HomeMy WebLinkAboutApplicationGurfuld Counly
Community Development D€partrnent
tr$B Sestre€t, $uite 4Ot
€lenwood Springs, CO 81601-
{9?01!r4s-82r2
www.Farf ie l&cou nty.com
coilsrnucnoil
PARIIES
Properlry
ftlailing Addresr:
€mail Address:
Maili*g Address:
€nTail Address:
Fhone;ft?tASA j**!tZ*_
Contradcr;fr,r. ' '',1,, *rt,rr-,,; ,^4./*,, {u{ff&phone:#tp \ ?e/_:.{t& sr-*
#
Architect: Phsne: (-).----__-
MailingAddress:
Enrail Sddress:
€ngineer:
MailingAddress:
EmailAddresr:
Manuf,actured *lome lnstaller: Phone:
Ernail Address:
t PROTECtDEft'lt.S
Describe Work:
lobAddress:
Assessor's Parcel ilunnber:A&(ash9 t<e,+{
Fhsne: WU:-l<$-&"e7-
MailingAddrss:
sra :rrls. rld Ebck---
Ourlero: Valuation of Work:,9/-. f{2. {Y
5q. Ft- of Auilding:Jrad
Fropertv Siee {5q. Ft. or Acres}:,3{
# of Ffcors: 4
Addition
BUILDING PERMIT
APPLICATION
-l0ennolition
Maseufactured Fflonae orTiny Fiorne {Sinrg{e on hdu{ti-H-wet}
ResiderntiaE {5F, Druplex tlt -Fownhorne}__lReroof
Accessory Dwellfrng Umit {AD{-r} - MAXlillUM SIZE CIF LIOO SQUARE FE€T
Class sf Ullqrk:
Garage:itaclred
tleight:
Detacheei
:_
: PRO'ECT DETAI$ COfiNfi UEO
Septic:un,if,y
Fropane E$e,ctri'c Sther
Oriveway
Pqrry-i!:
rigIgE-
"
luthottg. Tttiis applicationr fona Building Pennit rnust be signed by the Srner of the propenty, descnlbed ahoveo
on an authenized age*t. lf the signaturre below is not tkoat of the Ownen, a separate iletter of asjittrlorE$, siigned by
the Owrer, nrust he provided w{th thris Applicatlout"
Le.fffl {ccess, A suileilirlg Ferrmit cannot he issued wfithout proof of legal amd adequate aqcess t@ t{,le property fon
puurposes of ira$peati@ns hy the Burillding Divisiom-
flthpr Psmite fr.dlEJltihll@ <8fr:rai6 mrmiltc m:v ilao ron.'ira/" d-f i trrra trfl*uinrl r)^-f*;i] da\ finrrn*.a fltiltrFt Da-*ir
{3} another pernrn{[ neqruined fon rlse on the propenty idemtiified abowe" e.g, Stat€ 6r furi.rnby iHEghway/ Road A,caess
sr a S&ate WasEewster Dfrscharge Ferrnit-
Vaid Pennit. A BUH'ding Ferrnlt hecormes gluNfl an*i vnid if the weirk authomzed rs not rerrnrneslced sd{E1tB]in 180 deys
of the daie of issuarnae and if uronk [s sempended or afuandcned for a period ofl 1ES days aften comrnerrcerslefit.
CCRNFrcANOil
ll hereby eerltifte tltrat F inaw read ffifs Applic.at$om amd that the tmfornnatiiorn contaiirned ahoye !s tnue arnd aorregrr. !
understand ti'\at the Suilldirng Stv-isifisi accepts the;{pp$lc*tion, a{onig witfa t|re pians arnd spercilscatiiorrns amd otlher data
subnriitted by me or on roty hehaif {submnitta[s], based upor-r FmV aertfiEaatiion a's t@ acc$ra$l- Assuf,riing aorinplleteness
of the suhrnniiittta:ls aind appnovai of, tlhris ApptdcaLionn a Bu[ldlng Penrrniit will be ii:ssrued gnamtiing penmission to rne" as
Owner, to comstnrutt trhe stin*cture(s| aind facillities detaiEed on ttr'e subryodttalls nev0ew,ed by the Bui[diinrg Divisiiora- {na
carlsidera{to,n of the issua'nce of tlhe Er,iilding Fer,mlt,'l agree tihat I and ,my
'age,nts wiiil comp,l"7 witln p,rovisia*s cf any
fedena{, stata, or locai'law r.eguiatiirng the wark an.d the Garfieild County Su:i{ding Co<ie, OWTS regulatioins a,nd
appi,icab{e {and use regu{ati,cns {Couniy Reguflatdo:ra{s}}. Al1 C':unty develo,prylent requiring a sern'llt, except for
resirleniiai u5es, are subject to Artitle 7 sf the l-ard {.Jse and Develcpment Ccde. I acknowledge thai the Suliding
Pernrit r"nay'he su:penrled or r*vokeci, uprx nctice frorn the Couniy, if ihe iccation, ccnsiru€ticn or use of the
structure(s) and facility{,ies}, desc,ribed above, are n,ot in campliance isilh County RegulatinnisJ ar any oiher
appilcahle ilaw.
ll heneby grant percniissualrn to tlhe Euildt-rg Divisrisrrn to emter the prsperty, descrfrbed ahove, to insipect t{"ne worE<- il
further ackncwfledge rtltat tlre i*utarnce af tihe tsrudUding Per,rfiit does riat pre\ieriit th,e Bulld{r,g ${ficriaN f,rEr'r"E: {1} neqsiirimg
the cornect'ionr olF erre'rs riinr t|qe sqrhdr:iftals, df aoy" dilscovered after issuance ; on {2} stoppirag €snstiru{atioin or c;se oif tihe
structure{s} ,or fact-lity(iies} if srr.rcil.n is {si violiation of Cnuoty Regqilation(s} on anrry other applicahle iaw" Revriew of thiis
Applicatiom, inciluddrng suburnittais, amd inspectq-on$ of the u{,ork by the Bufrlldiing Division do mot aoristitE}t€ an
acceptance of responsibility or HlahiBn-ty by [he Cor.rmty of ernors" onnissions, or discrepancries. As the Owneen, I
acfl<nowledge that nesponnslibilis for cornpll0ance urith federal, state arid locall ilaws arnd Corumty Regulations nest wiitl"l
mne and uny authont'zed agerllts, includlreg without li]rrnifation rny anclritect desigmer, engineen arnd/or lburiider.
I hereby acknowledge that ! haw read ancl understand the ltlotice and .Certification above, as wel! as" halrc
provided the required infonnation which is correct best of my knowledge.
Pr0perty Ilate
Ferrnit #:
kq-21
Type offleat:Gas
OFRCIATUSEOI{LY
$pecial Conditions:see
Adiusted Valuation:Jh 747, g7 Flan Cteck Fee:
& b7,1.1 '"uiiYa Manu" Home Fee:Miss. fees:
Total /ees:sfh7g.
FeesFaid: .-.
Jbl.t{tl
Balance Due:ill, 16
BP NUo:
WE"(Sr:t
OWTSilo:
Setbacks:*cc Group:
t Rc ,o"t.ryp_O "Sfin
EUrtDrN& / pr-ANNtfiG OtlJIStOtrl
$igned Apprcval 0a?e
Gurfield County
BUILDING DEPARTfiNENT
708 Eighth Street Suite 40!, Glenwood Springs, CO 81607
rel: (970) 94s-8272
PI.^AN REVI EW CHE CKLI T
Permit No: gtAE -O2-Zt/-86/7
Building lssues Pla n n i ng /Zoning lssues 7r/p
Na Ag
Engineered Fou+rrdat ion
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Property Lrne Setbacks
35 ft. Stream Setbacks
Flood Plain
Buitding Height
Zoning Sign-Off
Road lmpact Fees
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
fit*' l Drivewav Permit
-/' surveyed site Plan
-/// Fire Department Review
.,/r'r Valuation Determination/ Fees
/ Red Line Plans/ stamps/ Sticker
0 ntF
Attach conditions
''4r Applicationsigned
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Eoilm,eC
l/a/uo,fran,,
riotion & Summa rv:
Eatd/*>^
fztTlz,87
6coye.
Fer.rrnt fr l/^