HomeMy WebLinkAboutApplication\t n
Community Development Department
108 8th Sffeet, Suite 401
Glenwood Springs, CO 81601
le7ol94s-82L2
www.ga rfiel d-countv.com
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Gørfield County
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCÍION
Commercial/M ulti-Fa mily Demolition
Manufactured Home (Single or Multi-Level)
T Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
13495 Samantha Avenue, San Diego, ÇA92129
442-6674Erinn TozerProperty Owner:858Phone:
Mailing Address:
Email Address:etozerphd@gmail.com
732 Buckhorn Drive Unit B, Rifle, CO 81650
p¡one: (970 )379-7969Contractor:Aspen Foundation Repairs
Mailing Address
Email Address:om @ aspenfou ndation repai rs.com
Phone: (_)Arch¡tect:
Mailing Address
Email Address:
Criterium-ConaEngineers/JohnCona phone,(720 t788-6680
6400 S Fiddlers Green Circle Ste 250, Greenwood Village, CO 80111Mailing Address
Engineer:
Email Address:jcona @ criteriu m-cona.com
Phone: I )Manufactured Home lnstaller:
Mailing Address
Email Address:
PROJECT DETAILS
raulic push piers, install drainage & waterproofing,
install rock wall, excavate soil & rock in crew work area
47 White Peaks Lane, Glenwood Springs, CO 81601
Assessor's Parcel Number
5u5. lronbridge PUD
Describe Work:install hyd
Job Address
Owner's Valuation of Work:101,200.00
Sq. Ft. of Building:2062 Height:# of Floors:
Property Size (Sq. Ft. or Acres):17772
239512118145
Lot 14s Phæe 1 Block
1/AdditionClass of Work New Remodel/Alteration
Garage:ed Detached
PROJECT DETAITS CONTINUED
Septic:OWTS Community
Type of Heat:atural Gas Propane Electric Other
Driveway
Perm¡tr
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 perm¡ts 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 Build¡ng 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 ìnspect 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.
May 24,2023
Property Owner Print and Sign Date
OFFICIAT USE ONtY I
see ùfeohù ØNPIÛONSSpecial Conditions:
Adiusted Valuation:fl,?nn. od Plan Check Fee:-usL 2^'ilåziï.qr Manu, Home Fee:Misc. Feesr
TotafFees: ,t)
l.b5ø,'t
Fees Paid:(, s3.ge OWTS No:Balánce Due:ffie-qß+(
Setþáck¡:
no îlìanæ.9 OCC Group:
I RC '"""'ïRo 'Þ[ir>
hlir+a
Signed Approval
BUITDING / PTANNING DIVISION :
al
b-lþ-73
Date
Gørfield County
BUILDING ÐEPAßTMENT
708 E¡ghth Strcet, Suite 407, Glenwood Springs, CO 87Ø7
Tel: (97o) 945-8212
PLAN REVIEW C HECKLIST
Permit No: Øt RE-0b23-8t4 g
Building lssues Planning/Zoning lssues PUI>
I Engíneered Foundation
Driveway Permit
Surveyed Síte Plan
Septic Permít and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivísíon Plat Notes
Fire Department Review
Valuatíon Determínation/ Fees
Red Líne Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Applícation
ParceU Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Buildíng Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Description & Summarv:
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