HomeMy WebLinkAboutApplicationGurfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701945-82t2
www.Farf ield -cou nW.com
INVOLVED PARTIES
Manufactured Home tnstaller: Phone: (-)-..--
Mailing Address
EmailAddress:
PROJECT DEÍAIUi
Describe Work:expans¡on existing building
DemolitionCommercial/Multi-FamI
Manufactured Home (Single or Mult¡-Level
ReroofResidential (SF, Duplex or Townhome)
Dwelli Unit U - MAXTMUM SIZE OF 1,000 FEET
Ecodwelling Llc
5 Powerline road
Phone:
Email Address:fernando @ ecodwelling. us
Property Owner:
Mailing Address:
5 powerline road , rifle, Colorado
Contractor:Ecodwelling .305 .3943020Pnone: I I
Mailing Address
EmailAddress:
Email Address:
Phone:(Architect:
Mailing Address
Alioskar Ganem Osorio
15805 Biscayne Blvd , Miami fl
Phone:
Email Address:info@ganemce.com
186 )9166546
Mailing Address
Engineer:
5 Powerline Road, Rifle Co 81650Job Address
Addition
Detached
Assesso/s Parcel Number 217711 301 002
Powerline Prof Park 2Sub.Lot Block
Property Size (Sq. Ft. or Acres):Owner's Valuation of Work: S
Sq. Ft. of Building:
Class of Work:
Height:
Garage:ched
Remodel/Alteration
# of Floors:_
. PROJECT DETAITS CONTINUED
Septic:
Type of Heat:Natural Gas
I Dr¡veway
, Permit:
Community
Propane Electric Other
Permit #:
understand the Notice and Certification above, as well as, have
and accurate to the best of my knowledge.
Exempt
NONCE
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 permits 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.
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 locat¡on, 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 Bu¡lding Officialfrom: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (21stopp¡ng
construct¡on 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
provided the
Property Owner
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Special Conditions:
Adiusted Valuation:
?q [ ,7ö8,80
Plan Check Fee:
I7O8-BL
Permit Fee:
2G?ß.q5
Manu. Home Fee:
NlÀ
Misc. Fees:
Total Fees:
4i57,11
Fees Paid:
t48o,ßZ
Balance Due:
335e .\5 BP No:
glcÕ "?8 ll
OWTS No:
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Setbacks:OCC Group:lr const.rtoV=Zoning:
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?-zc-23BUtIDTNG / PIANNtNG DIVISION:
Date