HomeMy WebLinkAboutApplicationGørfteld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ole4s-82l2
www. garfield-cou ntv.com
-3
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/Multi-Familv Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex orTownhome)Reroof
Dwelli Unit U - MAXIMUM SIZE OF SQUARE FEET
IN¡VOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
+ t\n ltn L ,^-,<- Pr^rrt^^"qt .,Çl , <0 I o ozg\
I
0
o
(¡r,0
\4 e
ç"":lL )*'l*ß:l\Phonel
p-$l,A Phone: tful 4tr t 1>o
t
ho¿rY
l.Ò
á';c¿ct,^-
Contractor:
Mailing Address:
Email Address:
\.,\PhoneArchitect:
Mailing Address
Email Address:
Emait Address: ml L (l u lo c *ûu. {n r-k^t. cj¡-
o û >z4t ( B"V ,l] art AÊ- Unll ?
f-to.Jo ç\rv¿[^c.(Engineen
Mailing Address:
Phone: 147o ¡ 41et 51LZ
,J /*Phone:Manufactured Home lnstaller:
Mailing Address:
Email Address:
PROJEET DETAIIS
Assessor,sparcelNumber; 21qï ,2-07 a lù \7
Describe Work:
0.r4; k¿
h Ç e4
Height:Llt-to 6/t
M\r^/ çç fuou-
r-ot F'11 Block-
Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:1-ì rl
!Ìn
# of Floors: Z
Job Address: n Vgt
sub. Ara tn. blt *
It l1o. ùoo. ¿o
'l
Owner's Valuation of Work: S
Class of Work:x New Remodel/Alteration
Garage:Attached Detached
a
a
t
¡
I
I
I
I
I
I
i
PROJECT DETA¡tS CONTINUED
Septic:Community
Electric
Permit #:
Type of Heatr Natural Gas Propane
Driveway
Permit:
NOTICE
pt
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.
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 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
constructlon 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 w¡th federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitat¡on 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 req on and accurate to the best of my knowledge
f z7
Property Sign Date
Other
IOFFICIAL I8L 58.
6ee attached ØNÞ /TA/\/SSpecial Conditions
Manu. Home Fee:-.--Misc. Fees: tR¡rÈøÞç2,P,
BP No:gT-Fâ/-nu
Të\::!UW!
'"'^'ä,"1'5á06
Pl.h ahô.L
!2 +2
Due:
Fee,Tb
Fees d
5ß'I\
t6
47 OWTS No:
'"WND OCC Group:tRo ,o"t .rt'l,RO flrðù
5-26-æBUILDING / PLANNING DIVISION
Signed Approval
a0iÅh
Date
oo
Gørfield County
BUILDING ÐEPARTMENT
7oa Eighth street, Su¡te 407, Glenwood Springs, Ca 87607
Tel: (97a) 5-8212
PLAN REVIEW c HECKLIST
Permit No: ê/RE-A€-/?QA?¿
Building lssues Planning/Zoning lssues 7U Þ
,/
exqryct
Frïbq,1, Lat F-/î
C¿4VD, l.n Line setba cksEngineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permít and Setbacks
Gradel Topography 30%
Attach Residential Plan Review List
t/35 ft. Stream Setbacks
//
UNÞ
Flood Plaín
Building Heíght
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
l./
uuÞ
r'
Red Line Plans/ Stamps/ Sticker
Attach Condítions
Application Signed
Plan Reviewer to Sígn Applícation
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report h
Yø
t/
t/
,/
47639a æF-/î
FL6 ,Vztz Y *.68=27î87ztb
5Ø x ã2:ltzltØ
/øx /î tfu,ø
c 37oxlZ lu{a,ø
f')
adtbçþ/latiltàq"/ laha/þUv
t/
A/A
t/
K*A 2l-7-zzz
Apr,l t0 þ?lardfsr Ø,2 6A13f t
,a
67,L
(
&?2Þ, tàtnþÞ
Va*"a tV¿fæprurt/
frÊr*¿rea/ht lhhg