HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
1OB 8th Street, Suite 401
Glenwood Springs, CO 81601
ls7ol94s-8212
www.ga rfiel d-countv.com
BUILDING PERMIî
APPTICATION
WPE OF CONSTRUCTION
Com mercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
T Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOIVED PARTIES
Property Owner:Adam Hansen p¡on".1 303 ) 928-9719
Mailing Address:9406 Highway 325, Rifle, CO 81650
Email Address:arhansen 1 81 8@yahoo.com
Contractor:N/A Phone: I )
Mailing Address:
Email Address:
Arch¡tect: N/A Phone:ì
Mailing Address:
EmailAddress
Engineer:N/A Phone: I )
Mailing Address:
Email Address:
Manufactured Home lnstaller:N/A Phone:I
Mailing Address:
Email Address:
PROIECT DETAITS
Describe Work:Rebuild of deck due to rot of previous deck and safety issues.
Job Address:9406 Highway 325, Rifle, CO 81650
Assessor's Parcel Number:192327400063
Sub.N/A Lot Block
Owner's Valuation of work: S 5,000 Property Size (Sq. Ft. or Acres)2.01 Acres
Sq. Ft. of Building:1,765 Height:25 Feet f of Floors: 2
Class of Work:New {Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAI tS CONTINUED
Septic:]WTS Community
Type of Heat:Natural Gas Propane Electric Other
Drivcway
Permit:
Exempt 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 arrd 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 Pcrmit bccomcs null and void if the work authorizcd is not commcnccd within 180 days
of the date of issuance and if work is srrspended or ahandoned 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
submltted by me or on my behalf (submlttals), based upon my certlficatlon as to accuracy. Assumlng 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)). All County development requiring a permit, except for
residential uses, are subject to Art¡cle 7 of the Land Use and Development Code. 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
Application, including submittals, and inspections of the work by the Building Division do not constitute an
acceptanceof responsibilityorliabilitybytheCountyoferrors,omissionsordiscrepancies. AstheOwner, 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
prcvidedlhq rfiuired%*information which is correct and accurate to the best of my knowledge.
8t'112023
Property Owner Priil and Sign Date
OFFICIAI USE ONLY \(L
Special Conditions:
Adiusted-Valuation:(- Ktoc{ "Æ,,
Plan Check Fee:Qa ætI\J. J I
Permit Fee:âs
Balance Due
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Manu. Home Fee:Misc. Fees:
Total Éees:
Aãq 7b Fees Paid:an.7ç BP No:
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OWTS No:
Setbacks OCC Group:Const. Type:zonft
8-7-L1BUTLDTNG / PLANNTNG DTVIS|ON :
Ap Date