HomeMy WebLinkAboutApplication*fous'^ø
Community Development Department
108 8th Süeet, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.Êarfi eld-countv.com
Gafteld CounQt
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
\\z Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwellins Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
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phoñå: IqTO tqlÒ.37 r-7Propefi Owner:
Mailing Address:
€hanK< H tP tÐ. LLC-
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Email Address: €e as Co
Contractor:5o,^ -Phone:
Mailing Address:
Email Address:
Architect:1. ^ ¡r. ¡rl o r€ þlo ^eÇ ô{frái ;f"1", ( 52</ | 5?q -?Þ6 ?
MailingAdd ress: 1qò2- (.^*u.u Ð,^ Ga¡he¡¡ .T^t q/- S2e))
Email Address:
Engineer:êDDt 7n* ¡qa,l
MailingAddress
Email Address:o
Co¡oLo.t Dave- Thor^^
Phone: (ç7D) 2tq -t / 4€Manufactured Home lnstaller:
Mailing Address
Email Address:
PROJECT DETAILS
Describe Work:Cqvq.te C *ia¡¡
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Job Address:
Assessoy's Parcel Number:
sub. il/,+Lot _ Block
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\CJC.I ( "l(
AOwney's Valuation of Work: $Property Size (Sq. Ft. or Acres):8b
Sq. Ft. of Building:Height:2Z #orloors: / ilær wifhfifrU.
Class of Work:X New RemodeUAlteration Addition
Garage:Y Anached ¿o; ¡/ h ore 9¿ç' - 1q"i*-Detached
Trellîonu( H-,,s¿¿ (¡ eoat f)
PROJECT DETAILS CONTINUED
Septic:x CWTS ()ç.- e,'rl"P9 Community
Type of Heat:
ElNaturalGas
Propane Electric Other
Driveway
Permit:[f*"'nt Permit #:
NOTICE
Authoriw. 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. ABuildingPermitcannotbeissuedwithoutproof of legal andadequateaccesstothepropertyfor
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
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 andl or builder.
I hereby acknowledge that I have read and understand the Notice a
provided the required
nd Certification above, as well as, have
best of my knowledge.
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information which
L\cCouv¿er
is correct and accurate to thee
Property Owner Print and Sign Dete
OFFICIAT USE ONIY \
,eee atta¿úe/ /va/1ßSpecial Conditions:
H;'þ'it*øÞ lt.zazAdiusted Valuation:
å?2.1ø.oa
Perm¡t Fee
Fees Paid:¿{@.oo
HomePlan ttSo
BP No:
o5
g OWTS No:
l^l7g.gg
Îota14ees:
oCC Group: RO Þ
Const.'rp z'"wSetlacks:
OK
lc-2-2VBUtLDtNG / PIANNING DIVISION
Signed Approval Date
Lilt'*Ä
Garfreld Coanty
BUILDTNG DEPARTMENT
lOB Eighth Street, Suite 407, Glenwood Spr¡ngs, CO 81601
Tel: (970) 945-8272
PLAN REVIE W CHECKL IST
Permit No: ELfuF-O?-27- 8UØ
Building lssues Planning/Zoning tssues 4UR¿?
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1/ Red Line Pla
/' Attach Conditions
Application Signed
Surveyed Site Plan
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Septic Permitfnd Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
ns/ Stamps/ Sticker QtruB.>,
Descriotion & Summarv:
Property Line Setbacks
35 ft. Stream Setbacks
¿' Flood Plain
.L Building Height
Zoning Sign-Off
Road rmpact Fees ,Q/ Fl/øb,
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Engineered Foundation
¿isrr,it lelfer 6/4Æ
Drivewa! Permit
Energy Compliance Path/Plan Received lg ft r7lANF= þloo
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