glenwood spr¡ngs, CO 87601
Tel: P7a) 5-8212
PLAN REVIEW CHECK LIST
Permit No: 6¡-RE-O2-2V 7?Ø
Building lssues Planning/Zoningtssues ?Pu>
z-
ry Engíneered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permít and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Application Signed
Plan Reviewer to Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Property Line Setbacks
glft. stream Setbacks
Lol-
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact r."r 6D
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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Subdivision Plat Notes< 7, æ{'¿, e-/'(mpt
Fire Depañment Reüiew - I nfire-Arca- e,ç.4ç.hf
va I u ation Determ i nat'fty
Red Line Plans/ StampsÀticker
Attach Condítions
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Description & Summarv:
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